SUMMARY
Dependable and hardworking whom learns quickly and gets along well with others. Multi-functional in customer service, mailing, filing, and data entry. Enjoys the supportive aspect of a job. Energetic, innovative professional who has the sense of team, cares about people, and produces results. Ability to adapt through multiple mergers.
PROFESSIONAL EXPERIENCE
NATIONWIDE/ALLIED INSURANCE, Battle Creek, Michigan •••••Present
Claims Specialist 1, Medical, June ••••• to present: pending representative maintaining claims and issuing payments for medications, office visits setting up IME’s.
Senior Claims Representative November •••••June •••••:
Make contact with clients with in 2 business hours and resolve claim with payment.
Help clients with getting in touch with a locate body shop
Get clients in touch with claimant carriers to file the mini tort
Confirm coverage’s on client’s policy’s and go over what his covered.
DAVID MORSE & ASSOCIATES, Battle Creek, Michigan •••••
Claims Representative
Made contact with client within two business hours and resolved claim with payment within ••••• hours of receiving the claim.
Received New Loss; contacted the insured in a timely manner - within two hours.
Established the facts of the loss with a recorded statement and informed the insured of the coverage’s and which coverage’s applied.
Obtained a copy of the police report
Set the insured or claimant up with an Independent Appraiser if warranted.
Settled total loss claims within four business days.
Handle Med Pays, review medical bills and then make payment, Receive arbitration documents and respond in a timely manner
M••••• AUTO BODY, Battle Creek, Michigan •••••
Secretary
Ordered parts from venders
Answered phones and made appointments for repair - dates and times
made out the weekly payroll and the deposits.
Did the weekly spread sheet
ALLIED INSURANCE, Battle Creek, Michigan •••••
Merged with Nationwide Insurance in •••••
Claim Processor
Made contact with insured client within eight business hours and resolved claim with payment within ••••• hours of receiving the claim.
Received New Loss; contacted the insured in a timely manner - within eight hours
establish the facts of the loss and informed the insured of what the coverage’s were and which coverage applied
obtained a copy of the police report
Verified customer claims history by performing extensive database searches and informing underwriting of risk.
Issued checks for claims after all paper work were completed, ensuring excellent customer service.
NATIONWIDE INSURANCE COMPANY, Battle Creek, Michigan ••••• - •••••
Merged with TIG Insurance in •••••
Customer Service Representative ••••• - •••••
Managed the majority of the non-complex claims such as towing and glass claims.
Tackled claims questions or issues that the customer had.
Directed non-claims calls to the various departments of operation.
Addressed the incoming mail and routed mail to the correct person.
Assisted other co-workers in the completion of their daily work.
TIG INSURANCE COMPANY, Battle Creek, Michigan ••••• - •••••
Merged with Transamerica in •••••
Customer Service Representative ••••• - •••••
Data Entry Clerk ••••• - •••••
Corresponded with insurers on the telephone for a potential New Claim
Guided callers to the appropriated adjuster or claims office that was handling their claim.
Records Clerk ••••• - •••••
Managed claim files, by pulling files for adjusters and delivering the files to that adjuster
Sorted mail that needed to be put in the existing file.
Restored the files to their proper order on the shelves.
TRANSAMERICA INSURANCE COMPANY, Battle Creek, Michigan ••••• - •••••
Mailroom Clerk
Opened incoming mail and put it in the correct order for distribution.
Distributed mail by making deliveries on a time schedule.
Sorting agency mail and putting this into envelopes so that it could be mailed to the appropriate office for handling.
Computer Skills
Proficient in Microsoft Office ••••• - Word, Excel, Passport, Imaging Software, Lotus Notes, Windows •••••, Windows NT, and Internet Explorer. PIP Class, Mitchell, AIS both review medical bills.
Education:
Shoplink & Photolink Certified Estimator, Michigan License completed and passed.
Reference upon request
