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Customer Service Claims Representative

Location:
New York, NY
Posted:
October 23, 2022

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Resume:

Jadene Gardener

*** ******* ****** *** ***, Hempstead NY 11550 Phone : 516-***-**** Email : ads5jw@r.postjobfree.com

EXPERIENCE UBER/LYFT, Livery Driver (Self-Employed)

**/**** – present

Respond to calls from customers according to the protocols established by the company.

Puntual, reliable

Helping to load and unload the vehicle.

Being warm, friendly and engaging depending on the rider’s mood.

Provide exemplary service to hotel VIPs,

executives and celebrities

Owner Operator Courier Service (Self-Employed)

04/2015 – 05/2016, NY, NY

Used my own cargo van to pick up and deliver

goods in a timely manner to either commercial or residential customers.

Performed delivery with exemplary customer

service skills.

Claims Customer Success Specialist

Herford Insurance, LIC NY 06/2010 – 12/2014

Sucessfully worked onsite and remotely with a team or

independently

Manage ongoing work by creating high level and detailed plans

that provide guidance and

alignment to projects where detailed plans are

established.

Provide customer satisfaction reporting to

Manager.

Worked in high-energy, fast-paced environment

and collaborated with other functions to archive

results in as a high-performing, independent team.

Develop strong relationships with claimants,

providers and attorneys to ensure customer

retention.

Senior Customer Service Claims Adjuster

Cunningham Lindsey Islandia, NY 04/2007 – 12/2009

Worked remotely and onsite with little or no supervision

Handle claims from initiation to closure, and then analyze

aggregate data to improve processes.

Manage cost, create estimates, and identify risks and potential

budget problems.

Communicate with clients, brokers and others about claim status

and available services.

Coordinate across teams to create and execute plans to reach

organizational goals.

Independent No Fault Claims Adjuster

York Claims Services, Melville NY 12/2005- 04/2007

Assess, assign and coordinate internal and external resources

Consult directly with SIU.

Evaluate and Negotiate No-Fault Claims.

Investigate, evaluate and process all medical and vendor billing.

Manage all Independent Medical Exams and Peer Reviews.

Identifying all phases of subrogation.

Process all correspondence and medical bills.

Senior Claims Representative

Liberty Mutual Insurance Company, Farmingdale NY 08/1999 – 11/2005

Verifies insurance information with patients for scheduled

appointments and contacts payer to verify eligibility and

authorization requirements.

Adds or updates financial status classifications in appropriate

systems.

Responds to customer inquiries regarding insurance coverage of

services and processing of claims.

For claims involving injuries, reviewed, evaluate, and negotiate moderate to complex injury claims.

Identifies customer needs and works to meet those needs using

appropriate customer service skills

EDUCATION Suny Old Westbury, Old Westbury, New York

Bachelor of Arts Business Administration

Nassau Community College, Garden City, New York

A.A.S in Business Administration May 2001

SKILLS

Strong Interpersonal skills and ability to build

good internal and external relationship.

Ability to multi-task while maitaining careful

attention to detail.

Ability to deliver quality results in a fast-paced

environment.

Strong attention to detail.

Strong proficiency in MS-Excel, MS-OFFICE, MS-WORD, MS-EXCELL

Ability to quickly learn software based products.

Strong organizational and time management

skills, including the ability to work

independently and prioritize effectively.



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