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Customer Service Medical

Location:
Huntersville, North Carolina, United States
Posted:
August 09, 2018

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Resume:

KIM SISK

HUNTERSVILLE, NORTH CAROLINA (C) 704-***-**** ac6l8x@r.postjobfree.com

Professional Summary

Service-oriented Claims Adjuster who applies creative approaches to solving complex problems. Adept at developing quality-focused processes.

Skills

Automobile claims specialist

Skilled multi-tasker

Familiar with fraud statutes

Highly motivated

Policy Investigations

Advanced oral and written communication skills

Insurance policy coverage knowledge Organized

Customer service oriented

Work History

GLOBAL COMMUNICATIONS CONSULTANT 10/2015 to Current

METLIFE-CHARLOTTE, NC

Assist both agents and insureds with billing inquiries.

Handle policy changes at both agents and insured’s request.

Address changes in premiums partner with Underwriting to discuss coverages per state for new business and assist agents with navigating through quotes.

Unlock and reset passwords.

CLAIMS SPECIALIST 09/2014 to 09/2015

ALLSTATE-CHARLOTTE, NC

Took first notice of loss from both insured/ claimant.

Investigated prior losses and other information pertaining to the claim,

ordered reports as needed for adjusters and management, generated and sent appropriate forms to insured/claimant for completion.

Assisted adjusters with more complex claim handling and analyzed documentation and settled claims quickly and efficiently.

LIABILITY CLAIMS ADJUSTER 02/2012 to 09/2014

GEICO-FREDERICKSBURG, VA

Acted as first point of contact for customers involved in accidents.

Determined liability by verifying accident facts, discussed policy coverage, reviewed policy contracts, handled complex claims which included liability disputes, partnered with claimants, medical insurers and body shops.

Maintained claim from beginning to closure and negotiated settlements.

Settlement Desk 05/1994 to 06/2004

Federal Reserve Bank of Richmond –Charlotte, NC

Batched and prepared checks for encoding and processing.

Properly encoding checks ensuring banking information accurate.

Processed checks on sorter for dispatch to appropriate financial institution.

Operated settlement desk for end of day operations daily ledger to ensure processes balanced before shipping to various banks.

Education

Strayer University

Business Administration- Acquisition and Procurement Management



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