Customer Care Specialist Resume Example
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CONTACT INFORMATION
- Mrs Maya Brooks
- 609, Grange Road,
- Seattle, Washington, 7046,
- United States
- (555)-555-0087
- example+maya.brooks@1001sampleresumes.com
WORKING EXPERIENCE
- Sieny Company
- Seattle, Washington
- October 2021 - April 2025
- Customer Care Specialist
- Presented cases and participate in their discussion at claim committee meetings.
- Maintained claim files such as records of settled claims and an inventory of claims requiring detailed analysis.
- Contacted or interviewed claimants, doctors, medical specialists, or employers to get additional information.
- Supervised claims adjusters to ensure that adjusters have followed proper methods.
- Conducted detailed bill reviews to implement sound litigation management and expense control.
- Craywoo
- Seattle, Washington
- October 2018 - October 2021
- Senior Customer Care Executive
- Adjusted reserves or provide reserve recommendations to ensure that reserve activities are consistent with corporate policies.
- Resolved complex, severe exposure claims, using high service oriented file handling.
- Paid and processed claims within designated authority level.
- Examined claims investigated by insurance adjusters, further investigating questionable claims to determine whether to authorize payments.
- Verified and analyzed data used in settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures.
- Amalor International
- Seattle, Washington
- October 2014 - October 2018
- Customer Care Executive
- Conducted detailed bill reviews to implement sound litigation management and expense control.
- Reported over payments, underpayments, and other irregularities.
- Communicated with reinsurance brokers to obtain information necessary for processing claims.
- Examined claims investigated by insurance adjusters, further investigating questionable claims to determine whether to authorize payments.
- Presented cases and participate in their discussion at claim committee meetings.
EDUCATIONAL QUALIFICATION
- Bachelor's Degree
- Arts
- Montessori University
- Seattle, Washington
- April 2010 - April 2014
KEY SKILLS
- Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
- Understanding written sentences and paragraphs in work related documents.
- Monitoring/Assessing performance of yourself, other individuals, or organizations to make improvements or take corrective action.
- Adjusting actions in relation to others' actions.
- Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.
QUALIFICATIONS
- Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
- Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources.
- The ability to communicate information and ideas in speaking so others will understand.
- The ability to identify and understand the speech of another person.
- The ability to generate or use different sets of rules for combining or grouping things in different ways.
