Theresa Torres
Kansas
Summary
Dynamic professional with extensive experience at Buckeye Risk Services, excelling in claims processing and customer service. Proven ability to enhance efficiency through effective time management and meticulous attention to detail. Skilled in claims investigation and documentation research, consistently achieving reduced turnaround times and fostering strong client relationships.
Overview
14
14
years of professional experience
Work History
Claims Representative
Buckeye Risk Services, LLC
06.2014 - 09.2025
- Assisted in processing claims, ensuring accurate documentation and adherence to company policies.
- Responded to customer inquiries regarding claim status, providing clear and timely information.
- Reviewed submitted claims for completeness, identifying missing information for resolution.
- Collaborated with team members to streamline claims processing workflows for improved efficiency.
- Maintained detailed records of all interactions and transactions related to each claim processed.
- Utilized claims management software to track progress and manage workloads effectively.
- Worked productively in fast-moving work environment to process large volumes of claims.
- Followed up with customers on unresolved issues.
- Reduced turnaround time for claim settlements by prioritizing tasks and managing deadlines effectively.
Underwriter
Traders Insurance
03.2013 - 06.2014
- Evaluated risk factors in insurance applications to determine eligibility and coverage options.
- Analyzed financial data and credit reports to assess applicant viability and risk exposure.
- Developed underwriting guidelines, enhancing consistency in decision-making processes across teams.
- Collaborated with agents to clarify application details, ensuring accurate information for risk assessment.
- Provided excellent customer service by addressing inquiries promptly and offering comprehensive explanations of underwriting decisions.
- Fostered strong relationships with brokers and agents to facilitate smoother application processes.
Data Entry Representative
Berkshire Risk Services, LLC
10.2011 - 01.2013
- Input and verify data entries with high attention to detail.
- Maintain accurate and organized records for efficient retrieval.
- Review documents for discrepancies and ensure compliance with standards.
- Utilize database management systems to update and manage information.
- Train new staff on data entry procedures and best practices.
Education
High School Diploma -
JC Harmon High School
Kansas City, KS Skills
- Insurance claims review
- Claims investigation
- Time management
- Coverage determination
- Accident review
- Documentation research
- Claims processing
- Customer service
- Attention to detail
- Records management
- Eligibility determination
- Teamwork and collaboration
- Insurance coverage verification
- Organizing and prioritizing work
- Data integrity
- Policy analysis
- Data entry
- Policy review
- Settlement negotiation
Languages
Spanish
Timeline
Claims Representative
Buckeye Risk Services, LLC
06.2014 - 09.2025
Underwriter
Traders Insurance
03.2013 - 06.2014
Data Entry Representative
Berkshire Risk Services, LLC
10.2011 - 01.2013
High School Diploma -
JC Harmon High School
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