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Csr Service Claims Processor

Location:
Bridgeport, CT
Salary:
58000
Posted:
June 21, 2023

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Resume:

Celeste Cala

*** ***** ****, *******, ** ***** 203-***-**** adxt57@r.postjobfree.com

SKILLS SUMMARY

• Concern for Others Practices well-honed listening skills to give full attention to those in needs, accurately assess every individual’s situation, and build necessary rapport.

• Achievement and Effort Achieves various levels of multi-tasking with the ability to remaining focused and goal oriented, completing several tasks simultaneously to reach desired targets.

• Adaptability and Flexibility Troubeshoots towards solutions with a flexible and creative approach to solve problems directly and efficiently

• Organization Streamlines processes understanding that efficiency is achieved by being mindful of future and often unanticipated needs

PROFESSIONAL EXPERIENCE

Aquarion Water Company

Cross Connections Administrator March 2021- Present

• Daily scheduling sent to inspectors with open communication between client and inspector

• Communicates with customers via invoicing per completed test

• Schedules appointments for new backflow preventer service on new builds or reconstructions

• Data collection and allocation from results of contractor testing

• Provides feedback and sets expectations for customers seeking information on Cross Connection

• Change Business Partner information as necessary, per CRM and outside sources Rose Insurance Agency, LLC

Commercial Lines Account Manager, August 2018 - March 2021

• Establish and maintain courteous effective working relationships with clients and carriers

• Pre-validate commercial policies for all general liability, property, automobile, Workers Compensation and umbrella before sending to underwriting

• Communicate and manage timelines for renewals with clients, billing representatives, underwriters, and claims adjusters to ensure all information is received and processed on time for new and renewal placements

• Evaluated insurance needs of clients and added/removed endorsements as necessary based on feedback from Insured’s

• Resolved billing inquiries and disputes by working with Carrier invoicing departments Child & Adolescent Healthcare

Office Administrator May 2017--July 2018

• Use Epic and Athena software to manage patient records and files; reinforce and uphold patient confidentiality as required by HIPAA and clinic.

• Facilitated daily administrative functions, including customer service, patient scheduling, and inventory management.

Progressive Insurance Company

New England Claims Processor, July 2016—May 2017

• Effective and timely coordination of communication with clients, claimants, insurance companies, and other appropriate parties throughout the claim adjustment process

• Completed coverage investigations by reviewing police reports and policy interpretation Celeste Cala

223 Amity Road, Bethany, CT 06524 203-***-**** adxt57@r.postjobfree.com Claims Generalist, July 2015- June 2016

• Estimate the cost of vehicle repairs, negotiate equitable settlements and issue payments

• Provided quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations CSR Service Center, July 2010-June 2015

• Initial contact point for customer support, outlining the claim processes and providing ongoing status reports along with coordination of the rental process

• Site leader for top satisfaction scores from customer survey and inhouse audits based on claims

• Mentorship responsible for training new hires and co-workers struggling with performance

• Tasked with tracking shop productivity and performance for Southern Connecticut Legal Assistant, July 2009-2010

• Complete administrative duties such as making copies, answering and directing phone calls and greeting clients

• Coordinate appointments, including all correspondence and logistics necessary

• Correspond with counsel and clients

Casualty Claims Processor, July 2006-2009

• Processed medical authorizations, organized medical records, entered bills into Mitchell Decision Point, and submitted to claim adjuster

• Handled all attorney processing documents for medical claims, organized litigated files, issued letters to attorneys requesting legal information regarding claim Woodbridge Youth Services

Youth Services Employee, March 2016- to present

• Coordinate dances and other planned events for the good of the community VOLUNTEER

Amity Youth Wrestling

• Co-founder/Director, September 2013 to present

EDUCATION

Kingsborough Community College, Brooklyn, May 1992

• Associates Degree – Communications & Marketing

LICENSES & CERTIFICATIONS

• Property & Casualty Licenses: CT, RI, NH, VT

• Property & Casualty Producer’s License: CT

• Auto Appraiser: CT



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