Regina Jackson
Bakersfield,CA
Summary
I am a retired claims professional looking to bring my skill set to a company looking for a customer service representative with the right stuff. I enjoy working with people and I am good at it. Let me help you make your customer experience one they will appreciate and remember,
Overview
10
10
years of professional experience
Work History
Major Claims Specialist
State Compensation Insurance Fund, SCIF
04.2013 - 12.2022
- Managed catastrophic claims from the date of injury through the settlement of the claim.
- Analyzed claim information to identify discrepancies or issues.
- Maintained organized records of processed claims and associated correspondence.
- Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
- Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
- Developed strong working relationships with external partners such as adjusters, legal counsel, and medical professionals to facilitate efficient claim resolution processes.
- Settled complex claims fairly by applying critical thinking, negotiation skills, and detailed knowledge of insurance policies.
- Handled high-pressure situations with professionalism and composure, consistently achieving positive outcomes for both clients and the organization.
- Provided exceptional customer service during stressful situations by offering empathy and support while resolving issues efficiently.
- Reduced claim processing errors by conducting thorough investigations and accurately interpreting policy details.
Education
No Degree - Customer Service, Policy Underwriting And Claims
State Fund University
Oxnard CA And Bakersfield CA12-2022
Skills
- Proficient in diverse communication methods
- Excellent customer service
- Clear and concise documentation
- Proficient in high-volume call management
- Microsoft office
- Settlement determinations
- Compliance management
- Documentation review
- Excellent time mamagement
Timeline
Major Claims Specialist
State Compensation Insurance Fund, SCIF
04.2013 - 12.2022
No Degree - Customer Service, Policy Underwriting And Claims
State Fund University