Cynthia E. Edwards Email and Phone Number

All lines Claims Specialist licensed in 11 States.

Answer up 100 incoming calls monthly for client specific customers regarding their insurance policy using Windows PC based environment.•Assist customers using analytical and problem solving skills to research and resolve critical issues•Ensure all company required procedures are followed when quoting insurance eligibility, deductibles and claims filing•Exceed monthly goals for current position allowed me to become a peer advisor•Process refunds of insurance deductibles

Non-Profit Consulting, Performance evaluations, Staff Training and Development, Claims appeals, Insurance Negotiations with third party vendors and Customer service training.

Answered client phone calls and emails.Collected data and assed clients need for financial Reviewed and manually performed 495 monthly benefit calculations that determined eligibility for state funded programs.Case managed 75 client cases monthly to ensure clients maintained eligibility. Made decisions regarding clients’ eligibility and suitability for programs according to Texas Health and Human Services Commission.Provided monthly reports to supervisor in a timely manner.Evaluated policy and procedures regarding interview process and made recommendations for changes or implementations.

Reviewed and manually performed benefit calculations for Union and Non-Union pension plans.Interviewed employees to obtain and verify information for early and normal retirement benefits.Developed internal and external collaborations with relevant programs and agencies to assist employee. Maintained client databases and benefit calculation logEvaluated policy and procedures regarding pension disbursements and made recommendations for changes or implementations.Coordinated monthly pension payments with trustee programs.Consulted with employees on pension plan provisions, and payment election.

Answered client phone calls and emails.Maintained current knowledge of client specific plan provisions.Coordinated monthly pension payments with trustee.Consulted with employee on pension plan provisions and payment elections. Coached colleagues regarding plan specific issues and technical competencies; mentoring new colleagues, and facilitating new hire training classes.

Prepared basic pleadings and discovery requests.Scheduled new client consultations, depositions, and mediations.Reviewed medical records and created a report with my findings.Assisted in finalizing monthly legal bills, and mailed statements to all parties involved.Communicated with the courts and opposing Counsel. Created case files, managed paperwork and mailings.Negotiated with auto insurance company for personal injury settlement agreementsWrote correspondence communicating with clients.Managed Attorneys schedule and made travel arrangements.