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Claims Representative Service Consultant

Location:
Plymouth Meeting, PA, 19462
Posted:
March 04, 2023

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Resume:

Tara Tucholski

* **** ****** ***** **.

Plymouth Meeting Pa, 19462

advpai@r.postjobfree.com

Phone: (484) 716- 5136

Professional Experience

Professional representative with experience in providing customer service in various industries. Over three years of documented successful sales as an IME marketer. Effective with outbound calls, emails, and networking to generate leads for company. Seven years working within claims departments of insurance companies. Ability to troubleshoot, respond to customer inquiries, execute objectives from introductions to completion, while providing high level professionalism.

John Kennedy Dealerships, Conshohocken 10/22 - Present

Automotive Internet Service Consultant

Assist customers in a professional and friendly way with their visits by communicating through

Email and on the phone.

Schedule appointments, collects vehicle and customer information and ordering parts.

Lead communicator between the customers and all service departments at all locations

Delivering information about a company’s offerings.

Ensuring that each customer is informed of the vehicle’s warranty details, maintenance requirements, and features, particularly those related to safety.

Professional Experience

Summit Court Reporting, Philadelphia, PA 9/2018-7/2019

Director / Client Relations

Provide ongoing account maintenance

Outgoing calls and emails to generate leads

Visiting accounts on a weekly basis

Serve as primary point of contact with assigned accounts

Develop strong working relationships with clients

Develop business strategies and sales performance

Burns White LLC, Conshohocken, PA 4/2017-9/2018

Corporate Legal Assistant

Compose and revise legal documents, including letters, correspondence, depositions & court documents

Request production of discovery and do conflict of interest checks in opening a file

Communicate with counsel, court officials and clients on a daily basis

Receive and database all incoming mail which is scanned and organized into the computers document storing system. Electronically file documents as Workers’ Compensation Automation and Integration System

Responsible for filing all pleadings, motions and answering petitions with the court.

Maintain schedules and calendars

Provide full secretarial support to attorneys and paralegals

Answering phone calls and transferring to the responsible party

Veith Law Firm, Lansdale, PA 11/2013-4/2017

Legal Secretary/Paralegal

Prepare legal documents and assist in litigation projects

Draft correspondence and letters under the supervision of attorneys

Answer telephone calls and organizing mail and maintain attorney’s calendars

Schedule and coordinate depositions, medical examinations and other court designated hearings

Organize and index all case files for attorneys while filing correspondence, pleadings and documentation in an accurate timely matter

Track and account for all expenses, utilizing correct client codes and invoicing procedures

Process of standard legal documents including contracts, appeals and subpoenas

The Prime Network, Bala Cynwyd, PA 9/2009 – 3/2010

Sales/Marketing Associate

Research new market opportunities

Monitor customer preferences to determine focus of sales efforts

Map out potential customers and competition

Contact and conduct follow-ups on sales prospects

Coordinate with marketing, sales, and technical groups to facilitate marketing functions (i.e. brochures, trade shows, etc.)

Provide status reports to management on overall sales and marketing activities

MES Solutions, Philadelphia, PA 7/2006 – 10/2008

Client Services Representative

Initiate systematic marketing processes within each client to attract and retain new business

Visiting approximately 20 clients on a weekly basis

Build and maintain successful relationships with clients made up primarily of insurance carriers, third-party administrators, self-insured’s companies, and attorneys

Use excellent customer service, problem solving skills, and the ability to articulate IME products and services

Established a “make it happen” attitude within client base which resulted in exceeding company bonus plan

The Hartford (Specialty Risk Services), King of Prussia, PA 1/2003-5/2005

Claims Representative 3/2004-5/2005

Conduct initial investigation by making contact with insured’s, claimants, and medical providers

Evaluations of injuries and monitoring reserves

Analyze and obtain data necessary documentation per policy and jurisdictional regulations

Daily interaction with defense counsel to achieve timely resolution

Claims Adjuster 1/2003-3/2004

Handle maintenance files for NJ, MD, VA, and PA

Responsible for paying legal and medical bills

Maintain activity with medical treatment and reserves

Issue benefits to injured workers or the beneficiary

Complete file reviews and develop strategies for settling and closing files

Managed Comp, King of Prussia, PA 10/2001-12/2002

Promoted to Claims Specialist 4/2002-12/2002

Responsible for over two-hundred workers compensation claims in the state of Massachusetts

Control all legal documents medical/attorney bills

Determine plans of action associated with disability, medical management, expectations, and developing/coordinating return to work strategies

Manage activity and costs of litigation claims; maintain strong communications with insured, injured worker, and medical provider

Negotiate claims to prompt settlement

Claims Analyst 10/2001-4/2002

Processed over six-hundred workers compensation claims for Massachusetts, Connecticut, Maryland, and Rhode Island Jurisdictions

Responsible to make the first contact to employers (for medical only claims) to confirm compensability of the injury

Other duties included paying all legal and medical bills, setting up surveillance, and making appropriate doctor’s appointments for the injured worker

Trion Group, Conshohocken, PA 2/2001-10/2001

Eligibility Representative

Chief Representative for four companies

Provided front-line support to customers who required problem solving and decision making

Entry of insurance benefits into system; preparation and design of Microsoft Excel based problem log

Supported upper management with special projects

Worked with the HR department with regard to eligibility issues

Handled open enrollment

Technical Skills

Microsoft Office: Word, Excel, PowerPoint, Outlook

Education

Plymouth Whitemarsh High School



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