Renata Laughlin
Reynoldsburg
Summary
Results-driven claims management specialist with 4+ years of experience in claims management, bartending, and recruiting. Proficient in handling documentation, data entry, and correspondence with claimants. Proven skills in multitasking, customer service, and resolving complex claim issues. Possesses a Bachelor's degree in Child Psychology and holds certifications in bartending and food handling. Seeking a remote claim management role.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Bartender
Double Tree By Hilton
Dublin
08.2021 - Current
- Maintains service stations, garnish line, service bar, and common area of restaurant
- Properly serve cocktails, spirits and beers
- Enter orders and drinks into POS system
- Maintain inventory on all liquors, cordials,and all bar needs
- Cover any unmanned shifts as needed to
- Create new drink and menu ideas
- Balance end-of-day paperwork, including cash and credit cards with minimal errors, overages or shortages
- Ensure that tables and side stands are kept stocked tidy and clean
- Know liquor liability laws, take steps to visually assure that age identification is legitimate and practice responsible beverage service with all guests
- Verbally welcome guests immediately upon seating
- Support other areas of the restaurant as necessary
Claims Management Specialist
Sedgwick
Dublin
04.2023 - 04.2024
- Ability to effectively organize and multitask, ensuring timely completion of tasks
- Handle documentation, data entry, and correspondence with claimants
- Collaborated with healthcare providers to obtain additional documentation or clarification on claim details
- Identified potential fraudulent activities or billing errors through careful analysis of claims data
- Investigated and resolved complex claim issues by analyzing medical records, policy documents, and billing information
- Verified patient eligibility and coverage benefits prior to claim submission
- Ensured timely resolution of outstanding claims by following up with payers regularly
- Performed audits on processed claims to identify trends or patterns that may require further investigation or process improvement
Recruiter
Tailored Management
Dublin
01.2020 - 02.2022
- Updated candidate records and job postings on internal recruiting systems
- Utilized Dalia, LinkedIn Recruiter, and CareerBuilder daily to effectively source candidates
- Sourced candidates through various recruiting strategies - national, local and niche job postings; industry networks and trade shows; recruitment networks; candidate databases, employee referrals and social networking
- Managed candidates through full life cycle recruitment process - consult, source, identify, qualify, present, coordinate, follow-up, disposition
- Maintaining an average of 300 phone screens/week, and 30 hires/month
- Create job descriptions and job postings for all open positions
Senior Fraud Specialist
JPMorganChase
Columbus
03.2005 - 01.2021
- Resolved complex customer inquiries or complaints promptly while maintaining a high level of professionalism
- Maintained strict adherence to regulatory requirements such as Anti-Money Laundering (AML) guidelines
- Evaluated creditworthiness of potential borrowers by analyzing their financial statements, cash flow projections, collateral value etc
- Mentored junior bankers by providing guidance on complex transactions or challenging client situations
- Provided exceptional customer service to banking clients, addressing inquiries and resolving issues in a timely and professional manner
- Maintained thorough knowledge of banking products and services to effectively educate customers on available options
- Identified opportunities to cross-sell additional banking products or services based on customer needs and preferences
- Collaborated with other departments such as fraud prevention, lending, and operations to resolve complex customer issues efficiently
- Served as a point of contact for escalated customer complaints or concerns, ensuring prompt resolution while maintaining a high level of professionalism
- Demonstrated strong problem-solving skills by analyzing complex financial situations and providing appropriate solutions to customers' financial needs
- Participated in ongoing training sessions to stay updated on new banking regulations, policies, products, and technologies
- Assisted elderly or technologically challenged customers in navigating online banking platforms or mobile applications for their convenience
- Mentored new team members on effective communication techniques that enhanced overall client experience
AppleCare At-Home Advisor
Apple
Cupertino
07.2014 - 07.2017
- Provided excellent customer service by addressing inquiries, resolving complaints, and offering product information
- Consistently met or exceeded individual performance metrics including call quality, average handle time, and customer satisfaction ratings
- Collaborated with cross-functional teams to resolve complex customer issues requiring input from multiple departments
- Handled a high volume of inbound customer calls, averaging a minimum of 80 calls per day
- Cross trained in email, live chat and phone support
- Trusted to work from home
Education
Bachelor's degree - Child Psychology
Walden University
Minneapolis, MN04.2025
Skills
- Recruiting
- Banking
- Bartending
- HR Sourcing
- Talent Acquisition
- Live Chat
- Workers' Compensation
- Mobile Applications
- Employee Orientation
- Human Resources Management
Certification
- Bartender License
- Food Handler Certification
- Professional In Human Resources
Additional Information
Skilled in using Microsoft Office Products (email, word processing, spreadsheet creation), Capable of managing electronic and hard copy filing systems efficiently, Excellent written and verbal communication skills are essential
Timeline
Claims Management Specialist
Sedgwick
04.2023 - 04.2024
Bartender
Double Tree By Hilton
08.2021 - Current
Recruiter
Tailored Management
01.2020 - 02.2022
AppleCare At-Home Advisor
Apple
07.2014 - 07.2017
Senior Fraud Specialist
JPMorganChase
03.2005 - 01.2021
Bachelor's degree - Child Psychology
Walden University