Claims Service Representative/Insurance Claims Specialist
GEICO
14111 Danielson St Poway, CA 92064
04.2009 - 10.2020
- Managed high-volume caseloads and prioritized tasks effectively to meet strict deadlines without compromising on quality or accuracy.
- Contributed to a positive work environment through active participation in team meetings and collaborating on cross-functional projects.
- Examined claims forms and other records to determine insurance coverage.
- Evaluated insurance policies and analyzed damages to determine coverage.
- Conducted interviews of witnesses and claimants to gather facts and information.
- Answered customer questions regarding deductibles.
- Substantiated legitimate claims and denied unjustified claims.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Analyzed information gathered by investigation and report findings and recommendations.
- Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
- Maintained accurate and up-to-date records of claim information for future reference.
- Followed up with customers on unresolved issues.
- Collaborated with internal departments and external vendors to achieve fast resolution of claims.
- Investigated accidents or incidents to determine cause and extent of damages.
- Enhanced customer satisfaction by efficiently managing insurance claims processes and providing timely resolutions.