Summary
Overview
Work History
Education
Skills
Timeline
Generic

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
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
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
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, SC
06.2011

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
Raven Shacobi