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Medical Service Representative

Location:
Spokane, WA
Posted:
March 09, 2021

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Resume:

Natasha Geiser

adkr25@r.postjobfree.com LinkedIn 661-***-**** Spokane, WA 99208

Highly accomplished and detail-oriented professional with extensive experience in claims investigation, management, and settlements. Adept at conducting thorough claim investigations, interviewing clients/witnesses, consulting police/hospital records, and evaluating claim facts/policy coverage. Demonstrated ability to inspect property damages and write repair estimates, prepare reports of findings, and secure settlements with insureds and claimants. Articulate communicator with ability to lead, train, and guide cross-functional teams as well as establish and maintain robust relationships with customers and coworkers. Areas of Expertise include:

Strategic Analysis & Planning

CAT Claims Management

Negotiations & Settlements

Claims Investigation & Management

Financial Approvals & Grants

Team Training & Leadership

Policy Certifications & Invoicing

Inspection & Estimation

AINS & AIC, Producer License

Professional Experience

HUB International • Spokane, WA • 2019 - Present

Commercial Lines Account Manager

I manage a book of accounts in Commercial Lines and the Agency system is Applied Epic. Create marketing submissions and work with various carriers to obtain quotes for renewals and new business. Manage renewal process for expiring policies such as preparing renewal proposals for clients, sending required supplemental applications, Acord applications to underwriters. Bind coverages, issue endorsements, and send certificates to clients. Invoice agency bills. Key contact on accounts for clients. If clients have questions on coverage or need new coverage, I will guidance on what coverages are needed and go to the necessary markets that are applicable/needed to obtain those coverages. Examine coverage forms, modification rates, and exposures. Obtain surety bonds, contractor licenses.

HARRP Vancouver, WA 2019

Agency & Policy Processing Specialist

Managed and processed member service requests of certificate of insurance for property and liability to add/remove properties from policies and binding policies. Evaluated and responded members/vendors queries on properties and policies as well as delivered policy certificates and invoices. Arranged insurance coverages not offered by HARRP such as cyber, pollution, flood, and earthquake in coordination with a broker to ensure one window services for customers. Developed invoices for members in close collaboration with agency to enhance member rapport. Devised and provided quotes for members to boost sales and resulting revenues.

SEDGWICK Portland, OR 2018

Claims Representative – Worker’s Compensation

Resolved filed claims to reimburse workers for benefits. Responded to customer calls/emails and state requests to guarantee optimal level of services. Obtained and organized medical records against filed claims by calling workers/employers to ensure smooth processing of claims; approved medical treatment for injured workers. Recommended claims investigation and submitted reports to support SIU unit in decision making/approvals. Coordinated for medical on CAT claims and provided reports to excess carriers for claim payments.

Recovered in excess of $1.5M in first two weeks by managing excess reports and payment requests.

Received several awards from colleagues and clients recognition of support.

SWISS REINSURANCE AMERICA Calabasas, CA 2008 to 2018

Claims Analyst

Evaluated and segregated claims on financial and non-financial criteria; documented claim status and booked financials on claim files to streamline records. Coordinated with multiple departments for payments against filed claims to ensure maximum customer satisfaction. Administered and cleared backlog of commutations/financial projects affecting the bottom line. Administered CAT claims and reserved ACR, while analyzing claims and granting approvals of financial transactions over 500K.

Managed highest claim count in department.

Received horizon award in recognition of dedication and devotion.

Additional Experience as Client Service Representative at Employee Benefit Management Services and Salon Coordinator/Retail Sales Clerk at Dillard’s Salon.

Education & Certifications

Bachelor of Science in Business Administration MONTANA STATE UNIVERSITY, Billings, MT

Certifications: AINS AIC

Producer License: WA, OR, and CA

Career Achievements

Received award of Who’s Who Among High School Students.

Received National Honor Roll.

Awarded with National Honor Society.

Attended National Youth Leadership Conference – Medical.

Ranked among top 15 on National level for Business Professionals of America.

Placed in top 5 for four years at regional level for Business Professionals of America.

Placed in top 10 for three years at State for Business Professionals of America.



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