SEARCH

Claims Representative Resume Example

Resume Score: 80%

Love this resume?Build Your Own Now
CLAIMS REPRESENTATIVE
Summary

Bilingual Customer Service Representative with proven ability to quickly and effectively resolve complaints and issues. Well-trained and composed in busy call center settings.

Skills
  • Regulatory compliance
  • Relationship management
  • Conflict and dispute resolution
  • Credit card payment processing
  • Office equipment proficiency
  • Inbound and outbound calling
  • Call center experience
  • Problem-solving abilities
  • Customer relations
  • Active listening
  • Policy knowledge
  • Coverage determination
  • Organized
  • Self-motivated
Experience
American Freedom Insurance CompanyMount Prospect, ILClaims Representative12/2018 to Current
  • Verified details with policyholder and requested additional information.
  • Reviewed documentation and accounts to gain full picture.
  • Consulted with field support team, including claim manager, quality control, file review, team lead and adjusters to receive support specific to assigned claim.
  • Delivered quality customer service to assigned, insured and claimants throughout entire claims life cycle to promote effective service times for all parties.
  • Processed high volumes of bodily injury claims efficiently while working in fast-paced environment.
  • Explained loss coverage, assisted policyholder with itemizing damages and coordinated alternative living arrangements.
  • Developed, implemented and monitored new underwriting guidelines for agency.
Check N Go Inc.Schaumburg, ILCustomer Service Representative06/2016 to 12/2018
  • Consulted with customers to determine best methods to resolve service and billing issues.
  • Cultivated impact relationships with customers and drove business development by delivering product knowledge.
  • Greeted customers to facilitate services, determine service needs and accurately input orders into electronic systems.
  • Evaluated customer account information to assess current issues and determine potential solutions.
  • Reviewed account and service histories to identify trends and issues.
  • Informed customers about billing procedures, processed payments and provided payment option setup assistance.
  • Escalated customer concerns, store issues and inventory requirements to supervisors.
  • Answered 20+ inbound calls per day and directed to designated individuals or departments.
  • Reduced process lags and effectively trained team members on best practices and protocol.
  • Maintained revenue streams by exhausting every option before offering refunds.
  • Maintained calm, friendly demeanor with upset customers to de-escalate stressful situations.
  • Worked with managers to develop service improvement initiatives.
WINHERE AUTO PARTSHANOVER PARK, IllinoisWarehouse Worker01/2015 to 03/2016
  • Maintained accurate and current order and shipment forms, inventory documentation and customer records.
  • Considered specific product requirements and accessibility when managing and organizing storage areas.
  • Identified defective, lost or missing merchandise and promptly reported issues to supervisor.
  • Tracked inventory, conducted cycle counts and audits and resolved issues to maintain accurate records.
  • Examined packages and goods for damage and notified vendors of specific issues requiring replacement.
  • Cleaned and maintained warehouse in compliance with OSHA safety standards.
  • Counted and stocked merchandise as specified by inventory control log.
  • Recognized and reported defective material and equipment.
  • Scanned container labels to verify contents and determine target destination using RF scanners.
  • Monitored work areas for cleanliness and obstacles, moving cartons and boxes to keep all aisles free of clutter for ease of movement.
  • Methodically picked, packed and labeled merchandise to prepare for shipment.
TACO PATIOHANOVER PARK, IllinoisWaitress09/2014 to 01/2015
  • Frequently communicated with kitchen staff to stay up to date on supply availability and potential customer wait times.
  • Addressed any concerns or complaints quickly to improve service and escalated more advanced issues to management for resolution.
  • Applied safe food handling and optimal cleaning strategies to protect customers and maintain proper sanitation.
  • Stocked server areas with supplies before, during and after shifts to boost performance of serving staff.
  • Cleaned, sanitized and organized food speed racks, bins and dry storage racks to keep food storage areas neat and prevent food-borne illness.
  • Updated repeat customers on menu changes and updates to maintain quality service relationships.
  • Prepared banquet room for next function by resetting room, cleaning surfaces and replenishing supplies.
  • Calculated charges, issued table checks and collected payments from customers.
  • Maintained indoor and outdoor dining areas by removing trash, wiping down tables and restocking napkin dispensers.
  • Maintained table settings by removing courses, replacing utensils and refilling beverages promptly.
  • Checked on guests to verify satisfaction with meals and suggested additional items to increase restaurant sales.
  • Answered phones politely and promptly, accurately recording and confirming reservations.
  • Transported all dirty glassware and utensils from dining room to dish washing area for proper cleaning.
  • Carried 5+ plates at one time without dropping or spilling, decreasing overall customer wait time.
Education and Training
High School Diploma01/2015SCHAUMBURG HIGH SCHOOL , Schaumburg, IL
Some College (No Degree):Law EnforcementWINHEREWilliam Rainey Harper College, Palatine, IL
Build Your Own Now

DISCLAIMER

Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.

Resume Overview

Companies Worked For:

  • American Freedom Insurance Company
  • Check N Go Inc.
  • WINHERE AUTO PARTS
  • TACO PATIO

School Attended

  • SCHAUMBURG HIGH SCHOOL
  • WINHEREWilliam Rainey Harper College

Job Titles Held:

  • Claims Representative
  • Customer Service Representative
  • Warehouse Worker
  • Waitress

Degrees

  • High School Diploma 01/2015
    Some College (No Degree) : Law Enforcement

Similar Resumes

View All
Claims-Representative-resume-sample

Claims Representative

Social Security Administration

Methuen, Massachusetts