Dedicated and detail-oriented insurance professional with 20+ years of insurance and customer service experience. Skilled at prioritizing, completing multiple tasks simultaneously, and following through to achieve goals to the satisfaction of all parties involved.
- Assisted the Claims Analyst team with dental adjustments (dental, including HCSA and HSP).
- Manage workloads efficiently by prioritizing tasks based on urgency or importance, while keeping a high standard of quality.
- Review policies in detail to determine appropriate levels of coverage in order to base approval or denial decisions.
- Reduce backlog through fair, and prompt processing of claims.
Handled complex and catastrophic impairment claims as outlined by the SABS. Worked closely with clients, healthcare providers, lawyers, and other insurance companies. Assisted in Return to Work programs and settlement resolution.
Handled medium to complex claims. Worked closely with Alternative Dispute Resolution Specialist in preparing for FSCO mediations and determining appropriate negotiating tactics. Participated in private mediation and discoveries.
Handled medium to complex Accident Benefits Claims.
Specialized in Accident Benefits claims. Handled full and task assignments. Upon request of insurers, met with clients at their home and provided and fully explained benefits available to them; obtained signed statements at law firms and at clients home.
Handled All Lines. Investigated, negotiated and settled Accident Benefits, Bodily Injury and Property claims. Handled exclusive contract with The Co-operators Insurance company. Upon request of insurers - obtained signed statements and accident scene photographs. Worked directly with several different Insurers, clients, healthcare providers, lawyers, reconstructive engineers, and restoration companies,
Responsible and accountable for maintaining current knowledge in pharmaceutical medications; preparing and filling prescriptions.
Squash, biking, kayaking, Animal Rescue and volunteering