Summary
Overview
Work History
Education
Skills
Timeline
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Ramon Reyes Falcon

Metro Atlanta,GA

Summary

Experienced Claims Associate and Customer Service Representative with over 10 years of experience working in fast-paced environments. Skilled in data entry and proficient in processing confidential information. A collaborative team player renowned for consistently achieving high levels of customer satisfaction, maintaining a positive attitude, and making significant contributions to company success.

Overview

7
7
years of professional experience

Work History

Claims Associate

State Farm
06.2022 - Current
  • Handled claims from initiation to resolution, ensuring accuracy and efficiency
  • Investigated claims thoroughly, assessing coverage and liability
  • Negotiated settlements within authority limits and in compliance with company guidelines
  • Collaborated with adjusters, agents, and other stakeholders to expedite claim resolution
  • Maintained detailed records and documentation of claim activities
  • Processed and managed insurance claims for auto, home, and property damage.

Interviewer/Data Collection

Titan Technologies
09.2020 - 06.2022
  • Assisted in the development of standardized interview questions, promoting consistency across all departments.
  • Processed confidential records obtained through phone interviews and other approved means
  • Identified and resolved inconsistencies in responses by appropriate questioning and explanation
  • Adhered to daily, weekly, and monthly deadlines and quotas.

Customer Account Executive/Trainer

VXI Global Solutions
02.2018 - 04.2020
  • Managed customer accounts and provided support
  • Troubleshooted and resolved customer issues
  • Trained new employees to up-sell Comcast services and products.

Data Entry Clerk

United Healthcare
10.2016 - 02.2018
  • Collaborated with team members to assist healthcare providers in processing military and veteran clients
  • Updated provider systems and managed confidential information to facilitate client services and payment processing
  • Participated in calls to ensure accurate processing and presentation of vital information.

Education

High School Diploma - English

Wheeler High School
Marietta, GA
05.2013

Skills

  • Insurance Claims Processing
  • Policy Interpretation
  • Creative problemsolving skills
  • Interviewing
  • Organized work ethics
  • Negotiation Skills
  • Customer service
  • Communication
  • Teamwork
  • Data Collection/Processing
  • Training
  • Data entry

Timeline

Claims Associate

State Farm
06.2022 - Current

Interviewer/Data Collection

Titan Technologies
09.2020 - 06.2022

Customer Account Executive/Trainer

VXI Global Solutions
02.2018 - 04.2020

Data Entry Clerk

United Healthcare
10.2016 - 02.2018

High School Diploma - English

Wheeler High School

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Ramon Reyes Falcon