I have a very competitive insurance claims background. However, I am also looking forward to having a new experience. I am goal-oriented and flexible.
Over-all Skills and Abilities:
• Team player
• Coordination
• Judgment and Decision Making
• Complex Problem Solving
• Social Perceptiveness
• Good Customer Service Orientation
• Critical Thinking
• Active Listening
• Reading Comprehension
• Fast Learner
• Can work with minimal supervision
• Email Management
• Photo and Video Editing
• SEO
• Certified Pearl Specialist
• Wine Specialist
• Data Analysis
Platforms:
• Eventbrite
• Meet Up
• Universe
• Text Magic
• Canva
• Asana
• Flodesk
• Thrivecart
• IXL/Skedula
• Last Pass
• Propstream
• MO casenet
• MO Public Notices
• Carrot
• Facebook Business Suite
• Instagram
• Google Docs
Here are my duties and responsibilities from my previous works:
As Operations Specialist:
• Use computers for various applications, such as database management or word processing.
• Answer telephones and give information to callers, take messages, or transfer calls to appropriate individuals.
• Create, maintain, and enter information into databases.
• Set up and manage paper or electronic filing systems, recording information, updating paperwork, or maintaining documents, such as medical claims records, correspondence, or other material.
• Operate office equipment, such as fax machines, copiers, or phone systems, and arrange for repairs when equipment malfunctions.
• Greet visitors or callers and handle their inquiries or direct them to the appropriate persons according to their needs.
• Complete forms following company procedures.
• Maintain scheduling and event calendars.
• Schedule and confirm appointments for clients, customers, or supervisors.
• Make copies of correspondence or other printed material.
• Locate and attach appropriate files to incoming correspondence requiring replies.
• Operate electronic mail systems and coordinate the flow of information, internally or with other organizations.
• Compose, type, and distribute meeting notes, routine correspondence, or reports, such as presentations or expense, statistical, or monthly reports.
• Arrange conference, meeting, or travel reservations for office personnel.
• Open, read, route, and distribute incoming mail or other materials and answer routine letters.
• Conduct searches to find needed information, using such sources as the Internet.
• Establish work procedures or schedules and keep track of the daily work of clerical staff.
• Prepare and mail checks.
As a Motor Claims Insurance Specialist:
• Resolve claims on time.
• Analyze and investigate complicated insurance claims to help prevent fraud.
• Examine claims forms and other records to determine insurance coverage.
• Investigate and assess damage to property and create or review property damage estimates.
• Interview or correspond with claimants, witnesses, police, physicians, or other relevant parties to determine claim settlement, denial, or review.
• Review police reports, medical treatment records, medical bills, or physical property damage to determine the extent of liability.
• Negotiate claim settlements and recommend litigation when settlement cannot be negotiated.
• Analyze information gathered by investigation, and report findings and recommendations.
• Interview or correspond with agents and claimants to correct errors or omissions and to investigate questionable claims.
• Prepare reports of findings of the investigation.
• Refer questionable claims to investigators or claims adjuster for investigation or settlement.