Customer Service Insurance

Diane Gerowski

Email: abo3eo@r.postjobfree.com

Address: *** ******* *****

City: Bronx

State: NY

Zip: 10464

Country: USA

Phone: 718-***-****

Skill Level: Experienced

Salary Range: 30

Primary Skills/Experience:

See Resume

Educational Background:

See Resume

Job History / Details:

Diane Gerowski- 289 Fordham Place, Bronx, New York 10464

718-***-****, abo3eo@r.postjobfree.com

Highlights of Career:

. License Number: IA-1213979, independent adjuster for Accident & health

. Overall solid background with medical claims procedures.

. Focused on policy provisions purchased through the Trust by each company under my care. Covered

expenses were subject to deductibles, copay, and coordination of benefits, preexisting conditions and

COBRA.

. Involved cases subject to medical review with doctors on staff or outside medical consultation for

review. All state insurance claims received immediate attention from review to completion within ten

business days.

. All questions of subrogation were subject to review on an individual basis. Fraud cases received the

greatest scrutiny. The legal department offered assistance when necessary state insurance laws and

court decisions.

. Customer service experience set the standards for providing evaluation and assistance to clientele in

all situations. As floor supervisor, my responsibilities included diffusing situations between clientele and

phone personnel. Looked for quick and concise solutions to billing mistakes. Always followed

everything to conclusion.

. Worked the call center, answered questions for the employees of New York City, New York State and

limited federal employees. As company representative for Con Edison, visited their office on a weekly

basis to answer questions, discuss problems, find solutions and fostered a good working relationship.

. Maintained privacy for clients and the company. Utilized all facets of claims processing including follow

up to facilitate timely completion.

. Developed and implemented a training manual for Bethlehem Claims office. Paid monthly benefits on

established disability claims.

. Processed orders for stone materials followed all orders to completion and delivery. Participated in

annual inventory.

. Used Amysis, Facets and El Dorado as processing systems for claims.

Employment History:

Amalgamated Life Insurance, White Plains, N.Y. 8/22/11 to 6/1/12 Claims Adjuster

Affinity Health Insurance Co, Bronx, N.Y. 3/26/07 to 2/28/10 Claims Adjuster

Insurance Overload Staffing, Melville,N.Y. 2/06 to 3/26/07 Claims Adjuster

Walker Zanger, Mt Vernon, N.Y. 2003 to 2004 Order Clerk

Guardian Insurance Co., N. Y. 1985 to 2001 Sr. Medical Claims Adj.

GHI Incorporated, N.Y. 1983 to 1985 Floor Supervisor

Queensborough Community College

Associates in Applied Sciences, Computerized Architectural Design & Industrial Design

Graduated in 2003

Lehman College 1971 to 1975

Economocs makor, no degree

Aquinas High School 1967 to 1971

Graduated, General Academic Diploma

References furnished upon request

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