Priscilla Holland
Atlanta,Georgia
Summary
The variety of skills I have achieved provides adaptability, resourcefulness, and effective communication in the workplace. My goal is to obtain a position within your growing organization; for the opportunity to utilize and build upon my knowledge for the mutual benefit of the company and myself. Consummate Claims Associate knowledgeable insurance coverage, policy terms and conditions. Facilitates claims processing by cultivating productive relationships with stakeholders. Blends analytical and administrative acumen throughout investigations and recommendations.
Results-driven insurance professional with proven track record in claims management. Known for effectively resolving complicated claims and maintaining high standards of accuracy. Exceptional team collaborator with focus on adapting to changing needs and delivering reliable outcomes. Expertise in risk assessment and customer service.
Overview
12
12
years of professional experience
Work History
Insurance Claims Specialist
National General Insurance Company
01.2022 - Current
- Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
- Evaluated and settled complex insurance claims in strict timeframes.
- Followed up with customers on unresolved issues.
- Provided advice to customers regarding claims, rights and insurance processes to prevent disputes.
- Understood requirements for disputes, gathered evidence to support claims and prepared customer cases to handle appeals.
- Responded to inquiries by answering questions, providing information and directing customers to appropriate resources.
- Utilized appropriate cost containment techniques to reduce overall claim costs.
UNIT SECRETARY
NORTHSIDE HOSPITAL
08.2017 - 07.2021
- Prepare patient files/charts for discharges and transfers to other departments
- Review patient insurance documents to determine which procedures will be covered in addition to required deductibles
- Appointment scheduling between patients and departments.
ADMINISTRATIVE ASSISTANT
FULTON COUNTY SCHOOLS
07.2017 - 01.2018
- Ensured school's policies and procedures complied with relevant laws and regulations
- Prepared related reports/records as required by the school division, local, state, and federal government
- Managed budgets, logistics and events.
OFFICE ASSISTANT
STATE FARM
03.2013 - 02.2017
- Composed memos, presentations, organizational charts, and confidential materials
- Answered phone calls and emails from customers to direct inquiries to the appropriate department
- Adapted to the team needs and assisted with other projects as needed.
Education
GED -
Monroe Area High School
05.2008
Skills
- Accident Investigations
- Settlement Determinations
- Compliance Management
- Coverage Assessments
- Teamwork and collaboration
- Claims investigation
- Claims analysis
- Policy interpretation
Proficiency
- Interpersonal
- Personality
- Foresight
- Detail Oriented
- Problem Solving
- ICT
Timeline
Insurance Claims Specialist
National General Insurance Company
01.2022 - Current
UNIT SECRETARY
NORTHSIDE HOSPITAL
08.2017 - 07.2021
ADMINISTRATIVE ASSISTANT
FULTON COUNTY SCHOOLS
07.2017 - 01.2018
OFFICE ASSISTANT
STATE FARM
03.2013 - 02.2017
GED -
Monroe Area High School
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