Addressed [number] website inquiries per day, converting [number] into renewal customers.Obtained relevant evidence and information regarding suspicious claims.Interviewed claimants, medical specialists and employers to determine pertinent claim information.Managed a caseload of [Number] clients each quarter.Attended [number] anti-fraud trainings, conferences, client SIU trainings and industry seminars.Investigated any potentially fraudulent claims with a focus on thoroughness, quality and cost control.Identified and collected evidence and determined its value to a specific claim.Developed connections with local fraud bureaus, district attorneys' offices and professional associations.Mentored 20 new members of the claim staff.Communicated with insured individuals to explain audit classifications and computations.Investigated claims, conducted field audits, determined losses and reported findings.Kept up-to-date on changes in regulations for deductibles and collections.
High School Diploma: Basic, 1999 Clovis High - Clovis, NM, USA
Customer Service, Exceed, Exceptions, Receptionist, Retail Sales, Satisfaction, Claims, Clients, Cost Control, Field Investigations, Dispatcher, Account Management, Cash, Closing, Credit, Customer Service Representative, Database, Energetic, Inventory, Inventory Control, Invoice, Key Accounts, Maintenance, Of Sales, Operations, Organizational Skills, Problem Solver, Product Sales, Sales, Self Motivated, Telecommunication, Telephone, Top Sales, Associate, Business Development, Finance, Training
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