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Claims Administration and Investigation: Obtain and analyze loss details by examining insurance policy provisions, endorsements, state statutory provisions and other records to verify applicable coverage. Resolve coverage issues .Conduct liability investigations by obtaining recorded statements from involved parties, interpreting police reports, analyzing scene investigations and expert reports and interpreting state negligence laws, statutory provisions and case law. Communications and… Show more Claims Administration and Investigation: Obtain and analyze loss details by examining insurance policy provisions, endorsements, state statutory provisions and other records to verify applicable coverage. Resolve coverage issues .Conduct liability investigations by obtaining recorded statements from involved parties, interpreting police reports, analyzing scene investigations and expert reports and interpreting state negligence laws, statutory provisions and case law. Communications and Customer Service: Exhibit effective verbal and written communication meant to deliver rapport; deliver clear, timely messages that are easily understood. Develop and implement negotiation strategies when communicating settlement related information to insured’s, claimants, body shop personnel, medical providers and other parties.Auto Physical Damage Claims Handling: Conduct analyses of property damage claims presented for repair and replacement using a consistent and thorough estimate review process. Establish accurate loss reserves, and when applicable, subrogation and salvage reserves relative to the damages analyzed.Unrepresented Bodily Injury Claims Handling: Conduct analyses of soft tissue and other bodily injury claims using a consistent and thorough injury review process. Establish accurate loss and subrogation reserves relative to the damages analyzed. Research and interpret injury related statutory provisions and case law, examine points of impact and extent of damage relative to the injury claimed, access prior injury information, develop and maintain rapport with the claimant, obtain proper release documentation, obtain medical reports and conduct detailed injury-specific research relating to the injury claimed, thoroughly document injury related treatment history and develop a comprehensive settlement strategy.Claims Fraud Identification and Prevention: Partner with SIU to identify red flags. Show less

Duties & Responsibilities:*Determine liability (who's at fault for the damages)*Determines the most effective and efficient sequence of activities to make timely contact with all relevant parties and ensures that conditions are set for a timely and accurate assessment of damages, including the movement of vehicles to the appropriate location for inspection and repair.* Interviews, collects and documents information from customers, agents, witnesses, police reports, etc.*… Show more Duties & Responsibilities:*Determine liability (who's at fault for the damages)*Determines the most effective and efficient sequence of activities to make timely contact with all relevant parties and ensures that conditions are set for a timely and accurate assessment of damages, including the movement of vehicles to the appropriate location for inspection and repair.* Interviews, collects and documents information from customers, agents, witnesses, police reports, etc.* Interprets policies and analyzes information gathered to determine courses of action. * Ensures that all damage is consistent with the report of the accident.* Negotiates with customers and claimant carriers when claims cannot be settled in full.* Recognizes applicable exposures and endorsements.* Refers questionable claims for further investigation. * Resolves total losses to include execution of total loss paperwork. * Recognizes subrogation opportunities and refers accordingly.* Manages claim inventory workload which includes paperwork associated to claim, diaries, mail, phones, and issues payments as needed. Show less

-Receiving inbound and making outbound calls with a focus on inbound calls maintaining clear and concise documentation of all attempts and/or contacts directly on the compueterized collection system-Research and analyze accounts by gathering records and examining historical data, using intuition and experience to compliment data with goal and resolving obstacles to payment.-Determining the most effective and efficient means of collection for each account and apply industy standard due… Show more -Receiving inbound and making outbound calls with a focus on inbound calls maintaining clear and concise documentation of all attempts and/or contacts directly on the compueterized collection system-Research and analyze accounts by gathering records and examining historical data, using intuition and experience to compliment data with goal and resolving obstacles to payment.-Determining the most effective and efficient means of collection for each account and apply industy standard due diligence to collect monies owed.-Identifying and resolving problems in a timely manner, developing alternative solutions, use reason even when dealing with emotional situations.-Verifying and/or obtaining demographic and financial information on each contact. Show less

Highly trained account representative that ensured the highest possible recoveries at a minimum cost to the healthcare provider , while preserving the integrity of the profession

We believe that providing an exceptional guest experience is the core of what we do. We recognize that getting a photo taken is sometimes met with hesitancy. Our response to that is to create a culture where the guest experience is the priority and develop a photo platform that becomes a part of the overall experience.

Leading a team of 7 to 10 team members in soft line (clothing area)Leading a team of 7 to 10 cashiers, scheduling lunch breaks, resolving guest concernsand taking care of escalations. Answering phone calls regarding Target items.Page team members and guestsResponsible for returns and price adjustments.Solving guest issues and concernsDrive Red Card salesInput data in the computer: confidential patient information and insurance informationLook up… Show more Leading a team of 7 to 10 team members in soft line (clothing area)Leading a team of 7 to 10 cashiers, scheduling lunch breaks, resolving guest concernsand taking care of escalations. Answering phone calls regarding Target items.Page team members and guestsResponsible for returns and price adjustments.Solving guest issues and concernsDrive Red Card salesInput data in the computer: confidential patient information and insurance informationLook up prices on both brand and generic medicationsRequested refills online for patient medicationsLabeled and filled medical prescription bottles Show less

Placed in NICU to shadow nurses and learn to treat critically ill infants and pre-matures. Take infants' vitals and observed procedures; I was also assigned a specific patient I would follow up on a daily basis and learned to fill up a crash carts.