Customer Service Data Entry

Ibrahim Alogba

*********@*****.*** 718-***-****

Dallas, TX.

SUMMARY

Results-driven claims adjuster with a strong dedication to delivering exceptional customer service to clients. Proven track record in efficiently investigating and resolving claims, adhering to both company policies and regulatory standards. Consistently implements best practices in claims management, while upholding the highest levels of industry and corporate ethics. A dynamic professional who excels at navigating complex situations to achieve prompt and fair claim resolutions.

EDUCATION AND TRAINING

HND: Business Administration 1997 - 2002

Federal Polytechnic Offa, Kwara, Nigeria

SKILLS

Check claims.

Investigate property damage.

Investigate claims.

Verify data.

Authorize payments.

Examine reports.

Interview claimants

Coverage assessments

Data entry

Call escalation

Team development

windows/teams/excel/words/PowerPoint.

inbound & outbound calls

EXPERIENCE

Claims Specialist

Everrise TX August 2022 – Current

Investigated and assessed insurance claims promptly, ensuring compliance with company guidelines and regulatory requirements.

Maintained a high level of customer satisfaction by providing exceptional service and effectively managing client expectations throughout the claims process.

Collaborated with external parties such as policyholders, legal professionals, and medical experts to gather necessary information and evidence for accurate claim evaluations.

Successfully negotiated settlements, minimizing claim costs while ensuring fair and equitable outcomes for all parties involved.

Consistently achieved or exceeded performance targets for claims resolution and customer service metrics.

Observed new claim activity to identify and report adverse trends.

Logged file notes, stored electronic documents, and keyed claim details into system manage record-keeping.

approve claims for payment.

deny claims not eligible for payment.

make payments.

Verified data closely to prevent errors.

Auto Adjuster

Geico Texas January 2022 - August 2022

Worked with investigators and claims adjusters to handle the most complex claims.

Effectively resolved complex claims with severe exposure levels by using exceptional file handling abilities.

Reviewed previously settled claims to determine their validity and help control loss ratios.

Carefully reviewed official documentation such as police reports and medical treatment records to determine the true extent of liability.

Answered inbound calls to greet and assist customers with various needs and questions.

outbound calls to all involved parties.

Conducted thorough audits of claims files and processes to ensure adherence to industry regulations and company policies.

Developed and implemented training programs to educate claims staff on compliance requirements, resulting in increased awareness and improved adherence to guidelines.

Collaborated with cross-functional teams to address compliance gaps and implement corrective actions, minimizing regulatory risks.

Stayed up to date with changes in industry regulations and communicated relevant updates to the claims department, ensuring ongoing compliance.

Property Adjuster

ALLSTATE Texas November 2019 - January 2022

Investigated claims using technical knowledge of the insurance company's requirements and the industry's standards.

Investigated the damage to properties, assessed the extent and developed detailed estimates.

Obtained additional information by interviewing policy holders.

inbounds and outbounds calls.

Reviewed claims previously investigated by insurance adjusters to add new level of review and make final determination about payment authorizations.

Review and approve claims.

Move claims forward to the fondest point.

Interacted with policyholders, agents, and other stakeholders to resolve inquiries and concerns in a professional and courteous manner.

Provided accurate and detailed information regarding policy coverage, claims procedures, and documentation requirements.

Assisted in the claims intake process by collecting essential information and initiating claims files.

Effectively handled escalated customer issues, demonstrating strong problem-solving skills and a commitment to customer satisfaction.

Consistently achieved high customer satisfaction ratings and received positive feedback for exceptional service delivery.

CERTIFICATIONS

All Line Adjuster

Texas Department of Insurance, TX, United States.

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