Experience

AutoXcel Corporation

• United States
• Motor Vehicle Manufacturing
• 1 - 100 Employee

• Associate Director of Claims

  • Dec 2020 - Present

  Audit claims for payment.Assist with cross training employees between different departments.Review high volume claimants and accounts to reduce fraud.Review daily and monthly KPI’s for call quality and team performance.Phone support setup for new employees including cellphones and VOIP systems.Review financial trends from commercial clients Works closely with VP of Sales and Business Develop Managers for a seamless claim process.Minimize staff turnover through appropriate selection, orientation, and training.Review monthly financial results with partners to identify opportunities to improve profitability. Show less

• Claims Team Lead

  • Dec 2019 - Dec 2020

  Trained new hires.Delegated claims to employees.Interviewed potential new employees.Audit support for processed claims.Assisted with installing VOIP phone system.

• Claims Analyst

  • Aug 2018 - Nov 2019

  Processing customer claims for a variety of contracts. Completing a risk assessment for each claim to ensure all covered items fall within the company and insurer guidelines.Interacting with consumers, service advisers and technicians in a high volume environment.Remaining organized in a high stress environment.Problem solving, written and oral communication, decision-making, and planning.



CastleBranch

• United States
• Human Resources Services
• 100 - 200 Employee

• Client Specialist

  • Jul 2017 - Aug 2018

  Instruct clients on the most effective utilization of Castle Branch's systems and offerings. Address client inquiries on a daily basis and deliver prompt responses. Educate clients on the outcomes of their background and drug test analyses. Efficiently manage time and responsibilities as a valued team member. Instruct clients on the most effective utilization of Castle Branch's systems and offerings. Address client inquiries on a daily basis and deliver prompt responses. Educate clients on the outcomes of their background and drug test analyses. Efficiently manage time and responsibilities as a valued team member.



Accelerated Claims, INC

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Patient Account Representative

  • Feb 2016 - Jul 2017

  As a diligent facility analyst, I meticulously reviewed reports to identify patients who arrived outside ACI designated staffing hours or registered outside the ED area. I then compiled a comprehensive patient file in the Netsuite system for each visit, ensuring accurate documentation. In addition, I proactively investigated and confirmed medical overages related to auto insurance, general liability insurance, and worker compensation insurance available to the patient, while also updating their individual file. My communication skills were put to use as I reached out to responsible insurance carriers and attorney offices to secure payment on behalf of the facility. To ensure efficient payment processes, I conducted audits of accounts receivable accounts, ensuring prompt and accurate coverage for the hospital. In a deadline-driven environment, I expertly managed a high-volume workload in a prompt and efficient manner. Furthermore, my engaging communication skills allowed me to build and maintain strong relationships with attorneys and adjusters, successfully handling all inquiries and resolving any issues that arose. Show less



CAMS (Community Association Management Services)

• United States
• Real Estate
• 100 - 200 Employee

• Director Of Customer Service

  • Aug 2015 - Feb 2016

  Implemented process improvements resulting in a 20% reduction in call volume and improved customer satisfaction. Developed and implemented training programs for customer service representatives, resulting in a 15% increase in productivity and a 10% decrease in errors. Maintained excellent customer satisfaction scores, consistently exceeding department goals. Collaborated with cross-functional teams to address customer issues and improve service levels. Managed multiple projects simultaneously and effectively communicated progress. Demonstrated strong leadership and communication skills, regularly coaching and mentoring team member Maintained accurate and up-to-date records of customer interactions and resolutions in CRM system. Continuously monitored and evaluated call center performance to identify areas for improvement. Maintained strict confidentiality of sensitive customer information. Adhered to company policies and procedures, including compliance with strict regulatory requirements. Show less



Verizon

• United States
• IT Services and IT Consulting
• 700 & Above Employee

• Team Lead

  • Jun 2014 - Aug 2015

  Manage a high-volume workload within a deadline-driven environment.Tier 1 & Tier 2 troubleshooting Supported Internet Order inquiries including but notlimited to payment processing on orders and security deposits, options for out of stock items, basic troubleshooting for systematic fallout Quality review of business& consumer and credit reports, activations and escalations.Team Lead (rotational) coach representatives for on demand job skillimplementation and training to actively maintain policy and procedural standards,career development, schedule monitoring updates and adjustments for dailyactivities and trainings.Support all operational and activation procedures for Indirect, Direct, and Internetsales channels Manage account and billing inquiries and disputes included but notlimited to auditing for adjustments, contractual agreement review for discrepancies, upgrade eligibility, international dialing exceptions.Review credit reports, risk assessment, and an understanding of consumer lendingpractices and governing laws including the Fair Credit Reporting Act.Executed handling of inbound calls for Win-back process, authentication, creditinquiries, account inquiries related to SSN validation.Processed incoming credit applications as well as fax documentation related to credit held orders. Show less

• Credit Operations

  • Feb 2014 - Jun 2014

• Customer Service Advocate

  • Feb 2013 - Feb 2014

• Internet Order Coordinator

  • Jan 2010 - Feb 2013



American General Financial Services Inc

• United States
• Banking

• Assistant Manager Finance

  • Jul 2006 - Jul 2009

  Reviewed personal credit reports Processed mortgage, personal lines of credit, auto loans. Followed up with delinquent accounts by making collection calls. Processed paperwork for loss mitigation and litigation. Outbound sales calls to existing clients for loans. Reviewed personal credit reports Processed mortgage, personal lines of credit, auto loans. Followed up with delinquent accounts by making collection calls. Processed paperwork for loss mitigation and litigation. Outbound sales calls to existing clients for loans.