Customer Service Claims Adjuster

NANEKEI HICKS

ad5og0@r.postjobfree.com 817-***-**** Arlington, TX 76017

Summary

Hardworking employee with customer service, multitasking and time management abilities. Devoted to giving every customer a positive and memorable experience.

Skills

• Claims file management processes

• Strong interpersonal and communication skills

• manage, investigates and evaluate coverage

• assist with body shops and supplement appraisals for insured or claimants

• set up auto rentals when needed

• assist with payments when claim is settled

• Communication

• Flexible schedule

• billing, invoices, account receivable

• correspondence to emails and inbound and outbound calls

• processing payments

• word & excel

Experience

Licensed Claims Adjuster Liberty Mutual - Plano, TX 10/2022 - Current

• Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.

• Negotiated and settled claims according to information presented through reports, research and data verification.

• Investigated questionable claims to determine payment authorization.

• Drafted statement of loss to summarize damages, payments and underlying policy coverage.

• Conducted witness interviews to assist claim information gathering process.

• Identified and obtained evidence to ascertain claim value.

• Gathered information from various third parties to determine claim acceptability. Billing Representative Union Standard - Irving, Texas 07/2018 - 10/2022

• Processed and sent invoices, adjustments and credit memos to customers.

• Answered customer invoice questions and resolved issues discovered during invoicing and collection process.

• Worked with outside parties to obtain payments and solve problems.

• Verified patient insurance coverage, created financial plan according to treatment schedules for collections and communicated between patient and billing company regarding health insurance. Negotiator Mitchell International, Inc. - Irving, TX 10/2016 - 07/2018

• Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.

• Displayed strong telephone etiquette, effectively handling difficult calls.

• Identified needs of customers promptly and efficiently.

• assigned queue 100+claims negotiating for medical bills Senior Medical Representative MHN - Irving, TX 09/2009 - 08/2016

• Followed up with customer to identify and resolve service, account or technical issues and maintain satisfaction.

• Scheduled appointments with established and prospective customers to meet with and discuss corporate offerings.

• Updated customer information in CRM database daily to document latest interactions and activity.

• Answered customers' questions and addressed problems and complaints in person and via phone.

• Built strong, professional relationships through identification of client needs, which increased overall sales and opportunities.

Education and Training

James Bowie High School Arlington, TX 05/1997

High School Diploma

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