Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

Rebecca Jean-Baptiste

Lauderhill,FL

Summary

Qualified Claims Representative versed in investigating claims, verifying information and managing settlements. Friendly and upbeat team player with organized and disciplined approach. Offering 10 plus years of insurance experience.

Overview

11
11
years of professional experience

Work History

Claims Service Specialist

American Vanlines
01.2022 - Current
  • Improved customer satisfaction by efficiently resolving insurance claims and addressing inquiries.
  • Streamlined the claims process for faster resolutions, resulting in increased client retention.
  • Conducted thorough investigations of complex claims to identify potential fraud or discrepancies.
  • Negotiated fair settlements with claimants while maintaining company profitability and adhering to industry regulations.
  • Managed multiple high-priority claims simultaneously, ensuring timely resolutions and client satisfaction.
  • Prepared insurance claim forms or related documents and reviewed for completeness.
  • Generated, posted and attached information to claim files.
  • Negotiated claim settlements with claimants and attorneys to resolve claims efficiently and fairly.
  • Worked productively in fast-moving work environment to process large volumes of claims.

Claims Processing Clerk

Broadspire, Crawford & Company
05.2013 - 06.2019

· Received and matched mail to the appropriate claim file through the Focus system.

· Creates claim file by inputting initial loss report information into the Focus system; completes and distributes paper file to the appropriate claim area.

· Typed a variety of material such as letters, reports, form letters, or memorandums.

· Proofreads work for accuracy; distributes all letters and memorandums for proper signatures before mailing.

· Performed a variety of clerical duties such as answering telephones, taking messages, and sorting and filing mail and correspondence.

· Determined proper file and claim number on unidentified claim correspondence by use of the Focus system.

· Responds to insureds and agents to complete general loss report information

· Contacts agents and insureds on routine claims to obtain coverage information or to clarify coverage information supplied on a loss report.

· Operated the check signing machine and in posting and distributing of claim checks issued.

· Maintained office supplies and forms; completes requisitions and orders supplies as needed.

· Creates and updates claim manuals.

· Keeps supervisor informed verbally and in writing of activities and problems within assigned area of responsibility; refers matters beyond limits of authority and expertise to supervisor for direction.

· Performed other related duties as required or requested

Education

High School Diploma -

Nova High School
Davie, FL

Certificate - Medical Assisting

Ultrasound Diagnostic
Lauderdale Lakes, FL

Skills

  • Conflict Resolution
  • Microsoft Office
  • Interpersonal Skills
  • Customer Service
  • Problem Solving
  • Organizational Skills
  • Attention to Detail
  • Multitasking
  • Decision Making
  • Insurance Claims Review
  • Data Entry
  • Claims Processing

Languages

Haitian Creole
Full Professional

Timeline

Claims Service Specialist

American Vanlines
01.2022 - Current

Claims Processing Clerk

Broadspire, Crawford & Company
05.2013 - 06.2019

High School Diploma -

Nova High School

Certificate - Medical Assisting

Ultrasound Diagnostic
Rebecca Jean-Baptiste