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xxx-xxx-xxxx yyyyyy x. yyyyyy
0000 xxxxxx xxxx , xxxx , xxxxx 00000
abc@xyz.com
yyyyyy x.
yyyyyy
productive, quality-oriented master claims representative eager to contribute expertise as well as dynamic project management, interpersonal relation and client servicing skills toward actively supporting a progressive organization in optimizing performance as a key staff member.
profile
ø offer 15 years progressive experience in the claims industry, with comprehensive customer service background.
ø effectively define, develop and implement targeted action plans to maximize operational productivity, efficiency and profitability.
ø proven value and dedication as a team member, as demonstrated by longevity and progression throughout career.
ø exceptional ability to research and evaluate industry trends and competitor products and use findings toward designing and executing innovative strategies to boost company leveraging.
ø dynamic communication, presentation, relationship building and problem-solving abilities.
ø excel at interacting with broad populations including senior management, staff, clients and external contractors.
professional experience
nationwide insurance 1993-present
master claims representative
apply strong detail orientation and multitasking skills in conducting investigation on assigned cases, confirming coverage, determining liability, establishing damages, reporting status, and negotiating settlement.
maintain full accountability for handling all aspects of auto and homeowners claims, from initial investigations to negotiating with attorneys.
conduct comprehensive review and analyses to determine if a claim is compensable, file appropriate forms and provide timely and accurate payment to injured claimant and medical providers.
promptly authorize medical treatment, medications and transportation to doctors offices and maintain close contact with medical professionals.
actively collaborate with attorneys and contribute to litigation; complete settlement evaluations and participate in mediations and depositions.
proficiently handle numerous types of claims, demonstrating exceptional project management and organization skills in achieving operational goals and timelines.
effectively plan, coordinate and facilitate injury claims, with strong focus on optimizing productivity, efficiency and quality of services.
contribute advanced communication and interpersonal relation skills in liaising effectively between medical professionals, injured claimant and third parties, as well as management and staff.
education
bachelor s in social work degree - winthrop university
license & professional development/training
licensed insurance adjuster
extensive workshops in work ethics, medical claims training, special
investigative training
community activities
volunteer guardian ad litem - south carolina.
election poll worker
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