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Click here or scroll down to respond to this candidateCandidate's Name
Centennial, CO 80122 PHONE NUMBER AVAILABLE EMAIL AVAILABLE WWW: Bold ProfileExperienced Claims Administer Insurance Specialist successful at managing high caseloads in fast-paced environments. Organized, driven and adaptable with excellent planning and problem-solving abilities. Offering 3 years of experience and willingness to take on any challenge. Coverage assessmentsDocumentation reviewClaimsPrior authorization processingDocumentation abilitiesInsurance coverage verificationGreat mathematical skillsData integrityAccount managementReporting skillsExcellent CommunicationGood Telephone EtiquetteAccident investigationsExcellent administrative abilitiesClaim Specialist Representative, 12/2021 - Current Hanover Insurance Group Inc. RemoteFollowed up with customers on unresolved issuesEscalated files with significant indemnity exposure to supervisor for further investigation Communicated effectively with staff members of operations, finance and clinical departments Generated, posted and attached information to claim files Calculated adjustments, premiums and refundsVerified client information by analyzing existing evidence on file Modified, updated and processed existing policiesReviewed outstanding requests and redirected workloads to complete projects on time Implemented improvements in manual and electronic billing procedures Manage up to 20 calls and up to 7-10 scheduled appointments daily to gather information to initiate claims processPayroll Specialist, 09/2017 - 11/2021RUST CONSULANT GROUPVerified and submitted timekeeping information for accurate and efficient payroll Performed calculations in overtime, vacation, and sick hours PROFESSIONAL SUMMARYSKILLSWORK HISTORYCalculated payroll deductions by accurately using SAP and processed payroll before deadline Researched payroll errors and processed payments for federal and state taxes and local payroll laws and regulationsUploaded time records into computer system and made adjustments Managed payroll data entry and processing for 100-150 employees to comply with predetermined company guidelinesPerformed calculations in overtime, vacation, and sick hours to provide accurate data to payroll processing databaseBDC Service Representative, 09/2014 - 09/2017Morrie's Minnetonka-SubaruActed as first point of contact and set appointments for prospective clients Established and maintained client rapport by utilizing quality customer service Resolved concerns with products or services to help with retention and drive sales Assisted customers by answering questions, responding to inquiries, and handling problems and providing product informationAnswered average of 100 calls and emails per day and addressing customer inquiries Order entry through data base system and manually forms Promised best prices for tires, engine work customer services and maintained accuracy when determining quotes.Promoted superior experience by addressing customer concerns, demonstrating empathy and resolving problems swiftly.Monitoring Specialist, 03/2010 - 09/2014Stanley SecurityReceived incoming alarm system notification regarding emergency and non-emergency Situations and dispatched appropriate police, fire and ambulatory services to premises Monitored and authorized entrance and departure of vehicles, cargo trucks and visitors, Monitored central alarm systems for fire, intrusion and duress alarms and responded officers Assist customer with maintenance calls, Tech support with personal and commercial troubleshooting devicesUsed critical thinking to break down problems, evaluate solutions and make decisions Received emergency and non-emergency calls to dispatch security service and medical assistance Responded to 70-80 calls per day to execute service or requests for emergency and routine assistanceAssociate of Science: Business Administration And Management, Expected in 08/2025 University of Phoenix - Tempe, AZContinuing education in Business management.EDUCATION |
