Professional with comprehensive experience in claims processing and evaluation. Demonstrates strong analytical skills, thorough knowledge of insurance policies, and consistent track record of identifying and resolving complex claims. Valued team player with strong focus on collaboration and results, adaptable to evolving work environments. Known for reliability, problem-solving abilities, and effective communication with stakeholders.
Overview
7
7
years of professional experience
Work History
Express Claims Examiner
The Cincinnati Insurance Company
05.2022 - Current
Reduced claim processing time by implementing efficient workflow strategies and prioritizing tasks effectively.
Interpreted policy provisions, endorsements, and exclusions to accurately determine coverage for claims.
Enhanced customer satisfaction by promptly addressing inquiries and providing accurate information on claim status.
Train newcomers on how to succeed and be most efficient in the department.
Communicate with body shops regarding the customer repairs/costs.
Completed TX Licensing exam and am obtained licenses in CT, DE, FL, KY, NC, NH, NM, SC, TX, VT and WY.
Communicate with leadership team to establish team coverage, meetings, schedules, daily processes, support. Etc.
Managed Lifeguard duty (designated person answers questions from the team 1 day a week in the office).
Acts as a Private Client Claims-Back Up. Maintaining high dollar claims, investigations and recorded interviews.
Assist in planning for company and team events.
Participated in cross-functional team meetings to address organizational challenges related to claims management and develop solutions collaboratively.
Enhanced customer satisfaction by promptly addressing inquiries and providing accurate information on claim status.
Call Center Associate
Cincinnati Insurance
02.2020 - 05.2022
Analyzed and escalated complaints, issues, and grievances to designated departments for investigation and response.
Enhanced customer satisfaction by addressing and resolving issues promptly and professionally.
Streamlined call handling processes for improved efficiency and reduced wait times.
Maintained detailed records of customer interactions for accurate reporting and analysis of trends.
Assisted in the training of new associates, sharing best practices for effective call resolution and customer satisfaction.
Balanced multiple responsibilities concurrently by organizing workload effectively.
Managed high-volume inbound calls, maintaining composure and professionalism under pressure.
Utilized advanced problem-solving skills to address caller concerns effectively while adhering to company guidelines.
Front Desk Coordinator
TJ Maxx
10.2018 - 02.2020
Collaborated with team members to address guest needs and ensure seamless operations.
Trained all staff on front desk procedures and policies.
Operated cash register for cash, check, and credit card transactions.
Maintained a balanced cash drawer, ensuring accurate accounting at the end of each shift.
Assisted customers with returns, refunds and resolving transaction issues.
Mentored new employees on cashier duties and best practices, improving overall staff performance.
Performed store opening, closing, and shift-change actions and kept accurate shift-change logs.
Worked extra shifts during busy periods and covered for call-in employees to maintain service levels.
Education
High School Graduate -
Edgewood High School
Trenton, OH
01.2020
Skills
Excellent oral and written communication
Verbal communication/ Written communication
Microsoft Word & Excel
Expert with CMS/CIC Systems
Time management and multi tasking
Customer service and support
Decision-making
Critical thinking
Team leadership
Policy investigations
Human relations
PROFILE:
Professional with a high degree of enthusiasm and dedication who is self-motivated and innovative.
Highly efficient, with the ability to prioritize and manage several projects while maintaining a high level of follow-through.
Adaptability to any working situation.
Ownership, responsibility, and initiative are all at a high degree.
Demonstrated ability to build and maintain strong good working relationships with a varied group of people.
Strong decision-making, critical thinking, and planning abilities; excellent critical thinking skills and problem-solving abilities