Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Shanice McCreary

Auburndale,FL

Summary

Efficient and experienced professional in insurance claims and policy processing, known for high productivity and the ability to complete tasks with precision. Specialized in analyzing claim details, navigating policy databases, and managing customer communications. Excel in problem-solving, adaptability, and teamwork, leveraging these soft skills to navigate complex situations and achieve positive outcomes.

Overview

14
14
years of professional experience
1
1
Certification

Work History

Claim Associate

Statefarm Insurance
Auburndale, FL
12.2022 - Current
  • Maintained up-to-date knowledge of industry trends, policies and procedures related to claims processing.
  • Documented all pertinent claim information in the internal database system.
  • Reviewed and processed incoming documents to ensure accuracy of information.
  • Investigated and resolved complex claim issues, such as eligibility, coverage, and payment discrepancies.
  • Collaborated with other departments within the organization to resolve complex claim issues.
  • Analyzed customer inquiries to determine the appropriate course of action for claims resolution.
  • Processed payments according to established guidelines while maintaining compliance with state regulations.
  • Performed data entry functions into the computer system accurately and efficiently.
  • Provided customer service by responding promptly to telephone inquiries about claim status.
  • Verified policyholder information to ensure that claims were paid correctly.
  • Addressed customer inquiries to provide information and explanations on coverage and terms, expediting claims.
  • Updated claim files and documented actions taken in a clear and concise manner.
  • Followed up on pending claims and resolved issues delaying processing.

Business Services Specialist

LegalZoom
Lakeland, FL
12.2021 - 12.2022
  • Communicated professionally with colleagues, freelancers and clients.
  • Effective liaison between customers and internal departments.
  • Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
  • Delivered prompt service to prioritize customer needs.
  • Maintained up-to-date knowledge of product and service changes.
  • Developed and maintained strong relationships with clients to ensure satisfaction with services provided.
  • Conducted periodic audits of customer accounts to ensure accuracy of information.
  • Organized customer files according to company policies and procedures.

Inbound Sales Lead

Spectrum
Auburndale, FL
06.2016 - 04.2020
  • Oversee all daily sales activities of the Sales Representative Team
  • Monitor calls and performance stats and provide individual Sales Representative feedback
  • Monitor, coach and mentor
  • Plan team meetings
  • Lead and guide the team in the alignment of marketing and campaign goals
  • Create and manage work schedules
  • Review and approve time off requests and timesheets
  • Review and manage commission reports
  • Approve customer credits
  • Develop and maintain positive relationships with other departments

Quality Analyst

Sykes
Lakeland, FL
06.2015 - 06.2016
  • Monitor agent calls
  • Document agent calls
  • Coach and develop
  • Assist team manager with Rep core performance

Copy and Print Associate

Staples
Winter Haven, FL
04.2014 - 03.2015
  • Greet customers upon arrival
  • Copy and print upon customer request and emailed work orders
  • Cashier
  • Sales associate for office supplies

Team Lead

Results
Winter Haven, FL
04.2013 - 04.2014
  • Assist agents with performance
  • Approve customer credits
  • Coach and develop agents

Front Desk Receptionist

Atlanta Job Corps
Atlanta, GA
03.2012 - 02.2013

Greet guest upon their arrival

Data entry
Answered multi-lined phone

General office duties

Event Staff, GA Dome
Atlanta, GA
10.2012 - 02.2013
  • Greet and validate patron tickets upon entry
  • Screen individuals tp prevent passage of prohibited articles into stadium
  • Usher patrons to correct seats
  • Provide information and directional assistance
  • Foster a safe environment by enforcing rules and regulations
  • Resolve and assist with complaints in a prompt and professional manner

Cashier

Polk State College
Winter Haven, FL
10.2010 - 06.2011
  • Greet students and or professors
  • Handled cash transactions
  • Check daily cash amount
  • Maintain monthly, weekly, and daily report of transactions

Education

High School Diploma -

Winter Haven Senior High School
Winter Haven, FL
06.2010

Skills

  • customer service
  • Telephone etiquette
  • Office administration
  • Decision-Making Abilities
  • Sensitive Information Handling
  • Problem-solving
  • Cash Handling
  • Researching skills
  • Office management
  • Scheduling
  • Word processing
  • Filing
  • Time management
  • Verbal and written communication
  • Claims Processing
  • Claims Investigation
  • Insurance knowledge
  • Payments posting
  • Claims review
  • Teamwork and Collaboration
  • Liability management
  • Multitasking

Certification

  • casualty adjuster
  • adjuster

Timeline

Claim Associate

Statefarm Insurance
12.2022 - Current

Business Services Specialist

LegalZoom
12.2021 - 12.2022

Inbound Sales Lead

Spectrum
06.2016 - 04.2020

Quality Analyst

Sykes
06.2015 - 06.2016

Copy and Print Associate

Staples
04.2014 - 03.2015

Team Lead

Results
04.2013 - 04.2014

Event Staff, GA Dome
10.2012 - 02.2013

Front Desk Receptionist

Atlanta Job Corps
03.2012 - 02.2013

Cashier

Polk State College
10.2010 - 06.2011

High School Diploma -

Winter Haven Senior High School
Shanice McCreary