Customer Service Insurance

Gloria Harris

Jacksonville, FL *****

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

Ph: 904-***-****

Summary

Customer service oriented with a 10+ year background in customer service environment. Core competencies include customer service, claims service and resolution. Excellent communication and time management skills. Handles tasks with accuracy and efficiency.

Certified Customer Service Representative (4 40 license) and Insurance Adjuster (5 20 license) with knowledge of claims, medical terminology, and HIPPA compliance. Insurance License # A112024 with Florida Dept. of Financial Services.

Education

Bachelor's Degree: Business Dec 2014

Florida State College at Jacksonville Business Management & Supervision

Skills

Various Office Experience

Call center environment.

Homeowner, auto, pip, and disability claims

Attention to detail.

Account payable and data entry.

Windows, Siebel, Onyx, Outlook,

Familiar with Insurance claims.

Mortgage document processing.

Microsoft Office, Image Right, AS400

Medical terminology/Body Systems

Payment processing

Insurance underwriting department

Insurance claims department

Multi-tasking with computer

Written and communication skills

Typing 70 cpwm; 13000 ksph

Experience

Customer Service Advocate Aug 2014 Dec 2014 Equity

Staffing Inc. / OptumRx Jacksonville, FL Received

inbound phone calls, processed orders for mail order pharmaceutical prescriptions, and processed payments

in a call center environment. HIPPA Compliant.

Customer Service & Problem Resolution Rep Dec 2013 Apr 2014

Convergys US Bank Project Jacksonville, FL Received

inbound phone calls to assist banking customers adjust to a new web platform. Assisted customers in processing payments online. Assisted customers in obtaining replacement credit cards.

Disability Examiner Apr 2013 Oct

2013 People First State of Florida DOH OPS Jacksonville, FL

Contacted claimants, obtained activities of daily living, employment history, medical history, sent information obtained to a medical review team, reviewed occupational grid, and determined disability.

Trained in medical terminology and body systems. HIPPA Compliant.

Clerical Associate Oct 2012 Jan 2013

Incepture Inc. Florida Blue Insurance Company Jacksonville, FL

Processed health insurance applications. HIPPA Compliant.

Underwriting Assistant Sep 2011 Aug 2012

Remedy Staffing Citizens Insurance Company Jacksonville, FL Reviewed

field re inspections and determined credit discounts on policies. Processed endorsements for the discounts.

Updated policies with permit data.

PIP ADJUSTER May 2011 Aug 2011

Insurance Overload Staffing State Farm Insurance Company Jacksonville, FL Received claims for personal injury protection. Evaluated coverage. Contacted claimants. Obtained medical reports, police reports and statements relative to injuries sustained in auto accidents. Processed payments according to

policy guidelines. HIPPA Compliant.

Underwriting Assistant Jul 2010 May 2011

Remedy Staffing Citizens Insurance Company Jacksonville, FL Received

new applications for property insurance coverage. Screened applications for underwriter approval. Updated files with inspection report information.

Data entry clerk Jul 2010 Jul 2010

Spherion Staffing Inc. State Farm Insurance Company Jacksonville, FL

Processed payments on independent adjuster invoices within the State Farm system on a per file basis.

Indexer Feb 2010 Jun 2010

Affiliated Computer Services (ACS) Inc. Jacksonville, FL

Bank of America had bought a mortgage company. The documents had to be merged and indexed in compliance with Bank of America mortgage document codes.

Transaction Processing Specialist Feb 2009 Oct 2009

Affiliated Computer Services (ACS) Inc. Jacksonville, FL

Sorted and prepared FHA/VA documents for scanning.

Subrogation Recovery Specialist May 2000 May 2001

Continental Staffing Inc. American International Recovery Jacksonville, FL

Pursued recovery on Property & Casualty claims after the settlement of losses occurred.

In house Claim Adjuster May 1999 Dec 1999

GMAC/Integon Insurance Companies Jacksonville, FL

Received claims, evaluated coverage, contacted claimants. Analyzed liability. Determined liability. Assigned appraisers, obtained market analysis, reviewed claim history, determined prior injuries and current injuries. Calculated the loss settlement range. Negotiated and paid the loss.

In House Auto Claim Adjuster Feb 1997 May 1997

Continental Staffing Inc. Integon Insurance Co. Jacksonville, Fl

Received claims, evaluated coverage, contacted claimants. Analyzed liability. Determined liability. Assigned appraisers, obtained market analysis, reviewed claim history, determined prior injuries and current injuries.

Calculated the loss settlement range. Negotiated and paid the loss.

In House Claim Adjuster/Reinsurance May 1991 Feb 1997

Independent Property & Casualty Insurance Company Jacksonville, FL

Received claims, evaluated coverage, contacted claimants. Analyzed liability. Determined liability. Assigned appraisers, obtained market analysis, reviewed claim history, determined prior injuries and current injuries.

Calculated the loss settlement range. Negotiated and paid the loss.

In House Homeowner/Auto Claims Sep 1989 Apr 1991

Prudential Property & Casualty Ins. Co Maitland, FL

Received claims, evaluated coverage, contacted claimants. Analyzed liability. Determined liability. Assigned appraisers, obtained market analysis, reviewed claim history, determined prior injuries and current injuries.

Calculated the loss settlement range. Negotiated and paid the loss.

In House Claim Adjuster Jan 1979 Sep 1989

Independent Fire Insurance Company Jacksonville, FL

Adjusted theft, wind, lightning, small fire, inland marine and fast tracked low cost homeowner claims. Established weekly, monthly, quarterly, and year end reports. Maintained balanced records on claims

department financials. Renewal Rating batched work for the renewal of homeowner policies.

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