Detail-oriented Claims Specialist with over 25 years of experience in claims analysis and processing. Expertise in policy interpretation and effective communication, ensuring accuracy and compliance while maintaining strong relationships with stakeholders.
Overview
25
25
years of professional experience
Work History
Claims Specialist
Auto Club Group of Michigan
Dearborn
06.2001 - Current
Analyzed claims for validity, completeness, accuracy, and payment eligibility, supporting informed decision-making.
Reviewed insurance claims for accuracy and compliance with company policies.
Collaborated with departments to resolve claims processing issues, ensuring timely and accurate claim resolutions.
Processed payments for valid claims following established procedures.
Analyzed and interpreted policy terms to apply appropriate coverage.
Provided exceptional customer service to maintain positive relationships with all parties.
Identified and pursued subrogation opportunities, contributing to cost recovery efforts.
Communicated effectively with policyholders to explain claims processes and outcomes.