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Customer Service Claims Adjuster

Location:
Atlanta, GA, 30309
Posted:
September 11, 2023

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Resume:

Briana M. Young

SUMMARY

A high-energy young professional experienced in customer service, sales, claims, while building relationships within the community. Well-versed in providing excellent customer care, while serving each client's needs.

PROFESSIONAL EXPERIENCE

CorVel Corporation, Duluth, GA 9/22-present

Claims Adjuster

Investigating claims within the given timeframe after receipt of the first report of injury

Contacting the injured employee in order to obtain a detailed account of the injury causes

Requesting records from the medical professionals or personnel who saw the patient

Notifying the employer on his or her claim determination based on findings

Collecting and evaluating claims and sending them to the concerned department for payment

Keeping contact with the injured worker and the medical professionals concerning the status of the injury and plans for treatment

Ensuring that injured workers are taken care of appropriately and on time.

Morgan & Morgan Law Firm, Atlanta, GA 4/21- 8/22

Legal assistant/paralegal

Assist in all aspects of Worker’s Compensations cases from beginning to end

Gather, analyze, and research information

Communicating and corresponding with clients, lien holders, providers and others in the legal community

Maintaining client files

Review, analyze and summarize case files and medical records

Preparing various legal documents, including demands

Other duties as assigned

Department of Administrative Services, Lawrenceville, GA 2/17- 3/21

Claims Adjuster

Service-oriented Workers’ Compensation adjuster

Core competencies include strong claims handling and settlement of Workers’ Compensation claims, as well as excellent communication and time management skills

Handles tasks with accuracy and efficiency

Review, examine, investigate, and analyze workers' compensation claims

Interact with injured employees to ensure awareness and understanding of the workers' compensation process, requirements, and entitlements

GEORGIA WATER SOLUTIONS, Lawrenceville, GA 09/15 — 12/17

Sales Professional/Recruiter

Resolved problems by clarifying customer issues; researched and explored answers, and alternative solutions.

Implemented solutions and escalated unresolved client concerns.

Typed memos, correspondence, reports, and other needed documents

Transmitted information and documents to inquiring customers using email, mail, and facsimile when needed.

COMCAST, Alpharetta, GA 10/14 — 8/15

Telesales Representative

Utilized telephone to reach potential and current customers.

Used selling skills to inform potential customers of organizational advantages.

Remained knowledgeable of company policies and procedures in order to provide each customer with excellent customer service.

Maintained consistent product knowledge to ensure each customer was serviced accurately, and consistently.

Trained closely with team to bring the best solutions to all clients.

QUALIFICATIONS AND SPECIAL SKILLS

Proficiency in Microsoft Office Suite (e.g. Outlook, Word, Excel, PowerPoint)

Proficiency with computers, telephone lines, and other related office equipment

Have strong organizational skills; be able to follow instructions, switch tasks quickly and meet deadlines.

Exercise sound judgment, work independently, and maintain effective working relationships with colleagues.

Professional attitude and appearance

Excellent written and verbal communication skills

Excellent planning and reporting skills

Multitasking and time-management skills, with the ability to prioritize tasks

Customer service attitude

Follow up skills

Ability to handle and keep client information confidential

Proficiency with legal administration and writing



Contact this candidate