Robert Peace
Spokane,WA
Summary
Organized and detail-oriented Investigator dedicated to improving efficiency, productivity and profitability through continuous process improvement. Analytical thinker skilled at developing innovative solutions to complex problems. Service-oriented Claims Adjuster skilled at applying creative approaches to solving complex problems. Adept at providing high quality customer service using various methods of communication.
Overview
9
9
years of professional experience
Work History
Claims Generalist
Progressive
Spokane, WA
10.2023 - Current
- Reduced claims processing time by streamlining workflows and implementing efficient organizational systems.
- Enhanced customer satisfaction through prompt and accurate resolution of claim disputes.
- Managed a caseload of diverse insurance claims, ensuring timely and thorough investigations.
- Collaborated with various departments to expedite claim settlements and improve overall efficiency.
- Provided exceptional customer service, addressing concerns with empathy and professionalism during the claims process.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
Data Engineer
ClaimCare
Irving, TX
05.2015 - 10.2023
- Conducted extensive troubleshooting to identify root causes of issues and implement effective resolutions in a timely manner.
- .Fine-tuned query performance and optimized database structures for faster, more accurate data retrieval and reporting.
- Increased efficiency of data-driven decision making by creating user-friendly dashboards that enable quick access to key metrics.
- Built databases and table structures for Microsoft Access.
- Developed, implemented and maintained data analytics protocols, standards, and documentation.
- Developed and delivered business information reports on a daily, weekly, and monthly basis.
Education
Bachelor of Arts - History
Ouachita Baptist University
Arkadelphia, ARSkills
- Created custom reports in Advanced Insight and eClinical Works medical billing systems
- Extensive training and demonstrated ability in Microsoft Excel and Access
- Demonstrated success in internal and external communication to resolve issues efficiently, effectively
- Training in SQL, Tableau, and R coding via Google Data Analyst Certificate
- Automobile claims specialist that handled claims from start to finish for a large insurance carrier
- Policy interpretation to approve or deny relevant coverages based on active policy information
- Customer communication skills the required communicating complex ideas and industry jargon into simple to understand terms
- Liability determination that required investigative skills and excellent communication skills
Management Philosophy
Cross-functional collaboration to exceed expectations set by clients and leadership by providing excellent communication and fostering a growth minded environment.
Timeline
Claims Generalist
Progressive
10.2023 - Current
Data Engineer
ClaimCare
05.2015 - 10.2023
Bachelor of Arts - History
Ouachita Baptist University