Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
20
20
years of professional experience
Work History
Claim Assistant II
Amtrust Financial Services
11.2018 - 08.2022
Departments: Liability, Property, Subrogation, Billing and Coverage
Improved team productivity with thorough documentation of claims information and effective cross-departmental collaboration.
Posted payments to accounts and maintained records.
Ensured accuracy of data entry for each case file, minimizing errors that could lead to delays or complications in the claim resolution process.
Reviewed outstanding requests and redirected workloads to complete projects on time.
Generated, posted and attached information to claim files.
Proven ability to learn quickly and adapt to new situations.
Organized and detail-oriented with a strong work ethic.
Excellent communication skills, both verbal and written.
Passionate about learning and committed to continual improvement.
Claims Representative Associate
Sedgwick CMS
10.2012 - 11.2018
Identified suspicious losses and contacted manager for investigative assistance.
Researched claims and incident information to deliver solutions and resolve problems.
Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
Reviewed new files to determine current status of injury claim and to develop plan of action.
Maintained contact with claimants and attorneys to determine treatment status.
Adaptable and proficient in learning new concepts quickly and efficiently.
Workers' Compensation Claims Assistant
Sedgwick CMS
06.2005 - 03.2012
Generated, posted and attached information to claim files.
Posted payments to accounts and maintained records.
Checked documentation for accuracy and validity on updated systems.
Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Worked effectively in fast-paced environments.
Paid attention to detail while completing assignments.
Managed time efficiently in order to complete all tasks within deadlines.
Claims Processing Clerk
Sedgwick CMS
10.2002 - 01.2005
Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
Enhanced customer satisfaction through timely and accurate mail distribution within the organization.
Education
High School Diploma -
Skyline High School
Dallas, TX
05.2000
Skills
Bilingual
Data Entry
Excellent administrative abilities
Skilled in excel and powerpoint
Documentation skills
Customer Service
Multitasking Abilities
Friendly, Positive Attitude
Languages
Spanish
Timeline
Claim Assistant II
Amtrust Financial Services
11.2018 - 08.2022
Claims Representative Associate
Sedgwick CMS
10.2012 - 11.2018
Workers' Compensation Claims Assistant
Sedgwick CMS
06.2005 - 03.2012
Claims Processing Clerk
Sedgwick CMS
10.2002 - 01.2005
High School Diploma -
Skyline High School
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Darelle DeMarcoDarelle DeMarco
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