Post Job Free

Resume

Sign in

Customer Service Claims Specialist

Location:
Omaha, NE
Posted:
March 07, 2024

Contact this candidate

Resume:

.

Padraig Greer

Omaha, NE 253-***-**** ad3609@r.postjobfree.com

PROFESSIONAL SUMMARY

A highly driven, analytical, and solution-focused insurance industry specialist with a track record of success driving operational excellence through effective claims processing, policy education, and delivering exceptional service. Known for compassion when interacting with distressed customers, anticipating their needs and using active listening to guide them through the claims process. Applies strong time management and organizational skills to manage a high volume of claims with meticulous attention to detail. SKILLS & COMPETENCIES

● Customer Service

● Investigate Techniques

● Health & Auto Insurance Claims

● Relationship Building

● Negotiation & Settlements

● Team Leadership & Training

● Process Improvement

● Microsoft Office Suite

● Data Analysis & Reporting

WORK EXPERIENCE

Applied Underwriters 10/2021 – Present

Legal Services Specialist (12/2022 – Present)

Claims Specialist Team Leader (01/2022 – 12/2022) Claims Specialist (10/2021 – 01/2022)

● Responsible for filing claims and helping adjusters to complete processing on time to maintain customer satisfaction

● Review invoices and serve as the liaison with attorneys throughout the claims process to ensure proper documentation, alignment with regulatory compliance, and progress the claims process

● Work closely with adjusters and attorneys, ensuring that claimants receive excellent care, but controlling the cost of claims by closely monitoring data to avoid financial loss to the company

● Serve as a team leader, tasked with supervising a team of Claims Specialists to deliver training and mentorship to guide their development and skill set growth

● Ensure that customer claims are handled swiftly, steering comprehensive investigations, and reviewing the validity of a claim to check for any potential fraudulent activity

● Utilize strong interpersonal communication skills to quickly build customer rapport to successfully complete settlements Metlife Insurance 05/2021 – 10/2021

Customer Service Disability

● Answered a incoming calls for the disability intake line to determine type of claim required, such as disability or FMLA

● Completed the customer intake to initiate customer claim and refer to a claims specialist for follow up evaluations

● Achieved fair and equitable settlement for all parties involved by initiating investigation, evaluation, and negotiation

● Recorded and updated status notes, as well as documented results of customer contacts for internal parnters Securitas Omaha, NE 06/2020 – 05/2021

Security Guard

● Checked the identification of people coming in and out of premises to reduce risk of theft or crime

● Performed routine rounds to check all areas are secured and file incident reports if needed AFLAC Omaha, NE 09/2017 – 12/2019

Customer Service

● Served as a first point of contact for customers calling to initiatives claims and address concerns about insurance policies

● Assisted customers with the claims process by clearly documenting request and educating on their terms and deductibles State Farms Seattle, WA 08/2016 – 07/2017

Express Claims Adjuster

● Assisted customers with the claims process by clearly documenting request and educating on their terms and deductibles

● Conducted liability investigations, showcasing meticulous attention to detail to determine eligibility of claim CenturyLink Communications Omaha, NE 08/2014 – 07/2016 Customer Care Specialist

● Achieved revenue savings for the company by conducting credit reviews to ensure financial feasibility of services

● Obtained documents, clearances, certificates and approvals from local, state, and federal agencies EDUCATION

Bryan High School Omaha, NE Graduated: 2014

High School Diploma



Contact this candidate