Customer Service Experience
Resume:
Work History
Customer Experience
Specialist
Dymond
Campbell
Contact
Address
Jacksonville, FL 32246
************@*****.***
Skills
Microsoft office
Claims auditing
Claims processing
Deadline oriented
Customer communication
Information verification
Settlement negotiation
Teamwork and
collaboration
Problem-solving
Team management
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Very hardworking and passionate job seeker with strong organizational skills eager to secure a customer service position. Ready to help team achieve company goals. Claims Administrator/Verifier
SNI Companies, Jacksonville, FL
2024-10 -
2024-11
Determined whether the insured's policy covers the claim
•
Contacted insures for documents that needed to
move claim forward
•
Negotiated settlements and authorized over 50
payments daily
•
Investigated, evaluated and settled insurances
claims
•
Claims Adjuster
AGFG, (remote), FL
2023-09 -
2023-12
Responded quickly to meet customer needs and
resolve problems
•
Committed to delivering excellent customer service while working in a fast paced environment
•
Provided efficient and courteous service to
customers at all times
•
Met deadlines while maintaining high-quality
deliverables
•
• Handled sovereignty claims
Insurance Specialist
USAA, Tampa, FL
2023-04 -
2023-09
Navigated multiple systems to handle and process
claims
•
Developed strong relationships with customers
through effective communication skills both verbally and in writing
•
Resolved customer complaints regarding auto
insurance policies promptly and professionally
•
• handled over 25-50 inbound calls
Data entry
Documentation and
recordkeeping
Languages
English
Litigation
State Farm, Daytona Beach, FL
2022-12 -
2023-04
Managed day to day operations related to claims
processing while ensuring compliance with
applicable laws & regulations
•
Determined company policy, exploring complex
technical matters to stakeholders
•
Provided advice to clients on contract basis worked as consultant
•
Claims Administrator/Verifier (Security First)
Global Risk Solutions, Jacksonville, FL
2022-08 -
2022-10
Updated existing policies and procedures as
needed based on changes in the industry
•
Participated in a training session designed to
increase knowledge about relevant legislation
related to the member payment
•
Facilitated the resolution of disputes between
members
•
Reviewed, analyzed and processed first-party
homeowner and dwelling property claims within
assigned authority limits, ensuring high-quality
service to the insurer
•
Policy and coverage Analysis conducted thorough
investigation to determine coverage, liability and damages, and document findings for claim
resolution
•
Claims Examiner
ASI, St. Petersberg, FL
2020-06 -
2021-06
Reviewed claims documents for accuracy prior to
submission for payment processing
•
Provided guidance and support to team members
regarding insurance regulations and requirements
•
Maintain detailed records of all insurance
transactions including payment, renewals and
cancellations
•
Responded promptly to customer inquiries regarding their insurance coverage options
•
Communicated with customers to explain policy
and coverage details
•
Education
Project
Awards
Claim Adjuster
Renfroe, Mountain Brk, AL
2017-04 -
2020-05
• Company Overview: Mountain Brk, AL
Negotiated settlements with claimants or attorneys in accordance with established guidelines attorneys in accordance with established liability
•
Investigated & evaluated coverage, liability and
damages for insurance claims
•
Maintained accurate documentation on all claims
activities including investigation rules, settlement negotiations
•
Evaluated claims & performed investigations to
accurately assess damages liability
•
MBA: Human Resource Management,
Marketing
University Everest - Orlando, FL
2014-05 -
2016-07
Criminal Justice
University Everest - Orlando, FL
2006-05 -
2011-07
Working on PHD - Learning to move forward for the
next level.
Dean List
Contact this candidate