To obtain a position as a Personal Lines Auto Liability Claims Representative at Westfield Insurance. Positive, communicative, and detail-focused professional with solid foundation in customer service and problem-solving. Understanding of insurance processes and policies combined with strong analytical and organizational skills. Dedicated to providing efficient solutions and ensuring customer satisfaction.
Overview
21
21
years of professional experience
Work History
Security Assistant/Information Systems
AultCare
03.2013 - Current
Conducted internal audits to identify areas of improvement within the organization''s information security program.
Assign, grant, review, and maintain security permissions by system /application used
Annual/Semi-Annual audits of all applications Security/IS department handles
Seeks supervisory guidance and approval as needed
Develop system/application security standards adhering to minimum necessary rule
Define new security policies
Creating, updating, and reviewing policies using Policy Tech
Assist with internal and external audits
Helped implementations stages of new applications
Handles Track-IT work orders assigned to department.
Senior Medical Claims Representative
Nationwide Insurance Company
04.2010 - 03.2013
Handles first party medical claims
Work with Auto Injury Solution software to evaluate all medical bills for proper billing
Investigates, evaluates, and negotiates medical bills
Audits all medical bills to determine if medically necessary for injuries stated
Provides outstanding customer service to members
Mentor for new hires.
Claims Representative
Nationwide Insurance Company
04.2007 - 04.2010
Determines proper policy coverage's, investigates, evaluates, negotiates and settles all assigned claims cases in accordance with company policies and procedures at values commensurate with damages sustained
Performed outstanding customer service to policyholders and claimants
Organizes team building activities to promote team building, such as Operation Christmas Shoe box and teammate's company anniversary celebrations
Generated, posted and attached information to claim files
Staffing Manager
Robert Half International
04.2006 - 04.2007
Sold RHI services to prospective clients by building and establishing relationships with clients, recruit and place administrative professionals
Recruiting functions include interviewing applicants, consulting with candidates on industry trends and placing candidates on assignments
Wrote and posted job descriptions on RHI website
Personal Banker
Fifth Third Bank
05.2004 - 05.2006
Opened and maintained depository accounts
Met with clients to discuss financial needs, emphasizing financial counseling and lending, and make appropriate referrals
Made lending decisions with personal, auto loans and credit cards
Handled all procedures in absence of manager at banking center
Maintained cash shipment, monthly audits, and weekly reports
Completed Classes/licenses to further advance career-notary licenses, consumer lending, Series 6 and Life and Health Insurance
Trained and managed Customer Services Representatives and new hires personal bankers
Education
Bachelor of Arts - Business Administration, Management, HR
Baldwin-Wallace College
Berea, OH
05.2004
Skills
Training and Teaching
Effective and Professional Communication
Document Management
Designing Security Controls
Reports and Documentation
Policy Updates
End-User Support
Activity Logging and Reporting
Information Auditing
Microsoft 360 suite
Security Evaluation
Report Writing
Timeline
Security Assistant/Information Systems
AultCare
03.2013 - Current
Senior Medical Claims Representative
Nationwide Insurance Company
04.2010 - 03.2013
Claims Representative
Nationwide Insurance Company
04.2007 - 04.2010
Staffing Manager
Robert Half International
04.2006 - 04.2007
Personal Banker
Fifth Third Bank
05.2004 - 05.2006
Bachelor of Arts - Business Administration, Management, HR
Baldwin-Wallace College
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