Briana Dickerson
San Diego
Summary
Professional with strong background in claims management, prepared to make significant impact. Skilled in assessing and processing claims accurately, resolving complex issues, and ensuring customer satisfaction. Effective team collaborator with focus on achieving results and adapting to changing needs. Known for analytical thinking, communication skills, and attention to detail.
Overview
12
12
years of professional experience
Work History
Claims Representative
Sedgwick Claims Management Services Inc.
04.2024 - Current
- Analyze workers compensation, general liability, and disability claims
- Maintained compliance with industry regulations by adhering to established procedures and guidelines in claims handling.
- Improved customer satisfaction by providing timely and accurate information on claim status and resolution.
- Collaborated with internal departments and external vendors to resolve claims.
- Documenting claim files properly coding claim activity
- Investigate claims for potential subrogation
- Negotiated favorable settlements with claimants, resulting in cost savings for the company.
Medical Only Claims Associate
Sedgwick Claims Management
12.2022 - 04.2024
- Adjust medical only claims and minor lost time claims
- Process workers compensation claims determining compensability and benefits due, monitors reserve accuracy, and files necessary documentation with state agency
- Communicates claim action/ processing with claimant, client, and appropriate medial contact
- Ensures claims are properly documented
Customer Service Representative
Preferred Employers Insurance Company
01.2021 - 12.2022
- Reinstate/Renew policies
- Process premium payments
- Processing online policy forms
- Process endorsements
- Assist customers with payments, inquiries, and account modifications via inbound and outbound calls
Administration Clerk
Preferred Employers Group
05.2013 - 01.2021
- Handled incoming phone calls and answered questions from callers.
- Input all documents into the records management system.
- Indexed, catalogued, and stored physical records.
- Assisted administrative team members with completing daily tasks to maintain a smooth workflow.
- Scanned physical files into digital records.
- Performed general office duties, including answering multi-line phones, routing telephone calls or messages to appropriate staff, greeting the public, typing, proofreading, filing, sorting, and handling incoming and outgoing mail.
- Opened and properly distributed incoming mail.
Education
Bachelor of Science - Human Development
California State University
San Marcos, CA01.2020
Associate of Science - Psychology
San Diego Mesa College
San Diego, CA01.2017
Skills
- Critical thinking
- Problem solving
- Effective time management
- Effective oral communication
- Proficient in computer applications
- Professional phone communication
- Administrative proficiency
- Customer-focused service
- Team collaboration skills
- Claims investigation
- Insurance claims review
Timeline
Claims Representative
Sedgwick Claims Management Services Inc.
04.2024 - Current
Medical Only Claims Associate
Sedgwick Claims Management
12.2022 - 04.2024
Customer Service Representative
Preferred Employers Insurance Company
01.2021 - 12.2022
Administration Clerk
Preferred Employers Group
05.2013 - 01.2021
Associate of Science - Psychology
San Diego Mesa College
Bachelor of Science - Human Development
California State University
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