SUMMARY High energy worker with experience in claims, management, administration, coaching, healthcare, marketing, sales, and telecommunication. High success rate in achieving daily and monthly goals, recognized as a leader among colleagues and customers. Creative and effective leader in the implementation of company goals and objectives. Strong organization and communication skills. Proficient in Microsoft Word, Excel, and Power Point. Fluent in Creole. case managers, negotiates and resolves automobile claims involving bodily injury and auto damage. Make liability decisions, handles coverage investigations and responsible for file resolution in a timely matter. * Trained in taking new losses * Completed Arbitration files * Assist PIP department with creole files * Responsible for all creole customer calls/claims * Responsible for customer service calls Successfully met daily weekly and monthly production goals * Complete MSP application for members and insure the application packages are prepared for mailing to member on daily basis * Conduct telephone outreach activities for HMO/PPO members who have been prescreened as potentially eligible for the Medicare Savings Program * High quality standards by ensuring proper phone etiquette and adherence to scripts * Perform great level in accurate and descriptive MMS documentation and proper disposition of cases * Team MVP and Team Player awards for 6 consecutive months

Highlights:

• Customer Service
• Arbitration
• Benefits
• Claims Adjuster
• Computer Aided Software Engineering
• Managed Care
• Medicare
• Support