Dependable candidate successful at managing multiple priorities with a positive attitude. 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.
Hi, I’m
Sara Suggs
Claims Adjuster
Albuquerque,NM
Summary
Overview
19
years of professional experience
Work History
Progressive
Claims Adjuster
10.2018 - Current
Job overview
- Evaluated and settled complex insurance claims in strict timeframes.
- Followed up with customers on unresolved issues.
- Enhanced customer satisfaction by efficiently managing insurance claims processes and providing timely resolutions.
- Reduced fraudulent claims by conducting thorough investigations and collaborating with law enforcement agencies when necessary.
- Maintained compliance with state regulations and company policies while handling a high volume of insurance claims.
- Negotiated fair settlements for clients by effectively communicating with all parties involved in the claim process.
- Reduced claim processing time by efficiently investigating and evaluating insurance claims.
- Improved customer satisfaction by providing timely updates and resolutions to their claims inquiries.
- Handled customer inquiries and suggestions courteously and professionally.
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
- Answered constant flow of customer calls with minimal wait times.
- Developed a strong knowledge of various insurance products to provide comprehensive guidance during the claims process for diverse clientele.
- Facilitated smooth transitions between departments during claim handoff processes to ensure seamless coordination among internal teams for prompt resolution times.
- Upheld a high level of accuracy by consistently double-checking figures, data entries, calculations, before finalizing any settlement documents or payments.
- Provided advice to customers regarding claims, rights and insurance processes to prevent disputes.
- Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
- Understood requirements for disputes, gathered evidence to support claims and prepared customer cases to handle appeals.
- Responded to inquiries by answering questions, providing information and directing customers to appropriate resources.
- Enhanced claim processing efficiency by streamlining workflows and optimizing data analysis techniques.
- Managed a diverse caseload of insurance claims, ensuring accuracy, timeliness, and compliance with industry regulations.
- Delivered exceptional customer service during all stages of the claim process, fostering positive relationships with clients.
Sandia Resort & Casino
Executive Casino Host
12.2015 - 10.2018
Job overview
- Developed one-on-one relationships with premium players and provided exceptional guest service to cultivate and maintain VIP relationships.
- Maintained detailed familiarity with high-value players and guests of casino and researched and identified most valuable players and guests in distinctive time frames.
- Devoted significant time being visible and available on casino floor to meet and greet guests during individual visits and special events.
- Achieved goals and objectives for phone calls, e-mails and letters mailed to current, inactive and prospective high-end players for increased casino revenue.
- Planned and executed promotions and VIP events, tournaments and other special functions to develop and maintain guest loyalty and incremental visitation.
- Enhanced guest experience by providing personalized service and tailored gaming recommendations.
- Assisted in the planning and execution of exclusive events for VIP clientele, resulting in increased guest engagement and loyalty.
- Analyzed player data to identify trends, preferences, and areas for growth within the high roller segment.
- Fostered a positive working environment by maintaining open lines of communication with colleagues and management.
- Facilitated new member sign-ups, contributing to an increase in overall casino membership numbers.
- Continuously expanded knowledge of gaming industry trends, regulations, and best practices to better serve clients.
- Worked closely with table game supervisors to ensure optimal experiences for high-value players during peak hours at the casino floor.
- Maintained strict confidentiality regarding client information, following all relevant privacy laws and policies throughout interactions with guests.
- Maintained and developed positive, friendly relationships with gaming customers by assisting guests with VIP requests and amenities and issuing comps.
Los Alamos National Bank
Bank Teller
01.2005 - 01.2012
Job overview
- Answered customer inquiries regarding account balances, transaction history, services charges, and interest rates.
- Processed customer transactions promptly, minimizing wait times.
- Built and strengthened customer relationships by leveraging excellent interpersonal and communication skills.
- Completed highly accurate, high-volume money counts via both manual and machine-driven approaches.
- Answered telephone inquiries on checking and savings accounts, loans, and lines of credit.
- Provided customer records, account statements and copies of checks.
- Reconciled cash drawer and resolved discrepancies.
- Counted and packaged currency and coins.
- Educated customers on use of banking website and mobile apps.
- Learned about customer's financial needs, established trust, and optimized sales opportunities resulting in quality customer service.
- Logged cashier's checks and other transactions to maintain accurate account records.
- Audited fellow teller currency to contribute to dual-control procedures.
- Sold and cross-sold bank products to new and existing customers.
- Turned in excess cash to maintain drawer security.
- Improved customer satisfaction by efficiently processing transactions and addressing account inquiries.
Education
Capital High SchoolSanta Fe, NM
GED
University Overview
Northern New Mexico CollegeEspañola, NM
University Overview
Skills
- Policy Investigations
- Insurance Policy Coverage Knowledge
- Claims Processing
- Risk Assessment
- Accident Scene Investigations
- Computer Proficiency
- Problem Solving
- Professionalism
- Innovation Skills
- Damage Assessment
- Conflict Resolution
- Decision Making
- Attention to Detail
- Fraud Detection
Timeline
Claims Adjuster
Progressive
10.2018 - Current
Executive Casino Host
Sandia Resort & Casino
12.2015 - 10.2018
Bank Teller
Los Alamos National Bank
01.2005 - 01.2012
Capital High School
GED
Northern New Mexico College
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