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Customer Service Insurance

Location:
Yorkville, NY, 13495
Posted:
June 21, 2011

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Resume:

FELICIA M. SALVATORE

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

Yorkville, NY 13495

315-***-****

*********@*****.***

OBJECTIVE

To obtain a position that utilizes my strengths.

Professional Experience

Lisa J. Hammond Agent (State Farm Insurance) May 2009 - July 2009

Office Clerk

. Worked with existing customers processing payments for Life, Home,

Auto, and Health Insurance with the State Farm system.

. Responsible for the end of day bank balance.

. Customer service, making outgoing calls selling Auto Insurance

(approximately 300 calls per week), answering incoming calls, and

setting up appointments for customers.

. Completed a 54-hour course in Life, Accident & Health Insurance

through Bryant and Stratton College to become a certified licensed

agent through New York State.

Metropolitan Life Insurance Company January 2002 - May 2009

Senior Claim Examiner

. Problem determination and resolution of all Customer Service/Claim

issues for group customers with 15000+ employees.

. Monitor and evaluate metrics and workload balancing for a Team of nine

(9) Examiners.

. Responsible for assisting Claim Examiners with high profile claims and

high dollar amount claims.

. Manage and organize work to meet multiple deadlines and competing

priorities to ensure department turnaround and customer satisfaction

is met.

. Coach Claim Examiners on Group Life procedures and workflow.

. Participate and manage projects and presentations, including internal

and external audits and new customer implementations.

. Provide expertise in claim processing, policies, and procedures to

Claim Examiners, internal customers, and external customers.

. Respond to verbal and written escalations as well as handle all

Insurance Department complaints, Presidential, and escalated phone

calls.

. Act as a liaison to the MetLife Law Department, ensuring documentation

is updated and complete, as well as reviewing responses from MetLife

Law Department.

. Ensure Claim Examiners take appropriate actions on claims where legal

opinions have been communicated via the MetLife Law Department.

. Providing excellent customer service around sensitive issues.

Metropolitan Life Insurance Company September 1997 - January 2002

Claim Examiner

. Focus on customer service and handing claims for group customers with

15000+ employees.

. Determine eligibility and payment of Life claims.

. Handle high volumes of verbal and written communication.

. Focus on teamwork.

. Providing excellent customer service around sensitive issues.

. Processing large volumes of claims and managing workload effectively.

PREVIOUS EXPERIENCE INCLUDES:

. Worked for Metropolitan Group Life Clerical for approximately three

(3) years. Included the transition of a company merger. This

included transitioning the work and traveling for two months to assist

with the merger.

. Processed Medical claims for Metropolitan Life Insurance Company for

approximately two (2) years.

RELEVANT ACCOMPLISHMENTS

Training/Development:

. Strategic thinking.

. Plan Do Check Act (PDCA) process improvement.

. Actively participated in process improvement focus groups to identify

best practices.

. Member of Employee Recognition Committee.

. Microsoft Excel

. Microsoft Word

. Microsoft Powerpoint

. Microsoft Access

. Quickbooks



Contact this candidate