Claim Professional
Resume:
SHANDREL K. CANADY- M.B.A/M.H.R.M
**** *. ********* **. *******, Illinois 60643 ********.******@*****.***
(M) 773-***-****
Administration Professional
ADMINISTRATION ● EDUCATION ● ACCOUNTING/FINANCE ● CUSTOMER SERVICE
SUMMARY OF QUALIFICATIONS
Microsoft Excel
Microsoft Word
PowerPoint
Oracle (FMPS)
EDI
Dac Easy Business Center
EXPERTISE/PROFESSIONAL EXPERIENCE
Travelers Insurance Company Naperville, IL
Claim Professional 10/2014 - Present
Handles to conclusion moderate to serious complexity commercial and personal lines claims with little to no direction and oversight.
Makes decisions within delegated authorization; recommends settlement values in the disposition of moderate and sometimes serious and complex claims.
Arrange appraisals, review appraisal reports and communicate with policyholders, claimants, physicians, medical providers, attorneys, and repair shops.
Medical Billing and Coding.
Secure essential facts about accidents, assess liability and compensability, negotiate settlements and explain denials to policyholders and claimants.
Register claims, update status notes, establish target dates, schedule appointments and release payments and explain an automated system.
Manage file inventory to ensure timely resolution of cases.
Handle files in compliance with state regulations, where applicable.
Provide excellent customer service to meet the needs of the insured, agent and all other internal and external customers.
Liberty Mutual Insurance Company Warrenville, IL
Senior Customer Claims Representative (Team Lead) 05/2014 – 10/2014
Obtain information and maintain records of accidents or personal property losses for policyholders and claimants through telephone and written reports.
Arrange appraisals, review appraisal reports and communicate with policyholders, claimants, physicians, medical providers, attorneys, and repair shops.
Secure essential facts about accidents, assess liability and compensability, negotiate settlements and explain denials to policyholders and claimants.
Register claims, update status notes, establish target dates, schedule appointments and release payments and explain an automated system.
Develop a strategy the team will use to reach its goal, provided training that team members needed.
Monitor team members' participation to ensure the training they providing is being put into use, and also to see if any additional training is needed.
Manage the flow of day-to-day operations when the Team Manager wasn’t available.
Create reports to update the company on the team's progress, and distribute reports to the appropriate personnel.
State Farm Insurance Company Downers Grove, IL
Claims Processor 01/2012 – 05/2014
Maintain the confidentiality of claims information.
Communicate with customers and associates over the telephone, in person, and in written correspondence.
Apply claims settlement procedures to process claims, initiate claim payments, and close files under the direction of claim representatives or claims management.
Utilize State Farm (ECS) system and other technologies to perform job duties.
Collaborate within a team environment to handle a large volume of claims and telephone calls.
City of Chicago – Chicago Public Schools
Chicago Vocational Career Academy Chicago, IL
Substitute Teacher/ Special Education Classroom Assistant II 04/2008 - 06/2011
Taught students from Pre-K through 12th grade in various subjects.
Assisted Special Education teachers in high school by modifying lessons for each student, drafting lesson plans, and reviewing Individualized Education Plan’s(IEP).
Reinforced efforts with children with various disabilities, including physical disabilities, visual and hearing impairments by monitoring daily routines for each student along with updating parents on the students’ progress.
Provided one-on-one personal hygiene services for students with severe disabilities.
Assisted students with orthopedic impairments by arranging and adjusting tools, work aids, and equipments used by students including but not limited to specially equipped worktables, positioning equipment, wheelchairs, tape recorders, computers and communication devices.
Took notes in classroom for students unable to do so for themselves.
Corrected homework assignments and examination materials.
Illinois Tollway Authority Lisle, IL
Customer Service Representative - Call Center 09/2007 - 02/2008
Processed license plate numbers for the Illinois Toll Way via the computer.
Activated I-Pass accounts for customers.
Updated account information on the I-PASS system.
Reviewed I-Pass violations to make the determination if someone violated the I-PASS system by not paying the toll and if so generated a bill.
Determined violation validation and payment through the computer system and accurately processed the violation.
Answered customer questions regarding customers’ accounts, potential customers inquiries.
City of Chicago Chicago, IL
Comptroller’s Office 07/2005 - 10/2006
College Student Intern- Accounting/Financial Analysis Skill
Processed payment vouchers and contract vouchers in Oracle
Maintained file by payment voucher sequence order number via computer and paper filing system
Coordinated payment voucher distribution of various City department agency contracts within Special Accounting
Corrected entries with various projects such as Treasures Cash reports in FMPS/Oracle System
Provided administrative assistance to staff where needed including preparing memos and additional documents
Assisted senior management with special projects including reports, data entry, and accounting activities
Created and generated Treasures Cash reports, expenditure reports and revenue reports for Branch Management
Ensured compliance by utilizing the GAAP-General Acceptance Account Practices by following federal, state policies and procedures
Information compilation through Oracle/FMPS system for the Comptroller’s Office as well as City Hall departments.
EDUCATION
Keller Graduate School of Management Tinley Park, Illinois
Master’s Degree: Human Resource Management 6/2011
Keller Graduate School of Management Tinley Park, Illinois
Master’s Degree: Business Management 2/2010
DeVry University Tinley Park, Illinois
Bachelor’s Degree: Business Administration 10/2006
Concentration: Health Services Management
CPCU – 2 courses completed.
ADJUSTER LICENSES
RI, TX,OK,NH,LA,GA,NM,KY,FL,DE,SC,CT,VT
Contact this candidate