Claims Representative Resume

SUMMARY:

To obtain a challenging position with a company that will leverage my project management, customer service, problem solving and analytical skills. All while searching for long term growth opportunities that will help strengthen my knowledge inside and outside the workplace.

EXPERIENCE:

Confidential

Claims Representative

Responsibilities:

Researched investor guidelines
Processed claim checks, documents through excel, calculated the draws from the checks, calculated draw schedules & deposit those into a restricted escrow account through a payment services portal.
Made outbound calls to go over items needed for a claim, but not limited to: issues with accounts, documents needed, claim check process, explaining investor guidelines & discussed timelines associated with claim processing.
Completed several yearly required courses on mortgages, check processing, credit processing, FEEVA guidelines, fraud and handling of escalated issues.
Partnered with leadership to develop and implement a new training manual for the hazard claims department.

Confidential

Unemployment Claims Analyst

Responsibilities:

Researched each type of claim to decide which type of coding is needed.
Partnered with employers in gathering the necessary information to complete the claims.
Completed claim requests by researching and applying state regulations.
Supported the legal team on handling claims escalating to a state judge ruling.

Confidential

Project Manager

Responsibilities:

Trained new project managers and customer service agents.
Conducted and lead daily conference calls for existing client setups.
Directly managed up to fifty projects for various banking institutions simultaneously converting to EMV chip technology.
Partnered with graphic design and computer programming teams to launch new EMV card designs.

Confidential

Customer Service Manager

Responsibilities:

Assisted management in training programs for all new customer service associates.
Accountable for continuing development of current staff and all new training.
Responsible for coaching customer service representatives on escalated issues.
Drove employee engagement by providing continuous feedback and support to staff.

Confidential

Legal Assistant

Responsibilities:

Assisted management in training programs for all new customer service associates.
Accountable for continuing development of current staff and all new training.
Responsible for coaching customer service representatives on escalated issues.
Drove employee engagement by providing continuous feedback and support to staff.

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