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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
  • Strong interpersonal and communication skills
  • Claims file management processes
  • Time Management
  • Team Leadership
  • Empathy
  • Organizational Planning
  • Payroll
  • Computer Literate
  • Superior customer service
Education and Training
Erie Community College Business Administration Williamsville, NY, 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
GEICO September 2016 to Current Claims Service Representative
Getzville, NY
  • 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
Total Tan June 2014 to September 2015 Sales Associate
Kenmore, NY
  • 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 Box August 2013 to September 2016 Human Resource/Office Manager
Tonawanda, NY
  • 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's October 2010 to September 2013 Shift Supervisor
Tonawanda, NY
  • 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

Companies Worked For:

  • GEICO
  • Total Tan
  • Wisconsin Box
  • McDonald's

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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