Tony Fields
Okahumpka,FL
Summary
Adept at navigating complex insurance landscapes, I excelled as a Claims Specialist at the Social Security Administration, where I significantly enhanced customer satisfaction and streamlined claim processing. My expertise in claims investigation and empathetic communication led to consistently meeting performance targets and reducing processing errors, showcasing my blend of analytical and interpersonal skills.
Gifted in working with stressed, confused and upset individuals in need of benefits information and supportive guidance to navigate systems. Effective at operating within the agency's regulations and agency's department guidelines to manage telephone calls, emails, letters and in-person requests for assistance.
Overview
34
34
years of professional experience
Work History
Claims Specialist
Social Security Adminstration
07.1990 - 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.
- Settled complex claims fairly by applying critical thinking, negotiation skills, and detailed knowledge of insurance policies.
- Handled high-pressure situations with professionalism and composure, consistently achieving positive outcomes for both clients and the organization.
- Followed up with customers on unresolved issues.
- Provided exceptional customer service during stressful situations by offering empathy and support while resolving issues efficiently.
- Reduced claim processing errors by conducting thorough investigations and accurately interpreting policy details.
- Identified fraudulent claims through diligent investigation and collaboration with law enforcement agencies when necessary.
- Improved claim processing efficiency by streamlining workflows and implementing time-saving strategies.
- Achieved performance targets consistently through attention to detail, effective time management, and strong decision-making abilities.
- Enhanced data integrity and security in claim management systems, protecting sensitive information from potential breaches.
Education
Associate of Arts - General Studies And Psychology
Lake-Sumter State College
Leesburg, FLSkills
- Claims processing
- Claims investigation
- Verbal communication
- Documentation review
- Decision-making
- Organizing and prioritizing work
- Interpersonal communication
- Problem-solving
- Eligibility determination
- Coverage determination
Timeline
Claims Specialist
Social Security Adminstration
07.1990 - Current
Associate of Arts - General Studies And Psychology
Lake-Sumter State College
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