Sophia Newbold
West Palm Beach ,FL
Summary
Dedicated and adaptable professional with a strong work ethic and a passion for continuous learning and growth. Recognized for exceptional communication skills, effective problem solving abilities, and a collaborative approach to teamwork, consistently achieving goals and exceeding targets. Proven track record in navigating complex challenges with innovative solutions. Eager to leverage expertise and contribute to the success of a dynamic team within a forward-thinking organization.
Overview
10
10
years of professional experience
Work History
Claims Specialist
Aetna
Remote
11.2024 - Current
- Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
- Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
- Developed strong working relationships with external partners such as adjusters, legal counsel, and medical professionals to facilitate efficient claim resolution processes.
- Settled complex claims fairly by applying critical thinking, negotiation skills, and detailed knowledge of insurance policies.
- Collaborated with cross-functional teams to optimize claims handling procedures, resulting in improved productivity.
- Reduced claim processing errors by conducting thorough investigations and accurately interpreting policy details.
- Conducted detailed investigations into suspicious claims, successfully identifying and addressing fraudulent activities.
- Maintained confidentiality of patient finances, records, and health statuses.
Real Estate Agent
Keller Williams
Orlando, FL
01.2023 - 10.2024
- Managed contracts, negotiations, and all aspects of sales to finalize purchases and exceed customer expectations.
- Negotiated, facilitated, and managed real estate transactions.
- Advertised client properties through websites, social media, and real estate guides.
- Maintained connections with clients to encourage repeat business and referrals.
- Advised clients on market conditions and property value for informed decision-making.
- Conducted comprehensive market research to provide clients with accurate information on current trends and pricing strategies.
Claims Service Specialist
Allstate Insurance
Remote
11.2022 - 09.2023
- Analyze and investigate complicated insurance claims to help prevent fraud.
- Perform detailed site inspections.
- If necessary, provide well-informed court testimonies.
- Review and process new claims reports and court verdicts.
- Uphold relationships and communication with insurance departments and clients.
- Organize and present claim review plans.
- Negotiate settlements.
- Resolve claims in a timely manner.
- Stay up-to-date on local, state and federal law changes in the insurance field.
Sunwatch Lead Operations Specialist
CAI - Sunwatch
10.2016 - 07.2020
- Train all new employees
- Monitor and troubleshoot equipment, systems, software and facilities for tolls in the state of Florida.
- Monitor systems for full operation use such as; Avigilon cameras, Orion Network Performance, P2000 Plaza Alarms, FTE Web portal, TIP status report, Legacy ION Real Time Status Report, SCADA, and reply promptly to email inquiries.
- Maintain peak performance by handling repairs swiftly, remotely or deploying the proper technical support professionals across the state.
- Assists supervisor/manager with job duties.
- Shift Lead - oversee day to day operations while on shift.
Installer/Service Technician
Bright House Networks
12.2015 - 08.2016
- Completes New Connect, Re-Connect and Change of Service Installations, Upgrades, Down Grades and disconnects.
- Installs system traps to prevent theft of service and validate customers are only receiving services ordered at time of install.
- Installs and provides customer education on all Bright House Networks issued equipment and services, HDTV configuration, Surround Sound Systems, Gaming Systems, Wireless Networks and connection of personal computers and devices utilizing the internet to connect to BHN services.
- Resolve subscriber service issues from the tap that feeds the subscriber to the television, customer devices and equipment, HSD Modem, any BHN installed device or customer phone.
- Installs additional RF outlets and repairs or replaces outlets in Single Family homes, Multiple Dwelling Units and apartment complexes utilizing standard cable routing techniques such as wall fishes, through wall drilling and installation of conduit.
Education
Bachelor of Science - Network and Communications Management
DeVry University
Orlando, FL06.2014
Skills
- Active Directory
- Network Support
- Network Monitoring
- Microsoft Windows
- Help Desk
- Live chat
- Customer service
- Typing
- Windows
- Workday
- Computer networking
- Network monitoring
- Supervising experience
- Technical support
- Shift management
- Claims
- Claims processing
- Claims investigation
- Verbal communication
- Microsoft office
- Documentation review
- Time management
- Decision-making
- Critical thinking
- Attention to detail
- Teamwork and collaboration
- Multitasking Abilities
- Problem-solving
Languages
English
Assessments
- Work style: Reliability — Proficient January 2022 Tendency to be reliable, dependable, and act with integrity at work Full results: Proficient
- Customer service — Proficient September 2021 Identifying and resolving common customer issues Full results: Proficient
- Call center customer service — Proficient September 2021 Demonstrating customer service skills in a call center setting Full results: Proficient
- Administrative assistant/receptionist — Proficient April 2022 Using basic scheduling and organizational skills in an office setting Full results: Proficient
- Attention to detail — Proficient February 2022 Identifying differences in materials, following instructions, and detecting details among distracting information Full results: Proficient
- Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.
Timeline
Claims Specialist
Aetna
11.2024 - Current
Real Estate Agent
Keller Williams
01.2023 - 10.2024
Claims Service Specialist
Allstate Insurance
11.2022 - 09.2023
Sunwatch Lead Operations Specialist
CAI - Sunwatch
10.2016 - 07.2020
Installer/Service Technician
Bright House Networks
12.2015 - 08.2016
Bachelor of Science - Network and Communications Management
DeVry University