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Insurance chief Resume Example

Resume Score: 90%

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INSURANCE CHIEF
Summary

Summary 

Bilingual Insurance professional motivated to provide superior customer service.Natural leader willing to go the extra mile to achieve targets and goals.

Highlights

Highlights 

  • Complaint handling and resolution
  • Retirement planning
  • Self-motivated
  • Complex problem solver
  • Organized
  • Thrives under pressure


  • Client relations expert
Experience
Seguros Provida S.AJanuary 2012 to February 2014Insurance chief
La Paz, Bolivia

Responsible for receiving applications for Insurance evaluation.

Submit Acceptances,Observations or Denials for up to a maximum of $us349,000.00

Perform a complete analysis of the application including:

  • Upload application to the system, determine if medical examinations are needed.
  • Coordinate medical appointments with doctors or laboratories if necessary.
  • After medical results are evaluated determine whether the case is Accepted or Denied.
  • Submit complete file to reinsurance in Mexico for amounts greater than $us350,000.00 for approval.
  • Generate payment to doctors,laboratories or reimbursement to customers.
  • Provide and keep good standards and relationships with insurance brokers,loan officers,clients and other providers.
  • Drafted quarterly reports for management review.
Seguros Provida S.A.June 2003 to December 2011Account Executive
La Paz, Bolivia
  • Responsible to process disability,death and retirement pensions for Social Security from both of the Pensions funds Administrators (AFP's) (Futuro de Bolivia and BBVA Prevision).
  • Revised files by: Entering data to the system, accreditation of beneficiaries,verify medical records, verify the contributions made, calculate the salary in Bolivians and U.S. dollars.
  • Maintain a good Record keeping of files.
  • Generate monthly disability and death payrolls of $us 567 billions. Retirement payroll of $us211 thousand.

Grant funeral payment expenses after the following:

  • Enter data to the system,accreditation of collector,verify the documentation presented,generate the payroll, generate a disbursement payment, print forms for customers signature.
  • Generate monthly reports for Monitoring to the Insurance and Pensions Control Authority (APS).
  • Perform monthly exchange structures and submit to the Pensions Fund Administrator and Insurance and Pensions Control Authority (APS).
  • Provide good customer service to our beneficiaries,as well as our various personnel in our different offices.

Geico Insurance CompanyJanuary 2002 to January 2003Claim Adjuster Level II
Woodbury, New York
  • Responsible of dealing with providers,attorneys and claimants by answering their questions.
  • Capable of handling serious injury claims that focused on the injuries and determine the treatment that claimant is going to get.
  • Applied insurance policy contract concepts, negotiation and judgment skills gain in geico training program to each assigned medical claim.
  • Involved in section projects and helped others despite overwhelming workload.
  • Met the personal Injury protection department deadlines given by supervisor within delays.
  • Capable to manage arbitration and law suits.
  • Responsible to embody the trust every customer placed in Geico company by giving a good interpersonal relationship to the customer.
Chase JPmorgan BankJune 2001 to October 2001Customer Service Representative
Hicksville, New York
  • Helped customers with their questions by phone and or written format.
  • Capable of executing transactions promptly and accurately respond to clients requests and inquiries.
  • Provide personalized service that met clients time and quality expectations.
  • Able to manage fastpaced environment and applied problem solving and decision making skills to provide good customer service.
CGU Insurance CompanyJune 2001 to October 2001Claim Examiner
Melville, New York
  • Provide customer service on the phone for the insured.
  • Do case work research on closed claims.
  • Review claims information to determine the claims status.
  • Utilize multiple systems to obtain and record claim information.
  • Make claim payment decision.
Education
S.U.N.Y at Old Westbury2000Bachelor Degree : Business AdministrationGarden City, New York, USA
Nassau Community College1998Associate Degree: Business AdministrationGarden City, New York, USA
Certifications
  • Occupational Medicine - Medical College of Bolivia
  • Industrial Safety Standards - Capitol in Bolivia
  • Customer Service and Quality Management- Chamber of Commerce
  • New Resources for Professionals and Organizational Leadership - Del Valle University in Bolivia
  • Social Security Short & Long Term - Chamber of Commerce in Bolivia
  • Program for Micro entrepreneurs Micro Insurance in Bolivia -Capitol in Bolivia
  • New System of Retirement and Benefits in Bolivia - National Chamber of Bolivia
Languages

Fluent reading/writing Spanish.

Skills
  • Microsoft Office Word, Excel, Power Point.
  • Able to used any especially Windows XP operating system.
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Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.

Resume Overview

Companies Worked For:

  • Seguros Provida S.A
  • Seguros Provida S.A.
  • Geico Insurance Company
  • Chase JPmorgan Bank
  • CGU Insurance Company

School Attended

  • S.U.N.Y at Old Westbury
  • Nassau Community College

Job Titles Held:

  • Insurance chief
  • Account Executive
  • Claim Adjuster Level II
  • Customer Service Representative
  • Claim Examiner

Degrees

  • Bachelor Degree : Business Administration
    Associate Degree : Business Administration

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