An Innovative professional looking for a position that offers room for growth and improvement in skills, Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
23
23
years of professional experience
Work History
Claims Processor / Adjuster
CMS Catastrophe Mgmt, State Farm Ins
08.2011 - Current
Answer phone call and set appointments with customer
Update customer accounts accordingly with policy
Reviewed policy and advised of statues
Prepared lodging reservation
Recorded daily log
Provided Insurance Agents with reported claims
Managed over 50 customer calls per day
Followed up with customers on unresolved issues
Identified and reported potential fraud or abuse related to claims to protect system's integrity
Tracked and reported on claims processing metrics to aid senior management in making informed decisions
Generated, posted and attached information to claim files
Customer Care Advocate
Ally Bank
12.2009 - 04.2011
Answer phone call inquires and promoting good will with customers
Assist customer with account resolution as needed
Build appropriate rapport with customer and process data entry in between calls
Obtain information and maintain records / Open new accounts
Schedule service order and services request
Report customer account discrepancies
Prepare analyses of customer accounts
Managed over 50 customer calls per day
Responded to customer needs through competent customer service and prompt problem-solving
Maintained and managed customer files and databases
Resolved concerns with products or services to help with retention and drive sales
Communicated with clients regarding account services, statements, and balances
Logged call information and solutions provided into internal database
Maintained up-to-date knowledge of product and service changes
Promoted superior experience by addressing customer concerns, demonstrating empathy, and resolving problems swiftly
Insurance Processor/Recovery Specialist
Allstate Insurance Companies
04.2006 - 07.2009
Prepared general ledger statement and balanced end of month worksheet for accounts that has been overpaid along with duplicate payments
Called Insured and Company in efforts to recover overpayment and duplicate payment
Researched Data, reconciled accounts, filed accounts and sent to storage
Received and post payment
Prepared analyses of accounts
Generated, posted and attached information to claim files.
Checked documentation for accuracy and validity on updated systems.
Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
Posted payments to accounts and maintained records.
Calculated adjustments, premiums and refunds.
Account Reconciler Analyst
Indy Mac Bank
01.2001 - 12.2006
Research data, reconciled out of balance accounts using various G/L accounts
Receivable and payable of accounts were cleared
Education
High School Diploma -
David W. Carter
Dallas, Texas
No Degree - Accounting
El Centro College
Dallas, TX
No Degree - Journalism
Southern Methodist University
Dallas, TX
Skills
Claims Pro
Quality Control
Report and Records Review
Advanced Oral and Written Communication Skills
Strong Communication and Interpersonal Skills
Hail and Wind Damage Assessment
Claims File Documentation
Xactimate Specialist
Sourcing and Compiling Information
Claims File Management Processes
Property Claims
Investigate Property Damage
Microsoft Word
Data Analysis
Timeline
Claims Processor / Adjuster
CMS Catastrophe Mgmt, State Farm Ins
08.2011 - Current
Customer Care Advocate
Ally Bank
12.2009 - 04.2011
Insurance Processor/Recovery Specialist
Allstate Insurance Companies
04.2006 - 07.2009
Account Reconciler Analyst
Indy Mac Bank
01.2001 - 12.2006
High School Diploma -
David W. Carter
No Degree - Accounting
El Centro College
No Degree - Journalism
Southern Methodist University
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