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Claims Specialist Representative

Location:
Mauldin, SC
Posted:
May 25, 2021

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Resume:

***********@*****.*** ** Mohegan Way, Greenville SC 29607 864-***-****

OBJECTIVES

To obtain a position that will allow me to use the experience gained in the Property and Casualty claims handling and skills and my passion for continuing to help others.

CERTIFICATIONS

PTC I

EXPERIENCE

Esurance Insurance Company Greenville, SC

Property Claims Specialist I December 2019 – Present Property Claims Representative July 2017 – December 2019 Investigate and determine coverage of loss for property loss claims. Coordinated vendor services on losses between contractors, emergency repairs and temporary housing. Write and review estimates for damages and priced according to loss and available coverage, for moderate to severe losses. Meeting or exceeding targeted performance goals for claims handling process. Became a liaison for customer service, helping others learn effective tools to providing excellent service and development between departments.

Esurance Claims Greenville, SC

Rapid Response Associate March 2016 –February 2017 Rapid Response Sr. Associate February 2017—July 2017 Licensed claims adjuster in multiple states. Take notices of loss from policy holders. Investigate and process claims that are assigned to team. Knowledge of compliance and laws regarding claims and duties by insurance carriers. Excellent customer service and have exceeded goals assigned by management. Developed further understanding of claims process and skills. Looking forward to honing current skills and broaden knowledge of property and casualty claims in all aspects. Value Medical Pharmacy Piedmont, SC

Compliance Specialist/CSR/Registered Pharmacy Technician/Sales/Collections Jan 2011 – Dec 2015 Assists the Pharmacist in pulling and counting medications. Comfortable handling all patient questions. Extensive knowledge of QS1; entering patients, prescriptions, processing claims, checking adjudications for accuracy. Experience with Medicare, Medicaid and HIPPA guidelines. Comfortable with customer interactions and communicating with others. Frequently met and surpassed sales and collections goals.

SKILLS AND ACHEVIEMENTS

Exemplary customer service experience

Comfortable multitasking in fast paced environment

Conversant with identifying and analyzing problems and finding solutions

Assisted in leading trainings between property and rapid response

Hit targeted goals with exceeds 2017, 2018, and 2019 JENA GUY



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