Customer Service Claims Representative
Resume:
● Nikita Kinsey **** Wabash Ave, Hammond, IN ***** 773-***-**** *********@*****.***
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● Objective Motivated and detail-oriented Claims Representative with over 5 years of experience in the insurance industry. Proven ability to manage multiple cases, maintain organized records, and deliver excellent customer service.
● Skills
● Claims management
● Customer service
● Negotiation
● Conflict resolution
● Detail-oriented
● Proficient in claims software
● Experience
● Prior Authorization Representative Express Scripts, Remote October 2022 - Present
● Managed an average of 50 prior authorization requests per week.
● Communicated with healthcare providers and insurance companies to obtain necessary information.
● Maintained detailed records of each case, including patient information, authorization details, and follow-up actions.
● Claims Representative Gallagher Insurance Company, Rolling Meadows, IL June 2016 – October 2022
● Managed an average of 30 claims per week, ranging from minor accidents to total losses.
● Negotiated claim settlements with customers and third-party claimants.
● Maintained detailed records of each claim, including contact information, claim details, and settlement amounts.
● Customer Service Representative American Family Insurance, Hammond, IN January 2013 - June 2016
● Assisted customers with policy questions and changes.
● Handled incoming calls regarding claims and general inquiries.
● Maintained high customer satisfaction ratings through excellent service.
● Education
● Bachelor of Arts in Psychology Chicago State University, Chicago, IL Dec 2012
● References Available upon request
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