Eligibility Specialist Customer Service

Garvetta Forte-Miller

Euclid, Ohio ***** 216-***-**** **********@*****.***

Professional Summary

Claims Adjuster with experience performing detailed coverage investigations and completing liability reviews. Proficient at interpreting state regulations, evaluating, inspecting damage and analyzing case facts. Adept to handle high volume claims each day and provide exceptional customer service to policyholders.

Skills

•Exceptional Customer Service

•Planning and Scheduling

•Fluent in Housing and Accounting Software (i.e. ADP, HUD EIV, Equifax, E-Time, Elite)

•Efficient in Microsoft Package

•Impressive multi-tasking and tech savvy skills

•Effective Oral and Written Communication

•Ability to analyze mathematical/financial data

Work History

Commercial Claims Generalist 02/2020 to Current

Progressive Insurance – Mayfield, Ohio

• Interviews, collects, and documents information to determine coverage and liability

• Manages claim inventory workload associated to claim, diaries, phones, and issues payments as needed.

• Validate damage is consistent with the report of the accident

Handle total loss process from start to finish

• Developing relationships with customers to answer questions, obtain additional information and provide support throughout the claims process

Senior Claims Adjuster/Commercial Claims Generalist 07/2018 to 02/2020

Progressive Insurance – Mayfield, Ohio

• Manage a high volume of claim files from beginning to end

• Resolve and document auto claims as quickly and accurately as possible

• Interview all involved in an accident to determine coverage and liability decisions

• Validate damage is consistent with the report of the accident

• Developing relationships with customers to answer questions, obtain additional information and provide support throughout the claims process

Eligibility Specialist/Customer Service Representative 05/2007 to 07/2018

Cuyahoga Metropolitan Housing Authority – Cleveland, OH

• Maintained awareness of current laws, Housing and Urban Development (HUD) regulations/CMHA's administrative plan policies affecting Housing Choice Voucher program

• Scheduled and performed interviews with applicants

• Obtained for review verification of income and assets from applicants and third parties

• Determined eligibility of applicants

• Processed and maintained correspondence as it pertains to each assigned applicant

• Scheduled home visits with Medicaid and Medicare applicants

• Provided HCVP families with information and referrals on housing opportunities.

• Assisted in responding to inquiries received via mail and telephone.

• Resolved challenging customer issues such as completing an application and/or forms in accordance with program standards.

• Satisfied the ever-changing needs of CMHA's diverse customer base

• Received and responded to telephone/electronic inquiries from HCVP applicants and or participants.

• Provided HCVP families with information and referrals on housing opportunities.

Accountant Specialist 02/2006 to 05/2007

Quick Employment/Karamu House – Cleveland, OH

• Prepared asset, liability and account entries by compiling and analyzing account information.

• Reconciled financial discrepancies

• Contributed to financial stability by contacting customers delinquent in payments to decrease company receivables.

• Maintained customer confidence and protected operations by keeping financial information confidential.

Payroll Administrator 06/2001 to 02/2006

City of East Cleveland – East Cleveland, OH

• Participated as a team player with City Benefits Carriers in order to manage all employee benefits including enrollment, changes, and terminations.

• Recorded various hours from timecards or related changes, such as retro pay, longevity and termination pay.

• Ran E-time reports and distributed to department heads for verification.

• Set up all payroll account number and E-time cards for all new or lost E-time cards

Education

Bachelor of Business Management 05/2014

University of Phoenix

Associate Degree in Foundation of Business 06/2011

University of Phoenix

Contact this candidate