Operations Associate Claims

Denise Cygan

**** *. ***** ******, **** *C, Des Plaines, IL 60016,

Telephone #847-***-****; *********@*******.***

Educational History

Associate of Arts Degree, William Rainey Harper College, Palatine, Illinois, May 1988

Professional Experience

Claims Operations Associate

Allstate, Northbrook, IL March 22, 1990 – Present

Previews tasks and analyzes payments in database, then sends corresponding letters and notifications based on the coverage associated

Analyzes injury forms and updates database with appropriate information

Sends communications to claimants and attorneys

Adds appropriate tasks to adjusters and processors based on the information provided

Identifies missing information on forms and requests additional detail

Combines PDFs and scans legal files to support Department of Insurance requests.

Executes clerical duties including mail opening, stamping, indexing and distributing of mail

Performs locating files, drop filing, and sending files to storage

Updates computer with new storage location and retrieving files from storage

Investigated and documented duplicate payments

Held timekeeping responsibilities, including updating calendar with PTO requests, weekly timecards and ORG

Backed up control operator by downloading and processing reports and printing and distributing labels

Sent electronic faxes to claim handlers

Distributed tasks to the adjusters from 4 banks including the Chicago North Claim Admin Bank

Paid expense bills in Commercial Claims & transcribed and proofread recorded statements

Performed duties of a switchboard operator transferring calls to adjusters

Claims Operator Associate - Special Projects June 2021 - Present

Located and boxed file-pull projects for SIU and other adjusters.

Sorted open files at adjuster’s cabinets, maintained supply rooms, and organized file rooms.

Uploaded the adjuster certificates into the NY permits external share site/Assisted with reciprocals.

Completed Massachusetts Form on Property/Collision Losses (Letter AUTP038 that goes directly to ACS(Administrative Claim Service) and surcharge Letter (AUTP039 that gets sent out to the Insured or Insured driver if the same for the loss). Completed PIP MRB and AIB tasks.

Completed 42 MRB -Checking either the claim history for prior input and then verifying in ACS until you find coverage input.

Learned how to process NY No-Fault applications, NF2’s and complete 2nd VOTS.

Approves TPC payments involving checking liability, names, payment amounts and payment duplicates

Learned how to complete status letters and located the reason; BI, property, collision and rental coverages are open.

Learned MIN ISO; locating, updating files and calling EIP’s and attorneys for missing elements, Name, Address, DOB, SS#, gender.

Skills

Proficient in Microsoft Office Suite, Nextgen, Digital Claim File

References

Lauren Derbigny, 1-504-***-****, *****@********.***, Management Sup OPL Team Lead 1

Ashley Williams, most current manager, 1-863-***-****, **********@********.***, Management Support Team Lead II • PPL Centralized Claims Operations

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