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Claims Specialist Personal Injury

Location:
Lithonia, GA
Posted:
June 08, 2021

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Resume:

Erika

Hall

Lithonia, GA

404-***-****

adm0is@r.postjobfree.com

www.linkedin.com/in/erika-hall-544102111

I am a 10+ year veteran in the insurance claims industry. Provide a high level of support to clients, with nothing less than exceptional customer service in which I customize to relate to the client. My “can-do” attitude enables me to provide quality peer support as well. A high-energy individual, eager for a career in the human resources industry. I am a fast learner person, highly motivated, and able to work under pressure. I am always willing to learn new skills to enhance my abilities. I love people and people love me. If I had one word to describe myself it would be selfless.

Skills

Excellent Written and Communication skills

Detail-Oriented

Decision Making Skills

Problem Solving

Microsoft Office Suite

Interpersonal Communication

Multitasking

Excellent organizational and time management skills

Award-winning customer service

Claims Handling

Teamwork

Independence (Self-starter)

Prioritizing

Experience

OCTOBER 2008 – PRESENT

Claims Specialist / Aflac, Remote

Overview: Claims Specialist must excel in a dynamic, demanding environment while remaining focus. They are responsible for reviewing a client's claim to determine whether or not they are covered under a policy and to evaluate the extent of a settlement that the insurance company must pay.

Analyze and investigate complicated insurance claims to help prevent fraud.

Ability to relate effectively with a wide range of people and establish rapport and trust

Create daily, weekly and monthly reports for management

Uses various evaluation and feedback methods (checking work, problem time, etc.) to measure and communicate performance status to supervisor

Ensures successful transition of new employees from training to the work environment

Possesses and applies expert knowledge of operational principles, practices, and procedures, and operates as the subject matter expert with substantial latitude for independent action or decision making regarding the day-to-day services provided by the business unit or operational functions and team processes

Organize and present claim review plans.

Resolve claims promptly.

Offer peer support whenever needed

Resolve client discrepancies

APRIL 2007 – PRESENT

Part-time Certified Nursing Assistant / Atlanta, GA

Overview: Feed, bathe, and dress patients-These patients might include stroke victims, the elderly residents of nursing homes, or individuals recovering from an accident, injuries or surgeries in a hospital.

Take patient vital signs-From temperature to blood pressure

Serve meals, make beds, and keep rooms clean- Clean out bedpans and changing soiled sheets.

Set up medical equipment and assist with some medical procedures-lay out tools for the next patient exam or move heavy medical equipment from one room to another.

Answer calls for help and observes changes in a patient's condition or behavior-observe not only the obvious changes in a patient's physical condition but the subtleties of their emotional state.

Take patients to doctor appoints as well as run errands for them that they cannot run

Sit with in-home patients and attend to their needs.

Education

DECEMBER 2012

Criminal Justice / Troy State University, Dothan, AL

Learn the ability to proactively manage personal injury litigation files including management litigation deadlines, preparing and responding to discovery evaluation medical records, scheduling depositions, coordinating with experts, preparing narrative requests, demand packages, and assisting the senior attorney in preparing cases for trial.



Contact this candidate