Claims Service Representative Resume Example
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CLAIMS SERVICE REPRESENTATIVE
Career Focus
Hard-working, passionate office manager looking to apply my education and experience to a job in a customer service focused business. Detail-oriented professional with strong technical skills and the ability to learn concepts quickly. Areas of excellence include Microsoft Office, customer service, and time management.
Core Strengths
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Education and Training
Erie Community CollegeBusiness AdministrationCity, State, United States
- 3.5 GPA
- Coursework in business, accounting, and management
Accomplishments
- Promoted to Human Resources after three months of employment.
- Received a merit raise for strong attention to detail, exemplary customer service and team-player attitude.
- Successfully planned and executed numerous corporate meetings, lunches and special events for groups of 50+ employees.
- Developed and implemented company's first employee manual outlining all proper business procedures and office policies.
- Greeted customers upon entrance and handled all cash and credit transactions.
- Assisted customers over the phone regarding store operations, product, promotions and claims.
- GEICO August 2017 Associate of the Month
- Rated a 5 out of 5 for excellent customer service surveys in the last 4 months
- Overall YTD number is 4.0 out of 5.0 per claims department grading/ guidelines
Work Experience
Utica National Insurance GroupSeptember 2016 to CurrentClaims Service Representative
NY, State
NY, State
- Adjusted auto insurance claims for a high volume regional claims office
- Applied policy coverage and claims processes to insurance claims, responded to customer inquiries, communicated with customers and provided excellent customer service
- Scheduled inspections and claims appointments
- Conducted and investigated claims, interpreted laws and regulations, rendered insurance decisions from onset to closing
- Responded effectively to increased workloads, increasing knowledge and expertise as required while meeting targeted goals
- Provided documentation of the damages, costs, and facts
- Handled approximately 60-70 inbound and/or outbound calls daily
- Addressed diaries, emails, and voicemails within company timeframe
- Identified subrogation potential in an effort to maximize recovery
- Cross-trained and provided back-up for team supervisor when needed
Caci International Inc.June 2014 to September 2015Sales Associate
North Richland Hills , TX
North Richland Hills , TX
- Recommended and sold merchandise to customers based on their needs and preferences
- Achieved monthly personal and team sales goals
- Focused on up-selling to boost sales while ensuring customer needs and the salon goals were met
- Focused on customer's needs by educating them on products and packages, and asses which would best satisfy their budget and personal needs
Wisconsin BoxAugust 2013 to September 2016Human Resource/Office Manager
City , STATE
City , STATE
- Identified staff vacancies and recruited, interviewed and selected applicants.
- Served as a link between management and employees by handling questions, interpreting and administering contracts and helping resolve work-related problems.
- Ran the weekly payroll process
- Processed all salary changes stemming from merit increases, promotions, bonuses, and pay adjustments
- Organized monthly safety meetings
- Managed the receptionist area, including greeting visitors and responding to telephone and in-person requests for information.
- Created and managed more than 50 confidential personnel records.
- Designed electronic file systems and maintained electronic and paper files.
- Wrote reports and correspondence from dictation and handwritten notes.
- Organized files, developed spreadsheets, faxed reports and scanned documents.
- Cooperated with Medicare, Medicaid and private insurance providers to resolve billing issues.
- Created
and maintained spreadsheets using advanced Excel functions and calculations to
develop reports and
lists.
McDonald'sOctober 2010 to September 2013Shift Supervisor
City , STATE
City , STATE
- Up-sold additional menu items, beverages and desserts to increase restaurant profits.
- Took necessary steps to meet customer needs and effectively resolve food or service issues.
- Created employee and management schedules
- Communicated clearly and positively with co-workers and management.
- Resolved guest complaints promptly and professionally.
- Carefully maintained sanitation, health and safety standards in all work areas.
- Served as a mentor to junior team members.
- Basic Shift Management certified
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Resume Overview
School Attended
- Erie Community College
Job Titles Held:
- Claims Service Representative
- Sales Associate
- Human Resource/Office Manager
- Shift Supervisor
Degrees
- Business Administration
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