Summary
Overview
Work History
Skills
Timeline
Generic

Sarah Waite

North York,Canada

Summary

Professional with strong background in claims processing and customer service. Skilled in evaluating, investigating, and resolving claims efficiently while maintaining compliance with regulations. Known for strong focus on team collaboration, adaptability, and achieving results. Exceptional analytical skills, attention to detail, and effective communication abilities. Proven ability to manage multiple tasks and meet deadlines in fast-paced environment.

Overview

6
6
years of professional experience

Work History

Claims Adjudicator

Securian
09.2024 - Current
  • Collaborated with team members and management to meet goals.
  • Investigated high volume of insurance claims to determine validity and coverage eligibility.
  • Expedited payment disbursements by efficiently managing claim settlements and documentation requirements.
  • Collaborated with other departments to ensure seamless coordination for effective claim resolutions.
  • Maintained daily outflow of 45 claims per day

Customer Service Representative

Manulife
06.2023 - 05.2024
  • Developed and implemented strategies to ensure compliance with benefit regulations and policies
  • Assisted clients in understanding their benefits and eligibility criteria by providing detailed information
  • Answered incoming calls, providing frontline customer support or assistance with product and service transactions
  • Remained calm and professional in stressful circumstances and effectively diffused tense situations
  • Provided outstanding service to new and long-standing customers by attending closely to concerns and developing solutions
  • Developed strong customer relationships to encourage repeat business

Benefit Specialist

Manulife
10.2022 - 06.2023
  • Maintained accurate records of all employee benefits transactions, ensuring compliance with federal regulations.
  • Collaborated with payroll department to ensure accurate deductions related to employee benefits were applied each pay cycle.
  • Resolved complex benefits-related issues promptly, maintaining strong relationships with both employees and vendors.
  • Provided exceptional customer service during difficult conversations regarding denied or terminated benefits, offering empathy while upholding company policies.
  • Enhanced claim processing efficiency by streamlining workflows and implementing best practices.
  • Maintained an outflow of 60 claims a day

Service Coordinator/ Warranty Admin/ Service Advisor

Woodbine Toyota
07.2021 - 10.2022
  • Researched coverages under warranties and determined requirements for coverage
  • Improved product knowledge on continuous basis to provide optimal service and achieve sales quotas
  • Surpassed sales goals through implementation of successful marketing strategies
  • Collected payments, processed receipts and informed policyholders of outstanding balances
  • Processed claims for payment or forwarded to appropriate personnel for further investigation
  • Working knowledge of Reynold and Reynolds, and Ignite
  • Informed customers about billing procedures, and processed debit credit and cash payments
  • Organized claims paperwork and submitted claims to Toyota Canada

Eyewear Consultant/ Receptionist

Union Optical
06.2018 - 09.2020
  • Demonstrated merchandise operation and explained features
  • Calculated sales prices and total purchases, and processed cash or credit transactions
  • Located out-of-stock items for customers with other store locations or by directly contacting vendors
  • Quickly connected with each customer to offer assistance and promote products
  • Helped customers find desired items and sizes by closely supporting each person throughout the buying process
  • Finished all tasks and job duties, adhering to deadlines to avoid delays

Skills

  • Benefits Administration
  • Life Insurance
  • Benefits Explanation
  • Coordinate work with Quality Assurance
  • Retail sales customer service
  • Credit and cash payment processing
  • Microsoft Office expertise
  • Inbound and outbound calling
  • Team leadership
  • Communication
  • Operations management

Timeline

Claims Adjudicator

Securian
09.2024 - Current

Customer Service Representative

Manulife
06.2023 - 05.2024

Benefit Specialist

Manulife
10.2022 - 06.2023

Service Coordinator/ Warranty Admin/ Service Advisor

Woodbine Toyota
07.2021 - 10.2022

Eyewear Consultant/ Receptionist

Union Optical
06.2018 - 09.2020
Sarah Waite