Microsoft Word, Microsoft Excel, PowerPoint
Riley De Silva
Fullerton,CA
Summary
Analytical problem-solver with excellent communication skills. Effective at interviewing claimants, compiling records and documenting findings. Well-versed in insurance policies, practices and standards. Qualified Claims Representative versed in investigating claims, verifying information and managing settlements. Friendly and upbeat team player with organized and disciplined approach. Offering years of insurance experience.
Overview
12
12
years of professional experience
Work History
Claims Representative
Mercury Insurance
08.2019 - 11.2023
- Enhanced claim processing efficiency by streamlining workflows and implementing best practices.
- Reduced turnaround time for claim settlements by prioritizing tasks and managing deadlines effectively.
- Improved customer satisfaction by providing timely and accurate information on claim status and resolution.
- Collaborated with cross-functional teams to expedite complex claims investigations and resolutions.
- Provided exceptional customer service, addressing concerns and resolving issues promptly to maintain client satisfaction.
Support Specialist Supervisor
Mercury Insurance
09.2017 - 08.2019
- Enhanced customer satisfaction by promptly addressing technical issues and providing effective solutions.
- Streamlined support processes for increased efficiency and reduced response times.
- Led a team of support specialists, ensuring high-quality service delivery and continuous professional development.
- Developed comprehensive training materials to improve the skills and knowledge of support staff.
- Implemented proactive monitoring measures to identify potential problems before they escalated, resulting in improved system performance.
- Reduced ticket backlog by implementing process improvements and prioritization strategies for more efficient issue resolution.
- Analyzed customer feedback data to identify areas of improvement in the support process and drive positive change.
- Established clear performance metrics and goals for the support team, promoting transparency and accountability for results.
Sales Associate
Sears And Robuck
11.2011 - 09.2017
- Increased sales revenue by building strong rapport with customers and recommending appropriate products based on their needs.
- Boosted customer satisfaction levels through exceptional service, addressing concerns promptly, and providing a welcoming store environment.
- Developed new client relationships by actively engaging with potential customers and highlighting the benefits of our product offerings.
- Achieved monthly sales targets consistently by implementing effective sales strategies and maintaining a high level of product knowledge.
- Collaborated with team members to improve overall store performance, sharing best practices, and offering support as needed.
- Organized in-store promotions and events to increase foot traffic and drive additional sales opportunities.
- Assisted in training new staff members on company policies, product information, and sales techniques for a seamless onboarding experience.
- Handled cash transactions efficiently while adhering to company cash handling policies, ensuring accuracy in all financial exchanges.
Education
High School Diploma -
Brea Olinda High School
Brea, CA06.2012
Skills
- Team Collaboration
- Conflict Resolution
- Interpersonal Communication
- Insurance Claims Review
- Claims Investigation
- Decision-Making
- Policy Knowledge
- Data Analysis
- Time Management
- File Management
- Coverage Assessments
- Documentation Review
- Microsoft Office
- Organizational Skills
Software
References
References available upon request.
Timeline
Claims Representative
Mercury Insurance
08.2019 - 11.2023
Support Specialist Supervisor
Mercury Insurance
09.2017 - 08.2019
Sales Associate
Sears And Robuck
11.2011 - 09.2017
High School Diploma -
Brea Olinda High School
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