Homeslice213 UserHU
Open to opportunities

Homeslice213 User

@homeslice213user

Highly motivated claims professional with 15+ years of experience

United States

What I'm looking for

Seeking a new opportunity to apply my skills and experience in a new endeavor, where I can continue to grow and develop as a professional.

As a seasoned claims professional with over 15 years of experience in the insurance field, I have consistently exceeded expectations and demonstrated a strong ability to adapt to new challenges. With a strong background in property claims, liability investigations, and payment negotiations, I have honed my skills in claims processing, coverages, and liabilities. My expertise extends to managing claims according to state laws in Ohio, Kentucky, and Tennessee.

Throughout my career, I have demonstrated a commitment to growth and development, providing timely and critical feedback to improve claim process systems and training. I have also invested in the growth and development of colleagues, providing frequent training and mentorship to teammates and new employees. My strong communication skills have enabled me to conduct professional and productive conversations with policyholders, claimants, and external vendors.

I am now seeking a new opportunity to apply my skills and experience in a new endeavor, where I can continue to grow and develop as a professional.

Experience

Work history, roles, and key accomplishments

QH
Current

Care Coordinator

Quantum Health

Jan 2024 - Present (1 year 4 months)

Assists members in navigating the health insurance space by explaining benefits, claims status, and negotiating billing issues. Works with providers to obtain preauthorization for procedures and confirm benefits.

HI

Claims Adjuster

Hagerty Insurance

Feb 2020 - Oct 2023 (3 years 8 months)

Processed claims in a team-centered environment, handling coverage questions and liability investigations. Negotiated payments and settlements while managing claims according to state laws.

MI

Claim Representative II

Mapfre Insurance/American Commerce Insurance

Jun 2016 - Apr 2020 (3 years 10 months)

Managed property claims and handled payments while conducting liability investigations. Actively improved departmental processes and monitored for fraudulent activity.

SI

Claims Experience Specialist

Safeware Insurance

Apr 2018 - Mar 2020 (1 year 11 months)

Processed claims and investigated coverage issues while maintaining service level agreements. Provided feedback to improve claims processing workflows.

SI

Claims Representative

State Farm Insurance

Jan 2003 - Jan 2016 (13 years)

Processed claims and managed property claims while handling coverage questions and liability investigations. Provided training and mentorship to colleagues.

Education

Degrees, certifications, and relevant coursework

Homeslice213 hasn't added their education

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Tech stack

Software and tools used professionally

Availability

Open to opportunities

Location

United States

Authorized to work in

Job categories

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Homeslice213 User - Care Coordinator - Quantum Health | Himalayas