SCHAMONT JONES

As a claims specialist I reviewed policy language, supporting documentation and other pertinent information to adjudicate and decision a claim in a timely manner. While working from home remotely.

• Implemented improvements in manual and electronic billing procedures.
• Modeled exceptional customer service skills and appropriate diagnostic sales techniques to team members.
• Followed up with customers on unresolved issues.
• Conducted full claim investigations and reported updates and legal actions.
• Checked documentation for accuracy and validity on updated systems.

• Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
• Offered advice and assistance to customers, paying attention to special needs or wants.
• Collected and analyzed customer information to prepare product or service reports.
• Processed customer adjustments to maintain financial accounts.
• Answered customer telephone calls promptly to avoid on-hold wait times.

• Interacted with witnesses and claimants.
• Carefully reviewed claim information to verify accuracy and avert fraudulent claims.
• Conducted thorough property investigations to identify and classify damages for customer claims.
• Negotiated claim settlements and recommended litigation when claims could not be settled.