Tracey Moore Robinson
Milner
Summary
Positive, communicative, and detail-focused professional with solid foundation in customer service and problem-solving. Understanding of insurance processes and policies combined with strong analytical and organizational skills. Dedicated to providing efficient solutions and ensuring customer satisfaction.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Claims Representative
Sedgwick
02.2024 - Current
- Worked productively in fast-moving work environment to process large volumes of claims.
- Followed up with customers on unresolved issues.
- Improved customer satisfaction by providing timely and accurate information on claim status and resolution.
- Maintained compliance with industry regulations by adhering to established procedures and guidelines in claims handling.
Personal Injury Protection Adjuster
GEICO, Government Employees Insurance
09.2021 - 02.2024
- Achieved cost savings by skillfully negotiating lower medical treatment costs with healthcare providers on behalf of claimants.
- Safeguarded the company''s financial interests by ensuring accurate and timely subrogation recovery efforts.
- Collaborated cross-functionally with internal departments like actuarial services to provide data-driven insights that informed strategic decision-making processes within the company.
- Upheld a strong commitment to ethical practices in all aspects of claims handling, fostering trust and credibility with policyholders and colleagues alike.
- Managed a high volume of daily claims while consistently meeting deadlines and maintaining quality standards.
- Handled Medicare disputes, and negotiates.
- Appealed liens with Medicare
Claims Trainer
GEICO, Government Employees Insurance
02.2020 - 09.2021
- Utilized multimedia tools when presenting materials during lectures or workshops, adding visual aids that enriched overall comprehension.
- Assessed the effectiveness of current training methods using metrics such as participant feedback and test scores, continuously refining approaches as necessary.
- Delivered clear instructions on complex claims procedures, simplifying difficult concepts for better understanding among trainees.
- Identified department needs, developed training materials and implemented strategies to prepare employees thoroughly for job demands.
- Managed logistical aspects of training sessions including scheduling, materials preparation, and venue coordination, ensuring seamless execution.
- Modeled ethical behavior and executed job responsibilities in accordance with company core values, ethics and information protection policies.
- Stayed current on industry trends and advancements by attending relevant conferences and workshops, incorporating new knowledge into future training initiatives.
- Facilitated open communication among trainees, encouraging active participation and fostering collaborative problem-solving skills.
Claims Service Representative
GEICO, Government Employees Insurance
06.2017 - 02.2020
- Enhanced customer satisfaction by efficiently processing and resolving claims in a timely manner.
- Provided exceptional customer service by addressing concerns, answering questions, and explaining complex policy information to clients.
- Actively contributed ideas during team meetings aimed at enhancing overall department efficiency and effectiveness.
- Demonstrated strong negotiation skills in settling disputes between insured parties and third-party claimants fairly while protecting company interests.
- Supported team members by sharing expertise and knowledge, fostering collaboration within the department.
- Continuously updated skills through professional development training opportunities, leading to improved job performance.
- Managed high-volume caseloads and prioritized tasks effectively to meet strict deadlines without compromising on quality or accuracy.
Cashier
Ingles
06.2013 - 06.2017
- Greeted customers entering store and responded promptly to customer needs.
- Welcomed customers and helped determine their needs.
- Worked flexible schedule and extra shifts to meet business needs.
- Operated cash register for cash, check, and credit card transactions with excellent accuracy levels.
Education
BBA - Business Administration And Management
Clayton State University
Morrow, GA05-2027
Skills
- Microsoft office
- Policy interpretation
- Coverage verification
- Professionalism and integrity
- Customer assistance
- Insurance claims review
- Highly motivated
- Work ethic and integrity
- Multitasking and organization
- Strong negotiation
- Virtual training
- Patience and empathy
- Time management
Certification
GA state license
Timeline
Claims Representative
Sedgwick
02.2024 - Current
Personal Injury Protection Adjuster
GEICO, Government Employees Insurance
09.2021 - 02.2024
Claims Trainer
GEICO, Government Employees Insurance
02.2020 - 09.2021
Claims Service Representative
GEICO, Government Employees Insurance
06.2017 - 02.2020
Cashier
Ingles
06.2013 - 06.2017
GA state license
BBA - Business Administration And Management
Clayton State University
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