Skilled Claims Specialist with comprehensive experience in handling, investigating, and settling insurance claims. Strengths lie in proficient communication abilities, keen analytical thinking, and effective problem-solving skills. Previous work has resulted in streamlined operations and improved customer satisfaction rates through successful negotiation and settlement of complex claims.
Overview
19
19
years of professional experience
Work History
Claim Specialist Technical Expert
Social Security Adminstration
Morrow
10.2009 - Current
Utilized advanced technical skills and expertise to troubleshoot complex problems and implement solutions.
Updated and maintained databases with current information.
Conducted comprehensive research and data analysis to support strategic planning and informed decision-making.
Resolved difficult issues promptly while maintaining a high level of professionalism.
Conducted periodic reviews of closed files to ensure compliance with state regulations and company guidelines.
Participated in special projects as assigned by management team.
Supported efficient handling of complex claims and followed up on open, denied, or suspended claims to complete required line items.
Organized information by using spreadsheets, databases or word processing applications.
Real Estate Agent
Weichert Realtors
Atlanta
05.2006 - Current
Performed administrative duties such as preparing paperwork for listing presentations, tracking sales data and updating internal databases.
Prepared comparative market analysis to estimate properties' value.
Provided guidance to clients throughout the entire buying or selling process.
Created detailed property descriptions for use in marketing material.
Responded promptly to client inquiries via phone or email.
Analyzed potential investment opportunities based on financial reports.
Negotiated purchase agreements and contracts with buyers and sellers.
Researched current listings available in the area using multiple online resources.
Assisted in the preparation of documents such as representation contracts, purchase agreements, closing statements, deeds and leases.
Facilitated real estate purchases by reviewing listings, accompanying clients to properties and communicating sale conditions.
Advised clients on market conditions, prices, mortgages, and legal requirements.
Enhanced customer satisfaction ratings by effectively and swiftly resolving issues.
Facilitated closing processes between lender, mortgage companies, buyers and sellers.
Claims Processor
Social Security Adminstration
Morrow
10.2013 - 08.2022
Processed a high volume of incoming claims in accordance with established policies and procedures.
Maintained accurate records of all processed claims in accordance with departmental requirements.
Assisted customers via telephone inquiries related to their specific claim status or general questions about the company's services.
Adhered to all applicable laws, regulations, and company standards while processing claims.
Performed quality assurance reviews on completed work to ensure compliance with standards.
Provided technical guidance and training to new staff members regarding claim processing procedures.
Education
Bachelor of Science - Business Administration
Universidad Tecnologica
Panama, Panama
02-1999
Associate of Science - Business Administration
Universidad Tecnologica
Panama, Panama
04-1995
Skills
Claims processing
Data analysis
Regulatory compliance
Database management
Problem resolution
Customer service
Accomplishments
Recognition for Public Service dedication May 2025.