Rita Sweet
Cleveland,OH
Summary
Diligent Claims Processor versed in insurance processes and claims procedures. Offers great attention to detail and time management abilities to successfully handle large volume of claims. Highly accurate and thorough with focus on completing error-free work in line with processing guidelines. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
24
24
years of professional experience
Work History
Account Claims Processing Specialist
AmTrust Financial Services, Inc,
Cleveland, OH
06.2016 - Current
- Reviewed applications and supporting documents to verify claims eligibility and accuracy.
- Improved claim processing efficiency by implementing streamlined procedures and workflow adjustments.
- Prepared insurance claim forms or related documents and reviewed for completeness.
- Provided ongoing training to new hires, improving overall team proficiency in claims processing tasks.
- Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
- Maintained a high level of accuracy and attention to detail when reviewing submitted claims for completeness and correctness, contributing to the overall quality of processed claims.
- Collaborated with team members to ensure consistency in claims processing, resulting in reduced discrepancies.
- Participated in team projects, demonstrating an ability to work collaboratively and effectively.
- Paid attention to detail while completing assignments.
- Organized and detail-oriented with a strong work ethic.
- Excellent communication skills, both verbal and written.
- Worked well in a team setting, providing support and guidance.
Claims Assistant
New York Life Insurance Co
Lakewood, OH
10.2007 - 05.2016
- Worked productively in fast-moving work environment to process large volumes of claims.
- Improved customer satisfaction levels by providing timely, accurate, and empathetic support during the claims process.
- Maintained accurate and up-to-date records of claim information for future reference.
- Continuously improved personal performance by seeking feedback from peers, supervisors, and clients for self-improvement and growth.
- Updated claims system to track claim status and provide relevant information to other department.
- Enhanced claims processing efficiency by streamlining workflows and optimizing data entry procedures.
- Prepared files, letters and notices.
- Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
- Generated, posted and attached information to claim files.
- Participated in team projects, demonstrating an ability to work collaboratively and effectively.
- Managed time efficiently in order to complete all tasks within deadlines.
- Worked well in a team setting, providing support and guidance.
Clerical Specialist
The Reserve Network
Lakewood, OH
06.2003 - 11.2006
- Supported team members by taking on additional tasks during high-volume periods, ensuring deadlines were met consistently.
- Provided exceptional customer service over phone calls and emails, resolving issues quickly for satisfied clients.
- Answered and managed incoming and outgoing calls while recording accurate messages for distribution to office staff.
- Maintained strict confidentiality while handling sensitive client information, adhering to established security protocols.
- Reviewed files, records and other documents to obtain information to respond to requests.
- Delivered clerical support by handling range of routine and special requirements.
- Improved office efficiency by streamlining filing systems and organizing documents.
- Reduced errors in data entry with careful attention to detail and double-checking work for accuracy.
- Completed clerical tasks such as filing, copying, and distributing mail.
- Managed daily data entry and kept clerical information accurate and up-to-date.
- Worked well in a team setting, providing support and guidance.
- Organized and detail-oriented with a strong work ethic.
- Managed time efficiently in order to complete all tasks within deadlines.
- Skilled at working independently and collaboratively in a team environment.
Administrative Assistant
Petite Insurance Agency
Macedonia, OH
06.2000 - 05.2003
- Managed paper and electronic filing systems by routing various documents, taking messages and managing incoming and outgoing mail.
- Coordinated and scheduled meetings and conference calls to optimize scheduling of senior staff.
- Continually sought methods for improving daily operations, communications with clients, recordkeeping, and data entry for increased efficiency.
- Scheduled office meetings and client appointments for staff teams.
- Streamlined invoice processing procedures to ensure timely payment of vendors while minimizing errors in financial records.
- Executed record filing system to improve document organization and management.
- Gained extensive knowledge in data entry, analysis and reporting.
- Paid attention to detail while completing assignments.
- Demonstrated strong organizational and time management skills while managing multiple projects.
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
- Established administrative work procedures to track staff's daily tasks.
- Maintained confidentiality of sensitive information by adhering to strict privacy policies and implementing secure filing systems.
- Ensured accurate record-keeping with diligent data entry and database management for vital company information.
- Received and sorted incoming mail and packages to record, dispatch, or distribute to correct recipient.
- Managed filing system, entered data and completed other clerical tasks.
- Sorted and distributed office mail and recorded incoming shipments for corporate records.
- Assisted in onboarding new employees, providing training materials, and coordinating orientation schedules to ensure a smooth integration into the team.
- Supported executive staff through scheduling meetings, coordinating travel arrangements, and preparing crucial documents.
Education
High School Diploma -
Maple Heights High School
Maple Heights, OHAssociate - Medical
Central Georgia Technical College
Macon, GASkills
- Teamwork and Collaboration
- Skilled in [Software]
- Excellent administrative abilities
- Attention to Detail
- Reporting skills
- Claims Processing Software
- Data Entry
- Claims Processing
- Microsoft Office
- Customer Service
- Organizational Skills
- Friendly, Positive Attitude
Additional Information
I was an Nominee during the Pandemic at my current job, which I provided My co-workers and our Claims Scanning team with a complete disinfectant wipe down of all areas in our department each and every morning when I arrived at work. To ensure the safety of all the employees that I work with, to keep everyone safe and healthy during the Pandemic, which I provided my own disinfectant spray. And I believe in being there for my co-workers always if they need something to help then get through the day.
Timeline
Account Claims Processing Specialist
AmTrust Financial Services, Inc,
06.2016 - Current
Claims Assistant
New York Life Insurance Co
10.2007 - 05.2016
Clerical Specialist
The Reserve Network
06.2003 - 11.2006
Administrative Assistant
Petite Insurance Agency
06.2000 - 05.2003
High School Diploma -
Maple Heights High School
Associate - Medical
Central Georgia Technical College