| | | 20,000+ Fresh Resumes Monthly | |
|
|
| |
Click here or scroll down to respond to this candidateCandidate's Name
Street Address Reliant RdJamesville, NY Street Address
Phone: PHONE NUMBER AVAILABLE Email: EMAIL AVAILABLEINSURANCE CLAIMS ADJUSTER NO FAULT SPECIALIST Highly accomplished and results-driven Insurance Claims professional with demonstrated experience in all facets of property and liability claims, workers compensation, and customer service. Strong research, analytical, negotiation, and communications skills. Natural ability to interface and build rapport with clients and colleagues, and succeed in high pressure, challenging, and deadline-driven environments. Seeking to utilize my experience in the Insurance industry with an organization that values dedication and a proven track record of success.AREAS OF STRENGTHAccounting Accounts Payable & Receivable Collections Property & Liability Claims Workers Compensation Client Account ManagementNegotiation & Settlement Leadership & Team Building Commercial & Personal LinesPolicy Interpretation Client Relationships Customer Service Regulation 68 (NYS) & Subrogration LawsPROFESSIONAL EXPERIENCESynapse LLC Syracuse, NY September 2021 TO February 2022Accounting Associate & Claims Representative Invoicing- using specialized insurance software, data enter and check necessary fields for accuracy for policy billing purposes for their Specialty line reinsurance in international markets. Reconcile monthly American Express transactions and employee reimbursable expenses for review. Assist Accounting Department in day-to-day bookkeeping for Synapses company books. Including Invoicing, Accounts Receivable. Handle the claims for the companys Reinsurance Stock Throughput line of business, including wiring money, keeping carriers informed of all transactions and progress on the claims.Micro Tec Supply & Hardware, Jamesville, NY May 2015 TO PresentBilling Specialist & Account Manager Develop strong relationships with the sales representative across the country and customers, connecting with key business executives and preparing sales reports, calculating commissions, issuing checks to vendors, requesting credits and issuing refunds when needed to customers. Request payment from customers that are more than 30 days past due. Answer client queries and identify new business opportunities among existing customers. Enter all aspects of bills into the system from Purchase Order Receiving, verify that vendor information, totals, quantities, item description, spelling & pricing is correct Responsible for maintaining current email addresses for customers accounts payable department Prepare incoming payments for deposit, pull invoices that customers are paying so that sales people can be reimbursed their commission. Answer incoming overflow of calls, take orders. Backup to the accounting head, calculating commission for sales representatives, verifying that their customers have paid prior to issuing reimbursement to sales reps for their out of pocket expenses.Kevin Noonan, Independent Insurance Agent, Binghamton, NY FEB 2014 TO JUNE 2017 Executive Assistant Work remotely from home Responsible for maintaining calendar for busy corporate executive Scheduling appointments, utilizing mapping program to insure most efficient use of time. Contacting prospective customers to schedule B2B meetings Follow up with prospective customers to ensure all questions and/or concerns have been met.INFICON, East Syracuse, NY NOV 2013 TO JAN 2014 Temporary Hire Human Resources Assistant Administrator Worked in the Human Resources Department as a temporary employee handling new hire orientation and on boarding. Scheduling interviews after pre-screening resumes with the appropriate department heads. Filing paperwork for disability claims, workers compensation claims, submitting timecards for temporary employees and submitting weekly and monthly reports to the finance department.UNION MUTUAL OF VERMONT COMPANIES, MONTPELIER, VT JAN 2012 TO SEP 2012 PROPERTY LIABILITY SPECIALIST Managed simple to moderate property and liability claims, including both personal lines and commercial.Property & Liability Claims Workers Compensation Client Account ManagementNegotiation & Settlement Leadership & Team Building Commercial & Personal LinesPolicy Interpretation Client Relationships Customer Service Regulation 68 (NYS) Coordinated with independent adjuster ensure that proper coverage, deductibles and endorsements were utilized when the claims had to be adjudicated by independent staff. Handled the following states: VT, ME, MA, CT, NH and RI.OFFICE TEAM, SYRACUSE, NY JUN 2009 TO JAN 2012 CONTRACTED EMPLOYEE Completed temp assignment work in medical office to reconcile payments from insurance companies. Facilitated phone calls to certain parties to ascertain how they felt about certain issues and/or candidates during the local election time.COUNTRYWAY INSURANCE, DEWITT, NYJUN 2009 TO JAN 2012 CASUALTY CLAIMS REPRESENTATIVE & NO FAULT ADJUSTER Handled simple to complex auto liability physical damage claims in Commercial & Personal Lines, including total losses with an average of 250 claims per month with a closing ratio of 150%. Assigned appraisers to write estimates. Filed Subrogation and arbitration, when warranted. Provided support to the No-Fault Department, serving as a No-Fault specialist for a brief time in 2006. Processed No-Fault claims and Med Pay claims from initial report to conclusion in NY, NJ, ME, PA, VT, CT and NH and filed subrogation and arbitration. Maintained working knowledge of each states regulations and fee schedules, where applicable. Collaborated with vendors to schedule IMEs and vocational rehab nurses. Processed NY Workers Compensation Claims. Identified SIU referrals and worked with SIU to bring cases to conclusion. Handled litigated claims from inception to completion. Directed counsel through discoveryMCNEIL & COMPANY, CORTLAND, NY MAY 2005 TO SEP 2005 NO FAULT SPECIALIST II Directed TPA, handling No-Fault claims nationwide. Processed in-house claims directly from inception to completion. Complied with contract requirements and statements on all losses and investigated for possible fraud and statutory or policy violations. Set Special Reserves on high exposure claims. Trained WC adjusters on the Fee Schedule and how to calculate STD and LTD wages.PROFESSIONAL EXPERIENCE - CONTINUEDNATIONWIDE MUTUAL INSURANCE COMPANY, NORTH SYRACUSE, NY SEP 1989 TO MAY 2005 SPECIAL CLAIMS REPRESENTATIVE I Served as backup to the manager, setting up claims and assigning work to the appropriate level handler. Arranged IMEs and communicated with attorneys when necessary and gave direction. Processed medical management of high exposure, complex claims from inception to conclusion. Coordinated care with rehab nurses and injured claimants. Assigned with first party authorization of $100,000. Scheduled examinations Under Oath when questionable injuries were involved. Complied with NICB reporting requirements, when warranted. Worked in conjunction with the Special Investigations Department to identify fraud. Approved payments that were over other adjusters authority. Trained new Claim Representatives on how to properly process claims. Maintained working knowledge of Regulation 68 and current arbitration decisions. Rose through the ranks, beginning in the Claims Report Center, then to Billing Clerk, to Claims Rep, to Sr. Claims Rep, to Master Claims Rep and ultimately to current position in No Fault Department. Prepared arbitration documents and monitored through conclusion Handled litigated claims from inception to completion for the NF department and directed counsel.EDUCATION, TRAINING & LICENSESBUSINESS COURSEWORK FALL 2023 BELLEVUE UNIVERSITY FOR BS IN BUSINESS ADMINISTRATION 1984 TO 1986 Onondaga Community College, Syracuse, NYTRAINING: AICPCU/IIA Property & Liability Insurance Principles (Apr 2012) AICPCU/IIA Ethical Guidelines for Insurance Professionals (Apr 2012) AICPCU/IIA Introduction to Property & Liability Insurance (Mar 2007) LICENSURE: Licensed Property/Casualty Adjuster in ID & VT VOLUNTEER WORK: Make A Wish Work on fund drives and grant wishes for terminally ill children |
