Sr. Claims Examiner

COLLEEN A LEARY

908-***-**** *************@*******.***

SUMMARY

Resourceful and detail-oriented Senior Claims Examiner with 12 years of experience in claims management, data entry, and client relations. Expertise in wage & separation reporting, document management, and electronic tracking. Skilled in banking transaction & reconciliation, auditing, and compliance management. SKILLS

Proficient in Microsoft Office

Claims file management processes

Investigation management

Database management

Electronic Tracking,

Fraud identification

Client service and support

Problem-solving,

EXPERIENCE

March 2013 Jersey Hospital Association, Healthcare Business Solutions – Princeton Claims March 2025 Management Senior Claims Examiner

Review routine and complex unemployment insurance claims. Investigate disputed claims, to determine if appeal is warranted and follow through on appeals process. Establish and maintain claim records to include posting and auditing charges and initiating protests on those charges to be in error. Work closely with the client employers providing the NJ Department of Labor (NJ DOL) with wage and separation information on claims, via NJ DOL portal as well as via telephone and email. Manage claims database, ensuring that all relevant data and documents have been collected, recorded, and submitted. Maintain electronic log to track responses from employers and NJ DOL ensuring deadlines are met. Abide by the terms and conditions of the Confidentiality & Non-Disclosure Agreement. September 2008 Financial Resources Federal Credit Union Member Service Representative August 2012 Process members' transactions; open new accounts; cross sell credit union products and services to fulfill members' financial needs to establish and maintain customer service and satisfaction.

ADDITIONAL EXPERIENCE

Peapack-Gladstone Bank Teller

AT&T Administrative Assistant

Motor Club of America Companies Executive Secretary EDUCATION

Union Catholic Regional High School High School Diploma Berkeley College Associates Degree, Communications REFERENCES Furnished upon request.

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