Ronda Stevenson
Charlotte,NC
Summary
Dynamic Claims Support Specialist with proven expertise at AllState in claims analysis and customer service. Enhanced customer satisfaction through efficient claims processing and reduced resolution times. Skilled in policy interpretation and critical thinking, successfully identifying fraudulent claims while maintaining high organizational standards. Committed to delivering exceptional results in fast-paced environments.
Overview
5
5
years of professional experience
Work History
Claims Support Specialist
AllState
08.2023 - 01.2025
- Managed multiple claims simultaneously while maintaining organization and attention to detail.
- Assisted clients in understanding their policy coverage, fostering trust and confidence in the company.
- Identified fraudulent claims through thorough analysis, protecting company resources from unnecessary payouts.
- Increased customer satisfaction by efficiently handling auto claims and providing timely updates.
- Reduced claim resolution time by effectively managing workload and prioritizing urgent cases.
- Issued payouts to claimants.
- Checked documentation for accuracy and validity on updated systems.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Generated, posted and attached information to claim files.
- Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
- Demonstrated expert knowledge of auto insurance policies and coverages, allowing for accurate assessment of damages and appropriate claim payouts.
- Conducted thorough investigations of auto accidents to accurately determine liability.
- Kept current on insurance regulations, laws, policies and procedures.
- Created detailed assessments of damages to property and vehicles.
Customer Service Representative
Travelers Insurance
05.2022 - 07.2023
- Managed high call volume while maintaining professionalism, empathy, and attention to detail in each interaction.
- Processed policy updates and changes accurately, ensuring client needs were met in a timely manner.
- Responded to customer requests for products, services, and company information.
- Handled sensitive customer information with discretion, adhering to strict data privacy regulations at all times.
- Documented customer interactions and transactions for accurate, up-to-date records.
- Completed customer applications and updated records to reflect current information.
- Processed insurance policy cancellations and renewals quickly to meet call time targets.
- Educated customers on available discounts, promoting loyalty and policy retention through tailored recommendations.
- Increased cross-selling opportunities by proactively identifying potential new business leads during client interactions.
- Set up customer payment plans to cover annual policies and renewals.
- Processed insurance claims to ensure timely support for customers in need.
Travel Claims Examiner
Allianz
05.2020 - 04.2022
- Handled sensitive information with discretion, ensuring confidentiality of personal and financial details for claimants throughout the claims examination process.
- Utilized analytical skills to evaluate medical bills for accuracy and appropriateness of charges before approving payments as part of the claims process.
- Participated in cross-functional team meetings to address organizational challenges related to claims management and develop solutions collaboratively.
- Reduced claim processing time by implementing efficient workflow strategies and prioritizing tasks effectively.
- Examined photographs and statements.
- Mitigated fraud risks by identifying suspicious patterns in claims data and escalating concerns to appropriate teams for further investigation.
- Negotiated settlements with claimants'' attorneys when needed, achieving favorable outcomes for both parties while minimizing costs.
- Conducted thorough investigations of complex claims, gathering relevant documentation and interviewing witnesses when necessary.
- Identified opportunities for subrogation recovery through careful analysis of third-party liability cases, facilitating successful recoveries from at-fault parties or their insurers.
- Managed caseloads effectively while maintaining high-quality work standards and meeting strict deadlines consistently.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Examined claims forms and other records to determine insurance coverage.
- Maintained claims data in People Soft systems.
Education
Butler High School
Skills
- Claims analysis
- Claims processing
- Microsoft office
- Policy interpretation
- Claims investigation
- Teamwork
- Customer service
- Attention to detail
- Multitasking
- Critical thinking
- Organizational skills
- Active listening
- Decision-making
- Data entry
- Claims adjustment
- Medical terminology
- Interpersonal skills
- Analytical thinking
- Documentation
- Risk assessment
- Document review
- Case management
- 10-key touch
- Small claims payouts
Timeline
Claims Support Specialist
AllState
08.2023 - 01.2025
Customer Service Representative
Travelers Insurance
05.2022 - 07.2023
Travel Claims Examiner
Allianz
05.2020 - 04.2022
Butler High School