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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 CollegeBusiness AdministrationWilliamsville, 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
GEICOSeptember 2016 to CurrentClaims 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 TanJune 2014 to September 2015Sales 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 BoxAugust 2013 to September 2016Human 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'sOctober 2010 to September 2013Shift 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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