SARAH-ANN DAVIS

678-***-**** ad32wr@r.postjobfree.com

SUMMARY

Analytical Claims Specialist with proven experience investigating and resolving property, health and business claims. Delivers professional and balanced customer service and meets needs of insured, claimant and internal and external customers. Insurance expert with exceptional knowledge of legal liabilities and claims practices and superior interpersonal skills.

EXPERIENCE

01/2019 to Present

Facilities Coordinator

Mimedx Pharmaceutical

Manage day-to-day operations, ensuring a safe and comfortable work environment for employees, visitors and contractors

Develop and maintain effective communication channels between employee and management to ensure operation of facilities

Coordinate and manage the implementation of sustainability initiative with the company

Develop and implement facility security protocol’s and procedures to ensure the safety and security of employees, contractors and visitors

Built long lasting client relationships and prioritized outstanding customer service

05/2015 to 01/2019

Claims Specialist/Processor (Remote)

QBE

Reported claims to insurance companies and gathered the adjuster information and claim number

Kept accurate record of claim recoveries in the company system

Generated all Claims acknowledgment documents

Resolved claims by approving or denying documentation, calculating benefits due and determining compensation settlement.

Contacted injured parties and legal representatives to negotiate final settlements for claims.

Handled all assigned claims promptly and effectively

Determined proper policy coverages and applied appropriate claims practices to reach case resolution

Acted as liaison in reference to all severe incident reports, reinsurance reports and all other case needs

Escalated all claims to necessary departments and reviewed all claims documents for accuracy

06/2010 to 03/2015

Insurance Claims Representative

Budget Car Renal

Review claims files to identify, evaluate, analyze, and interpret subrogation.

Coordinate appropriate steps to secure evidence and ensure pursuit, development, and recovery of claims.

Evaluates completeness and accuracy of documentary evidence; records and processes all recovery payments.

Negotiated settlements for uncomplicated claims in accordance with actual company liability.

Determined liability, compensability and benefits due on each claim.

Checked computations of interest accrued, premiums due and settlement surrender on loan values.

Drafted statements of loss to summarize payments, underlying policy coverages and damages.

Ensure policy holders of reimbursed and deductible amounts per company guidelines.

Worked with outside counsel; if additional investigation is necessary.

SKILLS

Documentation Review

Coverage Assessments

Accident Investigations

Settlement Determinations

Data Entry

Verbal and Written Communication

Claim Amount Calculations

New Policies Processing

Eligibility Determination

Coverage Determination

Customer Service

Microsoft office

Data Analysis

EDUCATION AND TRAINING

FIELD OF STUDY

Chattahoochee Tech 2007-2010

P&C License

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