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Work Background
AllstateCommercial Lines Underwriter
Jun. 2014 - Jun. 2019Williamsville, NYProvided exceptional day to day new business consultation, service and support to Agents. Demonstrated an expert level of knowledge and understanding of programs, products and processes to explain features, advantages and disadvantages of various policies and coverages. Educated Agents on various commercial aspects of writing business, including but not limited to classes, policy features and commercial automation platforms. Met daily performance standards,communicating with Agents on the phone, email and live chat.
United Health CareMedical Claims Processor
Apr. 2013 - Feb. 2014Tonawanda, NYProcessed claim forms, adjudicated for provision of deductibles, co-pays, co-insurance maximums and provider settlements. Determined if Insured’s policy covers a particular medical procedure. Followed policies and procedures to make sure proper payment of claims. Provided timely customer service to members, providers, billing departments and other insurance companies on the subject of claims.
GEICOAuto Claims Specialist
Sep. 2009 - Apr. 2013Getzville, NYHigh volume inbound call center for first point of contact for Insured to report an accident and claims handling. Educated Insured regarding coverage and claims process. Managed a large caseload of claims simultaneously.
OneBeacon Insurance GroupMedical Claims Examiner
Sep. 2007 - Sep. 2009Williamsville, NYNY PIP claims role. Contacted Insured to discuss and investigate injury claim. Reviewed medical records for payment. Responded to attorney inquiries. Adhered to PIP regulations and guidelines.
OneBeacon Insurance GroupSubrogation Specialist
Sep. 2004 - Sep. 2007Williamsville, NYManaged a caseload of 200 claims involving property and aut claims. Researched to determine coverage, liability and damages. Determined exposure and established adequate reserves. Negotiated claims settlements.
OneBeacon Insurance GroupWorkers Compensation Specialist
Sep. 2001 - Sep. 2004Williamsville, NYManaged a caseload of 200–250 NJ Workers’ Compensation claims. Investigated work related injuries, determined exposure and monitored reserves. Secured recorded statements, negotiated settlements, coordinated rehabilitation for worker, and worked with the SIU department when it was appropriate.
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