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claims associate resume example with 10+ years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
  • :
Professional Summary

Focused Customer Service offering 10 years of combined experience in sales management, office administration and customer service. Proven success in developing high-performance teams and streamlining day-to-day office activities. Well-versed in accounting functions.

Conscientious Customer Service with experience solving problems creatively and using tact and diplomacy to achieve win-win outcomes. Great team player comfortable thriving in competitive, fast-paced environments. Polished in handling direct customer inquiries, implementing customer service policies and executing financial responsibilities.

Skills
  • Responding to Difficult Customers
  • Efficient and Detail-Oriented
  • Upbeat and Positive Personality
  • Calm and Professional Under Pressure
  • Multitasking and Prioritization
  • Customer Account Management
  • Verbal and Written Communication
  • Understanding Customer Needs
  • Strong Analytical and Problem Solving Skills
  • Invoice Preparation and Processing
  • Multi-Line Phone Systems
  • Time Management
  • Patient and Empathetic
  • Excellent Attention to Detail
  • Account management
  • Telemarketing expertise
  • Teamwork
  • Multitasking abilities
Work History
Claims Associate, 01/2018 - Current
Reynolds Consumer Products Carrollton, TX,
  • Examined claims forms and other records to determine insurance coverage.
  • Reviewed new files to determine current status of injury claim and to develop plan of action.
  • Evaluated all evidence with ultimate goal of creating positive outcomes for client's claims.
  • Investigated claims involving potential and suspected fraudulent activities.
  • Maintained claims data in computer systems.
  • Evaluated insurance policies and analyzed damages to determine coverage.
  • Organized, planned, and documented materials for claims.
  • Reviewed police reports, medical treatment records and physical property damage to determine extent of liability.
  • Trained other claims staff members on proper handling and evaluation of injury claims.
  • Executed billing tasks and recorded information in company databases.
  • Offered friendly and efficient service to all customers, handled challenging situations with ease.
Customer Service Representative, 12/2015 - 12/2018
Teleperformance Letha, ID,
  • Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
  • Provided primary customer support to internal and external customers.
  • Answered constant flow of customer calls with minimal wait times.
  • Fielded customer questions regarding available merchandise, sales, current prices and upcoming company changes.
  • Collected customer feedback and made process changes to exceed customer satisfaction goals.
  • Offered advice and assistance to customers, paying attention to special needs or wants.
  • Communicated with vendors regarding backorder availability, future inventory and special orders.
  • Worked in call center environment handling manual and automatically dialed outbound calls.
  • Trained new team members on scripts, company services and performance strategies and provided mentoring.
  • Achieved performance goals on consistent basis.
Customer Service Representative and Team Leader, 05/2013 - 12/2015
Leidos Holdings Inc. City, STATE,
  • Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
  • Answered constant flow of customer calls with minimal wait times.
  • Regularly exceeded daily sales and product add-on quotas.
  • Fielded customer questions regarding available merchandise, sales, current prices and upcoming company changes.
  • Consulted with outside parties to resolve discrepancies and create effective solutions.
  • Communicated with vendors regarding backorder availability, future inventory and special orders.
  • Responded to customer requests for products, services and company information.
  • Handled day-to-day customer contact via phones, faxes and emails.
  • Liaised with customers, management and sales team to better understand customer needs and recommend appropriate solutions.
  • Promoted available products and services to customers during service, account management and order calls.
  • Developed highly empathetic client relationships and earned reputation for exceeding service standard goals.
  • Trained staff on operating procedures and company services.
  • Raised performance in areas of sales, management and operations by identifying and targeting areas in need of improvement.
  • Cross-trained existing employees to maximize team agility and performance.
  • Executed billing tasks and recorded information in company databases.
  • Reconciled past due accounts achieving reduction in outstanding invoices.
  • Offered friendly and efficient service to all customers, handled challenging situations with ease.
  • Provided primary customer support to internal and external customers.
Education
: General Studies, Expected in
-
Columbia State Community College - Columbia, TN
GPA:
Status -
High School Diploma: , Expected in 05/1980
-
Mount Pleasant High School - Mount Pleasant, TN,
GPA:
Status -

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Resume Overview

School Attended

  • Columbia State Community College
  • Mount Pleasant High School

Job Titles Held:

  • Claims Associate
  • Customer Service Representative
  • Customer Service Representative and Team Leader

Degrees

  • Some College (No Degree)
  • High School Diploma

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