Claims Representative Resume Example
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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
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Experience
Atlas World Group, Inc.Canonsburg , PAClaims 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.
Bedrosians Tile And StoneOrange , CACustomer 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.
Fedex Cross BorderAmarillo , TXWarehouse 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.
Cache Creek Casino ResortBrooks , CAWaitress09/2014 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 , City
Some College (No Degree):Law EnforcementWINHEREWilliam Rainey Harper College, City, State
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Resume Strength
- Completeness
- Formatting
- Word choice
- Length
- Measurable results
- Strong summary
- Target job
- Clear contact info
- Typos
Resume Overview
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
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