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Click here or scroll down to respond to this candidateCandidate's Name
Customer Service RepDedicated customer service professionalwith Street Address years of expertise. Proven trackrecord in ensuring customer satisfactionthrough effective communication andproblem-solving. Adept at managingdiverse client needs and fostering positiverelationships.Relevant Experience Education2010-2012BA Degree in AppliedSociology/Political ScienceLewis UniversityMember of Zeta Phi Beta Sorority, IncSkills Data Entry & management Attention to detail. Insurance verification & multitasking Problem solving Leadership & TeamworkContact2023 - PresentAdmitting Service Representative / Roseland Community HospitalCollect and verify patient information including personal details and insurance information. Provide excellent customer service to patients and their families,Paramedics and Chicago Police Dept. Collaborate with other hospital staff to ensure a positive patientexperience, work closely with medical staff to ensure a positive patient experience. Work closely with medical staff to ensure seamless admission processes. Address inquiries, concerns, and complaints in a professional and empathetic manner. Communicate effectively with patients regarding insurance related matters.2021 -20233rd Party Liability Adjuster / Direct Auto Insurance Investigated and evaluated auto insurance claims,determining liability and assessing the extent ofdamages. Collaborated with repair shops and fieldinvestigators to assess and validate claims. Presented settlement offers and ensured fair and cost-effective resolutions. Provided settlement offers and ensured fair and cost-effective resolutions. Provided excellent customer service by addressing claimant inquiries, guiding them through the claims process, andmanaging expectations. Documented claim details,investigation findings, and settlement agreementsaccurately.4119 W 127th St Apt 6Alsip, IL 60803PHONE NUMBER AVAILABLEEMAIL AVAILABLE2020 - 2021Workers Compensation Adjuster / The Hanover Insurance GroupResponsible for managing all aspects of each claim, and maintaining a high level of productivity, confidentiality and customer service. Worked with significant limits and authority on assignments of higher technical complexity andcoordination, Handle Loss Time accordingly and calculate pay benefits due, Ensured compliance with workers compensation laws, regulations and company procedures. Investigated claim circumstances, gathered relevant documentation, and assessed liability.2019 - 2020BI Medical Adjuster / MetLife Insurance CompanyExamine claims records and forms to determine whether the patient has medical coverage. Review provisions of the certificate or policy to determine the patients included medical coverage losses. Prepared and presented settlement offers, considering medical evidence and legal implications. Adhere to all company policies, procedures, and guidelines in addition to insurance regulations at the federal and state levels. Examine medical treatment records, police reports, physical property damage and medical bills to gauge the overall extent of liability. Ensure all claims information remains confidential. ADDITIONAL EXPERIENCE2018 2019Contract Administrator / Customer Service Rep / Transdev North America, Inc2017 2018Customer Relations / Office of Special Deputy2016 2017Project Manager, Adjuster, Customer Service Rep / Skyline DKI Restoration Company2015 2016Auto Adjuster / Customer Service RepAcceptance Insurance Company |
