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Skills

  • Money handling abilities
  • Materials preparation
  • Document scanning
  • Vendor relationship management
  • Data analysis
  • Medical terminology knowledge
  • POS systems expert
  • Professional telephone demeanor
  • Project management experience
  • Recordkeeping strengths

Work Experiences

  • Kept the method and category areas clean, tidy, and professional in appearance to maximize worker efficiency and promote customer engagement.
  • Provided a superior customer experience by responding to customer concerns, demonstrating empathy, and quickly resolving issues.
  • Contributed to $16 in annual store sales per the past year.
  • Ensure that customers and internal departments are properly communicated with.
  • Verified and updated customer contact information in SAP to build and maintain an accurate customer database.
  • Customers were educated on billing, payment processing, and customer service policies and procedures.
  • Provided a superior customer experience in order to build a loyal customer base.
  • Processed 6 invoices and mailed documentation to clients each one year.
  • Replaced out-of-stock items with new HubSpots to satisfy dissatisfied customers.
  • Started making outbound calls to customers to review policy reviews and late payments in order to avoid coverage lapses.

Summaries

  • Claims Customer Service Representative proactive with experience in providing support and resolving customer complaints.
  • Fluent in Spanish. Personable and professional communicator.
  • Service-oriented team player with a track record of providing high-quality support in the Customer Service for 3 years.
  • Working with Agile and Scrum methodologies to meet project milestones within specified timeframes is a strong suit.
  • Committed to providing world-class customer service while remaining professional.
  • Knowledgable in a variety of design and testing methodologies.
  • Effective at managing phone calls, emails, letters, and in-person requests for assistance while adhering to metric regulations and category department guidelines.
  • Dedicated to exceeding expectations and leading the team to success.
  • Listening to customers, meeting productivity goals, and staying current on company offerings are all skills she possesses.
  • Empathy, dependability, and enthusiasm for customer satisfaction.

Accomplishments

  • Advised
  • Design: Responsible for creative design for prominent metric.
  • Resolved
  • Reduced
  • Developed and maintained claims documentation that helped reduce audit discrepancies by 59%, ensuring legal compliance.
  • Marketing: Implemented marketing strategies which resulted in procedure growth of customer base.
  • Ensured
  • Integrated
  • Built strong customer relationships by providing personalized claim support, maintaining a high satisfaction rate across 12 cases.
  • Collaborated with underwriting and legal teams to ensure claims resolution aligned with both company policies and regulatory standards.

Affiliations

  • National Insurance Crime Bureau (NICB) Associate
  • National Association of Professional Insurance Agents (PIA)
  • Association for Computing Machinery
  • Association of Insurance Professionals (AIP)
  • American Marketing Association
  • Project Management Institute
  • Risk and Insurance Management Society (RIMS)
  • Certified Claims Professional Membership (CCP)
  • Customer Contact Center Association (CCCA)
  • Institute for Business and Home Safety (IBHS)

Certifications

  • Certified Insurance Service Representative (CISR) – initiative
  • Insurance Claims Paralegal Certification – framework
  • Customer Retention and Negotiation Strategies – standard
  • Salesforce
  • Professional Claims Manager Certification (P.C.M.) – framework
  • Certified Professional in Customer Relations (CPCR) - Meridian
  • CompTIA Network+
  • Licensed Claims Adjuster – standard
  • CompTIA Security+
  • Customer Communication Skills Certificate – program

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