Summary
Overview
Work History
Education
Skills
Affiliations
Accomplishments
Timeline
Generic

Patricia Foran

Bristol,VA

Summary

Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Committed job seeker with a history of meeting company needs with consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.

Overview

43
43
years of professional experience

Work History

Switchboard Receptionist

Bass Pro Shops
Bristol, TN
10.2018 - Current
  • Greeted visitors and provided them with directions to the appropriate destination.
  • Assisted customers in placing orders over the phone and routed their inquiries to the appropriate department.
  • Answered incoming calls, transferred calls, and took messages for staff members.
  • Maintained a neat reception area by organizing supplies and ensuring that all materials were up-to-date.
  • Provided support to administrative staff by scheduling appointments, ordering office supplies, and performing other clerical tasks as needed.
  • Verified customer information such as name, address, telephone number. prior to processing requests or orders.
  • Managed multiple lines simultaneously while providing courteous service to callers.
  • Processed payments for services rendered over the phone or in person using a cash register system.
  • Entered data into databases accurately and efficiently while adhering to established guidelines regarding privacy policies.
  • Assisted in resolving customer complaints in a professional manner by taking ownership of their issue until it was resolved satisfactorily.
  • Served as a point of contact between clients and management teams when required.
  • Ensured compliance with all applicable laws governing switchboard operations.
  • Conducted regular maintenance checks on all equipment used at the switchboard station.
  • Provided excellent customer service by responding promptly to any inquiries received via telephone or email.
  • Answered high volume of telephone calls to offer operational information and help with specific issues.
  • Answered calls with friendly and polite approach to engage callers and deliver exceptional customer service.
  • Completed connections between callers, departments and professionals.
  • Shared or forwarded messages and information to designated personnel.
  • Operated telephone switchboard of 75 employees and routed calls to correct destination.
  • Paged employees over PA system to ensure prompt connection with callers.

Workers' Compensation Claims Manager

HealthSmart
Abington, VA
05.1993 - 07.2014
  • Developed and implemented strategies to reduce Workers' Compensation costs.
  • Managed a staff of adjusters responsible for processing Workers' Compensation claims.
  • Reviewed medical reports to determine claim eligibility.
  • Researched and resolved complex Workers' Compensation issues.
  • Conducted investigations into potential fraudulent claims activities.
  • Negotiated settlements with claimants and attorneys on behalf of employers.
  • Collaborated with external vendors to ensure timely payment of benefits.
  • Maintained records and documentation related to all claims activities.
  • Provided guidance and support to team members in resolving difficult cases.
  • Audited existing processes for accuracy and efficiency improvements.
  • Created detailed reports summarizing claim status and resolution progress.
  • Monitored compliance with state-specific regulations regarding Workers' Compensation claims handling procedures.
  • Implemented best practices for adjudicating claims within established timelines.
  • Assisted with training new employees on company policies and procedures related to Workers' Compensation.
  • Analyzed financial statements from employers to assess risk associated with potential Workers' Compensation claims.
  • Drafted correspondence related to claim decisions or denials for review by management.
  • Investigated complaints from claimants regarding denied or delayed payments.
  • Served as a liaison between employers, injured workers, insurance carriers, healthcare providers, legal representatives, and other stakeholders involved in the claims process.
  • Participated in hearings before administrative law judges concerning disputed compensation awards.
  • Delegated work to staff, setting priorities and goals.

Senior Service Representative

PROVIDENT
Bristol, TN
05.1981 - 05.1993
  • Provided customer service for all inquiries, including troubleshooting and problem resolution.
  • Demonstrated strong communication skills to maintain customer relationships and resolve customer issues.
  • Assisted customers in navigating the company website for product information and services.
  • Handled escalated calls from customers regarding billing or technical support issues.
  • Maintained a positive attitude while dealing with difficult customer situations.
  • Researched complex problems related to products or services to provide solutions that meet customer needs.
  • Monitored incoming emails and responded promptly to inquiries from customers.

Education

Associate of Arts - Teacher Education

Virginia Highlands Community College
Abingdon, VA
05-1972

Associate of Arts - History Teacher Education

EMORY AND HE

Skills

  • Customer Needs Assessment
  • Customer Service
  • Researching Customer Issues
  • Excellent Verbal Communication Skills
  • Conflict resolution techniques
  • Medical terminology proficiency
  • Insurance Claims
  • Provider Relations
  • Quality assurance checks
  • Critical Decision-Making
  • Insurance claims management
  • HIPAA
  • Insurance Verification
  • Settlement Negotiations
  • Liability Determination
  • Customer service and support
  • Litigation Management

Affiliations

  • GARDENING
  • ANCESTORY INVESTIGATION
  • PHOTOGRAPHY

Accomplishments

  • AWARDED EMPLOYEE OF THE MONTH IN APRIL 2020 AND JANUARY 2024 AT BASSPRO STORE #66
  • OBTAINED INSURANCE / WORKERS COMPENSATION CERTIFICATION FOR KENTUCKY, TENNESSEE, ILLINOIS
  • PROMOTED FROM MEDICAL, DENTAL, LIFE, AND SHORT TERM DISABILTY CLAIMS ADJUSTER AT PROVIDENT LIFE AND ACCIDENT TO UNIT LEADER TO CLAIMS MANAGER FOR HALF THE OFFICE TOTALLING 300 EMPLOYEES TO SENIOR SERVICE REPRESENTATIVE
  • PROMOTED FROM WORKERS COMPENSATION ADJUSTER AT EMPLOYERS SERVICE {THIS COMPANY WAS SOLD 3 TIMES WITH NAME CHANGES OF ACORDIA iNSURANCE, WELLS FARGO iNSURANCE AND LAST HEALTHSMART}TO UNIT LEAD TO UNIT MANAGER TO CLAIMS MANAGER WITH SPECIFIC STATES TO ASSIST WITH AND MANAGE CLAIMS ADJUSTERS IN UNIT

Timeline

Switchboard Receptionist

Bass Pro Shops
10.2018 - Current

Workers' Compensation Claims Manager

HealthSmart
05.1993 - 07.2014

Senior Service Representative

PROVIDENT
05.1981 - 05.1993

Associate of Arts - Teacher Education

Virginia Highlands Community College

Associate of Arts - History Teacher Education

EMORY AND HE

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Patricia Foran