Post Job Free

Resume

Sign in

Customer Service Insurance

Location:
Aurora, CO, 80015
Posted:
July 15, 2010

Contact this candidate

Resume:

ANITA E. DANIELS

**** ***** ********* ******

Aurora, CO 80015

720-***-****

abmco4@r.postjobfree.com

SUMMARY

Customer-focused, Customer Care Representative with a background in the

healthcare industry and insurance underwriting. Extremely productive

providing customer service in a high stress environment and solving

difficult problems. Proven skills researching and reducing claims

inventory, interpreting and understanding data and handling high quality of

work without supervision. Able to multiple tasks with organization and

accuracy.

PROFESSIONAL EXPERIENCE

WellPoint/Anthem BC/BS, Denver, CO

Customer Care Representative / Claim Processor

2009-2010

Researched and analyzed data to address customer issues and processed

claims.

. Developed and maintained positive customer relations by ensuring

customer requests and questions were handled appropriately and in a

timely manner via telephone and written correspondence regarding

benefits, provider contracts, and claims.

. Experienced in operating a PC/Image station to obtain and extract and

document information and activities and changes in database.

. Proven skills in operating multiple applications.

. Able to understand, interpret and analyze data to solve difficult

problems.

. Decreased claims inventory by researching and investigating to resolve

the issue.

COPIC Insurance Company, Denver, CO

Underwriter 1998-

2008

Reviewed and approved new applicant and renewal applications.

. Saved money by making sound judgments in the risk selection of new and

renewal business.

. Contributed to maintaining retention goal of the company by

anticipating the need of the customers, communicating underwriting

standards and guidelines verbally and in writing.

. Interfaced with other departments and participated in Underwriting and

Claims Committee meetings to gather additional information to make

better informed underwriting decisions.

. Handled over 750 accounts with minimum supervision.

. Developed several endorsement forms to input data and lead in

developing a procedure manual as an underwriting tool.

. Assisted in training new underwriters.

EDUCATION

BA, Business Education, Jackson State University (completed), Jackson,

Mississippi

PROFESSIONAL DEVELOPMENT

Basic Course in Model-Netics, 2007

Registered Professional Liability Underwriter (RPLU), 2004

TECHNICAL SKILLS

. Microsoft Word & Excel, Web Based Internet, WGS Mainframe, PC &

ImageRight System

Keywords: Customer service, insurance, verifying data, typing, researching,

data entry, inbound calls, processing claims, solving difficult problems



Contact this candidate