• Answered inbound calls from
clients and provided them with required information • Made outbound calls to provide prospective and existing
clients about new products and services • Resolved
clients» issues, placing special focus on operating within the limitations of standard protocol • Created tickets and performed research work to ensure that they were timely closed • Ascertained that all
clients» records were properly
updated and maintained in a
confidential manner
• Organized and processed paperwork, reports and all kinds of claims documentation • Entered, recorded and reviewed claims into claims information management system • Performed verification checks on the customer / claimant loss - claims following company's standard policies and procedures • Attended to
clients, claimants, field appraisers and management queries, regarding claims using the claims MIS • Forwarded appropriate claims for new losses verifying data for accuracy • Performed billing and payment processes • Processed routine claims transactions related to reserves and issued required checks or receipts • Resolved all kinds of issues / problems regarding claims and payments • Regularly run and generated claims reports for management • Gave formal presentations regarding all claims activities to the senior management at the bimonthly • Utilizing outstanding communication and interpersonal skills maintained strong and positive relationships with the providers, the claimants, and the
clients • Provided company with necessary clerical support like handling fax, attending and making telephone calls as directed, filing and photocopying, matching checks with receipts etc. • Prepared,
updated and organized customer and
client's files • Managed all types of correspondence preparing, reviewing and sending memos, letters, emails, reports, applications, and forms • Provided effective CSR to providers, field appraisers, agents, insurance agencies,
clients and customers • Matched incoming emails, mails, and faxes with the claims records • Arranged and set up medical appointments for health claims • Kept department's office supplies stocked • Maintained
confidential claims information including correspondence with sensitive information • Accelerated claims correspondences as well as
updated claims diaries • Worked in a team on several pilot claim projects • Reviewed and kept the record of closed files