Shanise Craver
Forney
Summary
Claims Representative with over six years of comprehensive experience in effectively managing claims while ensuring accuracy and adherence to established timeframes of claim processing. Proficient in insurance policies, practices, and standards. Demonstrates exceptional skills in evaluating coverage and facilitating coordination among policyholders, claimants, vendors, and various interdepartmental teams.
Overview
13
13
years of professional experience
Work History
Auto/Fire Claims Representative
State Farm
01.2015 - 11.2021
- Worked productively in fast-moving work environment to process large volumes of claims.
- Prepared insurance claim forms or related documents and reviewed for completeness.
- Generated, posted and attached information to claim files.
- Communicated verification and authorization status updates with the insured, claimants, internal departments, and vendors to facilitate decision-making for new and existing claims.
- Updated claims system to track claim status and provide relevant information to other department.
- Collaborated with internal departments and external vendors to achieve fast resolution of claims.
- Analyzed and addressed escalated claims to resolve issues quickly.
- As a Group developed and implemented strategies to improve claim processes.
- Streamlined interdepartmental communication, facilitating faster claim processing.
- Enhanced client satisfaction by efficiently processing claims within designated time frames.
- Improved team productivity by conducting regular training sessions on best practices in claim handling.
Tecnical Support Represwnative
Volt
10.2008 - 11.2010
- Provided technical support for the iPhone 3G, iPod, and iTunes.
- Assisted customers in reducing dropped calls and resolving network service issues.
- Configured settings on the iPhone to enable customers to send and receive personal emails.
- Evaluated software to facilitate synchronization of calendars, emails, contacts, music, and videos in iTunes.
- Cross-sold AppleCare Protection Plans to offer customers hardware coverage and technical support to extend the lifespan of their original iPhone and iPod devices.
Education
Early Childhood Special Education
Texas A&M University - Commerce
Commerce, TXHigh School Diploma -
West Mesquite
Mesquite, TX05.1999
Skills
- Familiarity with claims processing software
- Microsoft Office
- Knowledge of insurance policies and procedures
- Experience managing policyholder inquiries and coverage
- Policy and procedure explanation
- Documentation Research
- Secure data practices
- Claims Preparation
- Production Goals
- Insurance Terminology
- Policy and Procedure Explanations
- Auto and Fire Claims Familiarity
Timeline
Auto/Fire Claims Representative
State Farm
01.2015 - 11.2021
Tecnical Support Represwnative
Volt
10.2008 - 11.2010
Early Childhood Special Education
Texas A&M University - Commerce
High School Diploma -
West Mesquite
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