Education
Quote
Timeline
Summary
Skills
Work History
Overview
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Victoria Blackmon

Mesquite,TX

Education

Some College (No Degree) - Business Administration And Management

Richland Community College
Richardson, TX

Quote

It is never too late to be what you might have been.
George Eliot

Timeline

Independent Business Owner

Superior Services & More
11.2019 - 12.2023

Senior Claim Manager

Cigna Group Insurance
05.2017 - 10.2019

Express Claim Associate

State Farm Insurance Company
01.2014 - 12.2016

Some College (No Degree) - Business Administration And Management

Richland Community College

Summary

To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.

Results-drive Claims Processor and Customer Services Representative bringing 12 + years of experience in Business operations. Focused on boosting Strong Leader and problem-solver dedicated to streamlining operations to decrease costs and promote organizational efficiency. Uses independent decision-making skills and sound judgment to positively impact company success.

Skills

  • Accountability
  • Critical Thinker
  • Customer Focus
  • Team Player
  • Business Growth
  • Policy and Procedure Implementation
  • Performance Metrics
  • Decision Making
  • Customer Relationship Management
  • Process Improvement
  • Analytical Thinking
  • Problem Solving
  • Organizational Skills
  • Critical Thinking
  • Cost Control and Analysis

Work History

Independent Business Owner

Superior Services & More
11.2019 - 12.2023
  • Increase client satisfaction by providing personalized business solutions and exceptional customer service
  • Develop strategic partnerships for expanding business opportunities and strengthening relationships with key stakeholders
  • Enhance company reputation by delivering top-quality products and services, ensuring repeat business from satisfied clients
  • Streamlined operations through effective management of resources, resulting in reduced overhead costs and increased profit margins
  • Improve operational efficiency by establishing clear goals, setting performance expectations, and monitoring progress regularly
  • Negotiated favorable contracts with suppliers, securing high-quality materials at competitive prices for improved profitability.
  • 'Managed approximately 30 incoming calls, emails and faxes per day from customers.'

Senior Claim Manager

Cigna Group Insurance
05.2017 - 10.2019
  • Manage team's claim performance according to published quality and compliance standards including Performance Guarantees by completing quality reviews, identifying trends and coaching staff
  • Motivate, recognize and retain staff to build bench strength within the organization and achieve overall turnover goals
  • Evaluate employee performance and support performance management plans for under-performing staff
  • Ensure contingency plans are in place to achieve results when challenges arise (staffing shortages, new business, system implementation, etc.)
  • Works closely with Claim Managers and expert resources to ensure appropriate partnering
  • Communicates Cigna Group Operations and Corporate Compliance, Policies and Procedures and best practices to employees
  • As new regulations and updates are communicated, ensures employees are sufficiently trained and understand the regulations and updates
  • Monitors and adjusts team workload distribution as needed
  • Demonstrate solid planning and organizational skills with the ability to address short and long term goals while prioritizing and addressing ongoing issues
  • Supports customer centricity by proactively identifying customer needs and creating innovative solutions to meet customer challenges
  • Looks for new ways to accomplish objectives and takes extra steps to deliver customer service that meets and exceeds expectations
  • Support retention and profitable growth by assisting in offsite and onsite client visits, conference calls and finalist presentations
  • Reduce claims processing time by implementing efficient workflow systems and streamlining procedures
  • Enhanced customer satisfaction by resolving complex claims issues and providing timely claim updates
  • Managed a team of claims adjusters, ensuring thorough investigations and accurate assessments of liability
  • Led cross-functional teams in the development of innovative solutions to reduce fraud incidents within the department
  • Improved overall claims accuracy by conducting regular quality audits and providing feedback to staff
  • Developed comprehensive training programs for new hires, boosting employee performance and reducing turnover rates
  • Collaborated with legal counsel on high-profile cases, protecting company interests and minimizing financial losses
  • Established strong relationships with key stakeholders, including insurance providers, attorneys, and medical professionals.
  • Managed approximately 45 cases, incoming calls, emails and faxes per day from customers.'
  • Improved claims processing efficiency by implementing streamlined workflow procedures.

Express Claim Associate

State Farm Insurance Company
01.2014 - 12.2016
  • Consistently deliver a remarkable customer experience through handling claims involving auto/injury
  • Investigates, evaluates, negotiates, and settles auto claims in an assigned area to include verification of coverage, legal liability and extent of damage to persons and property, which may require contact by telephone, correspondence, in person, or various electronic media
  • Applies knowledge of policies, procedures, laws, statutes, and insurance regulations when determining coverage, liability, damages of injury (first and third party) and property damage
  • Recognizes and reviews claims requiring specialized handling, including identifying issues that may require the use of independent experts or vendors
  • Issued payments based on authorized settlement authority up to $25,000/vehicle for Comprehensive/Collision and vehicle damage liability
  • Investigates, analyzes and manages claims related to PIP/AB/MPC coverage to include: verification of coverage and extent of damage to persons which may require contact by telephone and or other electronic media
  • Exhibits working knowledge of laws and regulations with ability to handle a moderate level of complex claims
  • Handles claims with injury diagnoses which may be inconsistent with the vehicle damage or loss characteristics
  • Works with minimal supervision to recognize, investigate and resolve complex coverage, liability, total losses and damage issues
  • Serve as a resource to the team by assisting lower band claim representatives with moderate complexity claims, as needed
  • Also assist in training and/or mentoring less experienced team members.

Overview

10
10
years of professional experience

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