Raven Shacobi
Columbia,SC
Summary
Dedicated Claims adjuster with years of experience in face paced environment seeking and stimulating position in both a growth and goal orientated setting that will allow me to utilize and acquire new skills to further my career and align within a company's mission and vision statement. I have handled a wide range of contact methods while accurately documenting customer issues and providing first class service with every interaction while adapting to fast changing environments. Demonstrated a strong ability to build customer rapport and provide effective rebuttals for objections while executing a proven track-record of consistently meeting performance metrics.
Overview
12
12
years of professional experience
Work History
Remote Insurance Claims Adjuster
Insurance Innovators
Columbia, SC
01.2023 - Current
- Investigate and resolve claims, achieving a 98% accuracy rate in claims assessments.
- Reduce average claims processing time by 20% through the implementation of streamlined workflows.
- Achieve a 95% customer satisfaction rate through effective communication and timely resolution of claims.
- Collaborate with legal teams to resolve complex claims, contributing to a 15% reduction in legal disputes.
- Improved customer satisfaction by providing timely updates and resolutions to their claims inquiries.
- Developed positive relationships with policyholders, fostering trust through transparency during the claim process.
Senior Payment Claim Adjuster
Claims Resource Management
Columbia, SC
03.2018 - 12.2022
- Manage a portfolio of high-quality claims, resulting in a 10% increase in settlement amount.
- Conducted regular audits of claims files, achieving a 98% compliance rate with industry standards.
- Led training sessions for junior claim adjusters, contributing to a 20% improvement in claim assessment accuracy.
- Actively participated in industry conferences and workshops, staying informed on best practices and innovations in the field of payment adjustments.
- Leveraged strong analytical skills to identify potential areas for cost savings or revenue growth within the claims department, contributing to overall company profitability.
Claims Specialist
Blue Cross NC
Charlotte Nc
01.2013 - 08.2014
- Manage a high volume of claims, achieving a 98% on time resolution rate.
- Conduct regular file reviews to identify trends and process improvements, leading to a 20% reduction in claims process errors.
- Achieved a 15% improvement in customer retention through proactive communication and claims update.
- Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
- Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
Education
High School Diploma -
W.J. Keenan High School
Columbia, SC06.2011
Skills
- Claims Investigation
- Claim Assessment
- Negotiation
- Technical knowledge
- Fraud Detection
- Communication
- Data Analytics
- Remote Collaboration
- Process Improvement
- Customer Satisfaction
- Financial Acumen
Timeline
Remote Insurance Claims Adjuster
Insurance Innovators
01.2023 - Current
Senior Payment Claim Adjuster
Claims Resource Management
03.2018 - 12.2022
Claims Specialist
Blue Cross NC
01.2013 - 08.2014
High School Diploma -
W.J. Keenan High School