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State Farm Insurance - Workers Compensation Claims Representative Resume Example

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Sofia Cox
XXXX XXXXXX XXXX XX, Bakersfield, CA 93308
XXXXXXXXXXXXXXXXXXXXXXXXX
Ph: XXXXXXXXXX
Professional Summary

Adaptable and motivated Claims Representative seeking a new position with a larger role to make better use of my skill set. Exceptional customer services skills, with a two-year background in a high-paced customer service environment for a Fortune 500 company.

Skills
  • Customer and Personal Service
  • Judgment and Decision Making
  • Complex Problem Solving
  • Critical Thinking
  • Active Listening
  • Service Orientation
  • Coordination
  • Time Management
Experience
State Farm Insurance Bakersfield, CA Workers' Compensation Claims Representative Jan 2014－Present
  • Adjust reserves or provide reserve recommendations to ensure that reserve activities are consistent with corporate policies.
  • Resolve complex, severe exposure claims, using high service oriented file handling.
  • Pay and process claims within designated authority level.
  • Confer with legal counsel on claims requiring litigation.
  • Conduct detailed bill reviews to implement sound litigation management and expense control.
  • Contact or interview claimants, doctors, medical specialists, or employers to get additional information.
  • Maintain claim files such as records of settled claims and an inventory of claims requiring detailed analysis.
  • Report overpayments, underpayments, and other irregularities.
State Farm Insurance Bakersfield, CA Fire Claims Processor Aug 2013－Jan 2014
  • Review insurance policy to determine coverage.
  • Provide customer service, such as limited instructions on proceeding with claims or referrals to auto repair facilities or local contractors.
  • Calculate amount of claim.
  • Pay small claims.
  • Post or attach information to claim file.
  • Contact insured or other involved persons to obtain missing information.
Victim Offender Reconciliation Program Fresno, CA Office Assistant Jan 2013－May 2013
  • Use computers for various applications, such as database management or word processing.
  • Answer telephones and give information to callers, take messages, or transfer calls to appropriate individuals.
  • Create, maintain, and enter information into databases.
  • Operate office equipment, such as fax machines, copiers, or phone systems and arrange for repairs when equipment malfunctions.
  • Set up and manage paper or electronic filing systems, recording information, updating paperwork, or maintaining documents, such as attendance records, correspondence, or other material.
  • Greet visitors or callers and handle their inquiries or direct them to the appropriate persons according to their needs.
  • Mail newsletters, promotional material, or other information.
Education
Fresno Pacific University Bakersfield, CA Bachelor of Arts: Pre-Law/Criminal Justice May 2013
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Office Assistant Representative

Resume Details

This is a real resume for a Workers Compensation Claims Representative in Bakersfield, California with experience working for such companies as State Farm Insurance, Victim Offender Reconciliation Program. This is one of the hundreds of Workers Compensation Claims Representative resumes available on our site for free. Use these resumes as templates to get help creating the best Workers Compensation Claims Representative resume.

Previous Companies:

  • State Farm Insurance
  • Victim Offender Reconciliation Program

Previous Job Positions:

  • Workers Compensation Claims Representative
  • Fire Claims Processor
  • Office Assistant

Schools:

  • Fresno Pacific University

Level of Education:

  • Bachelor of Arts

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