ENIOLA KOMOLOGBON
OLAJUWON
Contact
Address: **** ******** ****, ******** ********
20785.
Phone: 1-240-***-****
Email: ad28cz@r.postjobfree.com
LinkedIn: https://www.linkedin.com/in/eniola-
ola-30bb59206
Personal Information
Gender: Female
Status: Married
Nationality: Nigerian
Areas of Competencies
• Customer Service
• Oral and Written Communication Skills
• Time Management
• Organizational Skills
• Labor Enrollment Procedure
• Commercial Carrier Enrollment Procedure
• Electronic Case Management System
• Effective Email Handling
• Microsoft Office Suite (Outlook, Word, Excel)
• CRM Database
• Zendesk Customer Service Software
• SQL
• Quickbook
Education
High School Diploma Certificate.
Stadium High School, Lagos State, Nigeria.
2001.
First School Leaving Certificate.
Helmar Private School, Lagos State, Nigeria.
1999.
Referees
• Evelyn Kpaluku
Supervisor, Florida Unemployment
Department,
Florida, United States.
ad28cz@r.postjobfree.com
• Ayo Komolafe
Team Lead, Quest Diagnostics Laboratory,
Chantilly, Virginia.
ad28cz@r.postjobfree.com
Career Objective
A highly dedicated, focused and result-driven customer service professional with strong dedication to helping customers resolve issues, while portraying a positive image of the company. Possess practical interactive skills and seeking a challenging, yet, rewarding role to optimally contribute to a well-structured organization while pursuing personal growth and development.
Additional Skills
• Empathy
• Analytical skills
• Critical Thinking
• Computer skills
• Detail-Oriented
• Time management
• Team Collaborations
• Investigative skills
• Problem-Solving skills
• Troubleshooting Abilities
Experience
Eligibility Specialist Quest Diagnostics Laboratory – Chantilly Virginia. February 2022 – Till Date.
Key responsibilities delivered.
• Reviewing applications for eligibility to ensure they meet all program requirements.
• Processing applications and ensuring accurate data entry into computer systems.
• Serving as the primary point of contact for clients seeking to determine their eligibility for benefits.
• Educating clients on the application process and required documentation.
• Utilizing online databases and resources to verify client information.
• Calculating income and asset levels to determine program eligibility.
• Keeping up-to-date on changes to benefits and eligibility.
• Maintaining detailed record of client interactions and determination.
• Referring clients to other departments, units or superiors when necessary.
• Coordinating with other departments to ensure that applications are processed in a timely manner.
• Providing information about eligibility requirements and program rules and regulations to clients.
• Assisting clients in completing applications for program eligibility with attention to detail and accuracy.
• Interacting with clients to provide information about program requirements and application procedures.
• Organizing files accurately and communicate with other units for fact-checking.
• Following-up with the applicants for missing requirements.
• Responding to applicants' inquiries and concerns, and recommending alternatives, when necessary.
Work Experience Continued
Claim Representative Florida Unemployment Department (DEO) – Florida, United States. January 2020 – January 2022.
Key responsibilities delivered:
• Provide all administrative support to the business and its employees.
• Coordinate investigative efforts ensuring appropriateness of claims through use of physical evidence, testimony of relevant parties and examining reports.
• Provide thorough review of contested claims.
• Research problem claims accounts by interpreting customer policies and coverages, so as to process claim as necessary.
• Summarize claims in excess of authority and submit to manager for approval.
• Promptly investigate all assigned claims with minimal supervision, including those of a more complex nature.
• Ensure that claims payments are issued in a timely and accurate manner.
• Mentor and provide leadership to less experienced claims associates.
• Assist with file reviews and file audits as needed.
• Inspect damages and prepare written estimates of repair or replacement.
• Under limited supervision, responsible for making accurate decisions on specialty claim settlements.
• Partner with special investigation unit and subrogation to identify fraud and subrogation opportunities.
• Apply appropriate interventions and follow up on claims.
• Stay informed of changes in policies as well as statutory and regulatory changes as they relate to claims, and communicate these changes to other claims personnel and clients.
• Assist with the preparation of operating reports.
• Meet and communicate with claimants, legal counsel, and third-parties so as to process claims.
• Timely and accurate filing and billing of all client transactions (billing, invoices, and insurance claims).
• Quickly and effectively investigate claims, negotiate equitable settlements and authorize prompt payments to policyholders.
• Review forms for accuracy and completeness.
• Review file and policy to determine coverage.
• Transmit routine claims for payment and inform claim supervisor of those claims needing further investigation.
• Promptly Negotiate settlements, making sure that the settlement reflects the actual claimant losses while also being certain that the insurer is protected from invalid claims.
• Investigate claims for personal, casualty, or property loss or damages; determine the extent of the liability; and try to negotiate an out-of-court settlement with the client.
• Interview claimants to obtain information and assess claims
• Review and investigate claims to determine validity, by analysing claimants' documents to verify accuracy of claims.
• Negotiate settlements with claimants and advise claimants on eligibility for claims.
• Managing the process of filing, investigating and settling insurance claims to determine the appropriate compensation or resolution to be offered.
• Collaborate with legal teams and other internal departments to ensure timely and accurate claim processing.
• Identifying potential fraud or abuse and taking appropriate action to prevent it.