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Claims Investigator Resume Auburndale, F...
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Title claims investigator
Target Location US-FL-Auburndale
Email Available with paid plan
Phone Available with paid plan
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 Candidate's Name
Customer Service Representative
EMAIL AVAILABLE   PHONE NUMBER AVAILABLEAuburndale, FL Street Address
Dedicated professional with experience providing exceptional support and assistance to clients in various industries. Adept at overseeing all aspects of office administration and ensuring HIPAA compliance. Skilled in overseeing all aspects of office operations, including data entry, accounts payable, grant writing, and research. Expert in managing patient appointments, medical records, and insurance claims. Adept at building trust, driving client retention, and increasing revenue through strategic account management. Excel in analyzing market trends, identifying opportunities, and collaborating with cross-functional teams to exceed client expectations.Areas of Expertise      Account Management      Competitive Analysis      Client Needs Assessment      Customer Retention
      Medical Office Management
      Records Management
      Stakeholder Engagement      Proposal Development      Conflict Resolution
      Customer Relationship Building      Complaint Handling      Appointment SchedulingProfessional ExperienceGeico Insurance, Lakeland	2014   PresentClaims Investigator, 2018   PresentConduct thorough investigations by interviewing claimants, witnesses, and involved parties to gather essential information and evidence. Prepare detailed investigative reports, outlining findings, statements, photographs, and relevant evidence. Ensure that all claim investigations adhere to GEICO's policies, procedures, and legal requirements.      Maintained regular communication with claimants, policyholders, and legal representatives to provide updates on claim status and gather additional information.      Delivered exceptional customer service by addressing claimants' concerns/inquiries promptly and professionally.      Achieved and exceeded monthly case closure targets, improving claims processing efficiency.Customer Service Representative (Licensed), 2014   2018Assisted customers in managing their insurance policies, including processing policy updates, additions, and cancellations. Utilized in-depth knowledge of insurance policies/regulations to provide accurate information/guidance to customers regarding coverage options, policy changes, and claims processes. Conducted periodic policy reviews to identify potential cost-saving opportunities and offer customized insurance solutions to meet customers' changing needs.      Collaborated with team to assess policy eligibility, answer all inquiries, and ensure policy compliance.      Identified opportunities to offer additional insurance products and coverage enhancements to meet customers' evolving needs, contributing to increased policy sales.      Resolved a high-stakes customer dispute, saving company from potential legal action.YES Communities, 	2012   2014Administrative Assistant/CollectorOversaw debt collection accounts for a large real estate community, ensuring prompt payment and resolution. Designed a review plan for delinquent accounts, resulting in improved collection rates. Conducted consultations with legal representatives to discuss delinquent accounts and collaborate on effective solutions.      Established and executed payback programs to facilitate the resolution of outstanding debts.      Streamlined front desk operations, resulting in enhanced visitor experience and improved office efficiencyAdditional Experience as a Assistant Director of Operations/Non-Profit/Grant WriterEducationAssociate of Arts, Business Administration, KEISER UNIVERSITY, Lakeland, FL

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