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Edward Ransom JrStreet Address
Phone: PHONE NUMBER AVAILABLEEMAIL AVAILABLEObjective:Find a position within an insurance company in claims. customer service or administration. Improve my skill set and help the company improve their objectives.Ability SummaryExcellent experience working as a Claims Examiner and Claims Processor handling Life Claims, Accidental Death Claims and Disability claims.Good experience of processing individual, group disability claims, in addition to other claims exposure with small group, life, travel accident, group LTD/STD and LTC.Expertise in evaluating claimant eligibility. Knowledge of secondary processing claims once verified Excellent verbal and written communication skillsExperience also includes interacting with policyholders, doctors, attorneys and hospital administrators resolving claims Licensing and Contracting Experience.Customer Service ExperienceMedical TerminologySkills:Skilled with complex LTD and STD cases, MS Office, Word, Excel, Management Skills, ALHCEmployment HistorySenior Customer Care Advocate Met Life Insurance Co. Omaha, Ne 10/2018-08/2023Respond to customer request via telephone, providing excellent service to MetLifes customers who have insurance or other financial questions regarding their policy needs.Research requests regarding various product aspects, policy provisions, claim status, basic procedures, etc.Efficiently process transactions and refer requests for other policy modifications to appropriate areas. Track responses to ensure completeness.Enhance and strengthen the relationship between the customer and MetLife using strong communication skills, active listening skills and support special product and/or service campaigns as needed, or if solicited by the customer.Efficiently access and navigate multiple electronic systems to provide a complete and integrated response to the customers inquiry.Perform these responsibilities in a consistent, professional manner while exercising strong verbal, interpersonal and high quality service.Sr. Long Term Disability Claims Examiner Mutual of Omaha Insurance Co. Omaha, NE09/2016-04/2018Processed Long Term Disability ClaimsPerformed outcalls and received in bound calls and follow-ups as required servicing policyholder requests.Provided general policy analysis to provide explanation and information to customers, employers, policyholders and/or agents, brokers regarding appropriate coverages for long term disability policiesManaged a caseload of disability claimsProcessed claims for payment and or denialsLife Claims Processor Mutual of Omaha Insurance, CO Omaha, NE08/2015-9/2016Processing life insurance death claimsProviding customer service to beneficiariesCalculating death benefitsCommunicating with agents, funeral homes, assignment companiesAgent Licensing Clerk03/2013 - 06/2015 AAA Life Insurance Omaha, NECompleted vendor invoices, paid renewal licenses with required statesProcessed agent appointment applications, terminations, AML verifications, processed declination letters and did agent license renewalsUpdated agent's licenses, requested agent background reports, reinstatementsConducted customer service responsibilities with all agents/agencies with AAA Motor ClubDocumented the agency system with AAA system (AS400) regarding phone calls, terminations, appointments, licenses and AML verifications.Followed up customer service requirements via fax, email and phone.Licensing and Contract Specialist07/2012 - 02/2013 Aviva (via Celebrity Staffing) Des Moines, IACompleted all transactions for all distributions accurately for agents not limited to initial contracting, address changes, license updates, hierarchy changes, reinstatements, terminations and AML verifications.Initiate and process all necessary background for appointment consideration including approving or recommending declination of agent /agency based on established guidelines.Accurately transact state appointments and or terminations based on state (s) guidelines.Appropriately documented the agency system regarding the handling of the call, email or fax any next steps that needed to be taken.Senior Life Claims Examiner02/2007 - 06/2011 Banner Life Insurance Company Rockville, MDResponsible for processing contestable life death claims, initiated all investigations, made the decision if the claim was payable or needed to be denied.Handled reinsurance with or reinsurers, worked closely with all vendors during domestic and international claims investigations.Processed all waiver of premium claims associated with the life insurance policies.Communicated via written and telephone with attorneys, beneficiaries, agents, brokers.Worked on all projects assigned to me by the claims manager Facilitated life claim team meetings.Education and TrainingCompletion Date Issuing Institution Location Qualification Course of Study12/1979 Edinboro State College Edinboro, PA Bachelor's Degree Social WorkOccupational Licenses & CertificatesCertification Title Issuing Organization Completion DateALHC LOMA 01/2008Detailed ReferencesErnest White, Vice PresidentAmerican National Bank402-670-7735 Personal reference known for 30 year(s).