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Customer Service Rep

Location:
Chicago, IL
Salary:
Open
Posted:
March 11, 2023

Contact this candidate

Resume:

ZENORA LONBERGER

Email: advuex@r.postjobfree.com

Cell: 773-***-****

SUMMARY

• Accomplished Insurance Claims Consultant with fifteen years of experience building, leading and

• advising corporations on various claim exposures and client relations.

• Outstanding leader with expertise in communication, written/verbal, leading to improve client

• interaction, enhanced internal controls and heightened claim resolution.

• Expert interpersonal and communication skills-known for tactful handling sensitive, confidential

• issues with an ability to resolve customer complaints.

• Over 10 years of Customer Service and Customer Relations

• Temporary, Contract & Independent Adjuster for over 10 years EXPERIENCE

The Hanover Insurance Group

Workers Compensation Adjuster in Itasca May 2022 to Present

• Work within significant limits and authority on assignments of higher technical complexity and coordination.

• Use discretion and independent judgement in claim handling

• Responsible for managing all aspects of each claim, and maintaining a high level of productivity, confidentiality and customer service

• Handle Loss Time accordingly and calculate pay benefits due.

• Document files properly with correct claim coding AT Insurance Group

WC Claim Support Assistant August 2021 to February 2022

• Processing and authorizing payments for medical claims, property claims, general liability

• and commercial claims.

• Requesting W9’s from medical providers for IRS verification purposes

• Working with adjusters, attorneys and supervisor on various projects. Help at Home Temporary February 2020 to August 2020 Care Aid/Customer Assist to Client

• Work 1-on-1 with your clients inside their homes and support them

• Light housekeeping, including organizing, laundry and basic cleaning

• Personal activities such as dressing, grooming and assisting with meals.

• Running errands, grocery shopping and/or accompanying your clients to

• appointments

Metlife Insurance Company Temporary November 2019 to February 2020 BI Medical Adjuster/Customer Service Specialist

• Examine claims records and forms to determine whether the patient has medical insurance

• Review provisions of certificate or policy to determine the patient’s included medical

• coverage losses.

• Negotiate claim settlements and make recommendations for legal action when

• settlements are deemed non-negotiable

• Complete log, reports, forms and records to properly document medical claims.

• Adhere to all company policies, procedures and guidelines in addition to insurance

• regulations at the federal and state level.

• Examine medical treatment records, police reports, physical property damage and

• medical bills to gauge overall extent of liability

• Interview and communicate with claimants, police, witnesses, physicians and other

• necessary individuals to decide claim denial, settlement or review

• Ensure all claims information remain confidential Transdev North America, Inc. Temporary June 2019 to November 2019 Contract Administrator/Customer Service Rep

• Serve as internal and external administrative point of contact on all Transdev’s

• contractual matters.

• Develop and implement procedures for contract management and administration in

• compliance within company policy.

• Work and collaborate with legal, business development, operations, procurement

• and finance departments.

• Manages the access to Adobe products and services. When Transdev is making a

• purchase to a Charitable, Political Contribution, Rail/AV’s, Labor and

• Employment/Ethics & Compliance procurement contracts and agreements I must

• obtain permission from President, VP and other general counsel to sign their name to

• the Contract & Agreements.

State Farm Insurance Company, Phoenix, AZ Temporary September 2018 - November 2018 BI Adjuster, PD Adjuster, PIP Adjuster/Customer Relations

• Secure contact information and take recorded statements from all insureds and claimants.

• Verify coverage, order police reports, request medical bills and vehicle damage.

• Contact witnesses, secure recorded statements, and update summary and system screens.

• Address action plans/reserves, investigate complaints, conduct coverage analysis and

• conduct processes related to subrogation potential. Office of Special Deputy, Chicago, IL Temporary February 2018 - August 2018 Liquidation Adjuster/Customer Relations

• Secure contact information and take recorded statements from all insureds and claimants.

• Follow instructions on how to proceed with liquidation claims.

• Contact witnesses, secure recorded statements, and update summary and system screens.

• Address action plans/reserves, investigate complaints, conduct coverage analysis and

• conduct processes related to subrogation potential. CNA, Lisle, IL Temporary September 2017 - November 2017 Claims Consultant/Customer Relations

• Secure contact information and take recorded statements from all insureds and claimants.

• Handle losses from beginning to end.

• Contact witnesses, secure recorded statements, and update summary and system screens.

• Address action plans/reserves, investigate complaints, conduct coverage analysis and conduct processes related to subrogation potential.

Skyline DKI Restoration Company, Blue Island, IL Employment May 2017 - August 2017 Adjuster/Project Manager/Customer Service

• Secure contact information and take recorded statements from all insureds and claimants.

• Follow claim

• Contact witnesses, secure recorded statements, and update summary and system screens.

• Address action plans/reserves, investigate complaints, conduct coverage analysis and conduct

• processes related to subrogation potential.

Gallagher & Bassett, Downers Grove, IL Temporary February 2017 - April 2017 GL Adjuster/Customer Service Rep

• Secure contact information and take recorded statements from all named insured and claimants.

• Address action plans/reserves, investigate complaints, conduct coverage analysis and conduct

• processes related to subrogation potential.

Aldi, Inc. Temporary February 2016 - January 2017

Fast Track Adjuster/Customer Contact

• Follow claimant contact instructions as outlined.

• Contact witnesses, secure recorded statements, and update summary and system screens. Gallagher & Bassett, Downers Grove, IL Temporary August 2015 - September 2015 3rd Party Fast Track GL Resolution Manager

• Investigated, evaluated and negotiated commercial claims from inception through disposition.

• Knowledge of jurisdictional laws, venues and claim handling practices. Acceptance Insurance, Lombard, IL Temporary March 2015 - May 2015 Liability Adjuster/Customer Service

• Collaborated with attorneys, investigators, vendors, experts and medical professionals.

• Ensured precise and consistent reserving.

EDUCATION

BA Degree in Applied Sociology/Political Science

Lewis University, Romeoville, IL

National Lewis University in Organizational Leadership (Online)



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