Customer service-data entry

MARIE BRAILSFORD **-** Marengo Street Hollis, New York 11423718-***-****

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

OBJECTIVE: To obtain a position that will offer opportunities to utilize my background and experience as an insurance claims analyst to the fullest extent.

PROFILE:

●Analytical and organized; able to assimilate goals in conjunction with profit objectives.

●Strong leadership skills: able to manage and motivate employees, stimulate maximum levels of achievement, and provide high standards of service.

●Team player with the self-motivation, initiative and the business savvy to meet challenges.

●Proficient in MS Word, Outlook and Internet

EXPERIENCE:

Risk Management Planning Group Minneola, NY

Assistant claims Adjuster 2006 – 2007

●Handled approximately 200 monthly workman’s compensation claims.

●Handled 15.8 claims, requested the reimbursements of indemnity payments made to claimant and medical payments made to the providers from special funds.

●Verified the medical bills received were casually related to the loss, if not, sent denial. Also verified the medications were also casually related.

●Authorized MRI, IME’s, for treatments and actual reduced earnings.

●Accessed WCB section 32 approval, awards, established sites permanent partial disability, 15.8 decisions. Settled claims for section 32.

St. Pauls Travelers Casualty Ins. Co. New York, NY

Claims Analyst/Auto Accident Claim Division 1993 – 2004

●Handled approximately 130 claims per month, on both a regional and nationwide basis which included commercial and personal policies.

●Verified customer’ liability regarding all damages.

●Reviewed work submitted by Claims Adjusters/Appraiser’s Reports, inputting data to the computerized system, and set damages to ensure a fair settlement, applying deductibles; issued payments.

●Forwarded claims to the Comparative Negligence unit when warranted.

●Worked with and routinely communicated with insurance agents, policy holders, and others in the field, such as repair shop staff, to obtain vital information needed for the claim, including status of repairs.

●Effectively planned and scheduled work for timely execution of specific task.

●When necessary denied claims which could be then brought to small claims.

Noteworthy Accomplishment: Handled all rental desk responsibilities, disseminating information to claimants, working closely with the claim’s handlers in the 100% unit. As a result of my efforts, the company was saved a substantial sum of money.

Claims Analyst/Glass & Tow Claims Division 1991 – 1993

●Handled approximately 400 claims per month.

●Duties and responsibilities were same as described above for this division, which specifically dealt with Glass & Tow issues.

EDUCATION:

United Business Institute Rego Park, NY

Computer Program Courses

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