Claims Resolution Specialist
CurrentMaintained claims and policy databases by collecting and recording information. Answered customer queries with relevant information in documentation. Worked with leadership to implement initiatives to optimize and simplify the claims intake process.Responsible for analytic activities such as data collection, modeling, risk analysis, documentation and reporting.Collaborate with leadership to fulfill projects 1 week ahead of deadline by efficiently coordinating meetings, resources, and team members while following up on daily project activitiesComplete testing of new claim processing procedures and projects.Communicate with policyholders, claimants, and other stakeholders to gather data and resolves disputes.Proactively manage relationships and schedules over 4 stakeholders by facilitating regular calls, meetings, and soliciting client feedback to ensure quality serviceAssist with developing new team members, increasing job retention and performance by the utilization of templates and guide sheetsProvide superior customer service by accompanying clients to appropriate departments for timely query identification and resolution, securing a 95% customer satisfaction rate.Responsible for reviewing and editing 30+ claims involving data integrity issues.
