Summary
Overview
Work History
Education
Skills
References
Languages
Timeline
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Michelina Parise

Summary

To gain experience and to further my career within your company. I believe I can be a great asset to your company. I am customer oriented with excellent customer skills. I take pride in being on time and have a great attendance record. Service-oriented Claims Adjuster skilled at applying creative approaches to solving complex problems. Adept at developing profitable and quality-focused processes.

Overview

25
25
years of professional experience

Work History

Senior Claim Examiner

Manion Wilkins & Associates
04.2015 - 06.2024
  • Responsible for processing all complex dental, medical and vision claims, including the administration of electronically processed claims
  • Delivered prompt and efficient outgoing correspondence to both customer and providers
  • Communicate by letter and telephone with providers for the purpose of requesting information, explaining decisions and defending claim policies and guidelines
  • Ensuring the timely deliver of client benefits
  • Continually met overall accuracy rate of 99 percent and productivity rate of over 100 percent.

Call Centre Rep

AON
10.2013 - 04.2015
  • Managed high call volumes while providing exceptional customer support and maintaining professional composure.
  • Handled escalated calls professionally, effectively resolving complex issues and ensuring client satisfaction at all times.
  • Mastered multiple software systems for seamless navigation during calls, improving efficiency and reducing hold times for customers.
  • Enhanced customer satisfaction by efficiently addressing and resolving inquiries in a timely manner.

Claim Examiner

Great West Life Insurance
09.1999 - 10.2013
  • Conducted thorough investigations into complex claims, gathering detailed evidence and interviewing involved parties to reach fair conclusions.
  • Improved customer satisfaction by providing timely and accurate claim updates throughout the process.
  • Ensured compliance with state regulations by conducting regular audits of claim files and documentation.
  • Developed positive relationships with clients, maintaining open lines of communication for prompt issue resolution.
  • Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.

Education

Diploma -

Mohawk College
Hamilton, Ontario
01.1996

Diploma -

St. Jean De Brebeuf
Hamilton, Ontario
01.1993

Skills

  • Claims Investigation
  • Teamwork and Collaboration
  • Problem-Solving
  • Reliability
  • Customer service and support
  • Goal Setting
  • Professionalism

References

References are available on request.

Languages

English
Elementary

Timeline

Senior Claim Examiner

Manion Wilkins & Associates
04.2015 - 06.2024

Call Centre Rep

AON
10.2013 - 04.2015

Claim Examiner

Great West Life Insurance
09.1999 - 10.2013

Diploma -

Mohawk College

Diploma -

St. Jean De Brebeuf

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Michelina Parise