Pam Kellermann
Union
Summary
Qualified Claims Representative versed in investigating claims, verifying information and managing settlements. Friendly and upbeat team player with organized and disciplined approach. Offering over 20 years of insurance experience.
Overview
13
13
years of professional experience
Work History
Claims Service Representative
Gallagher Bassett Services Inc.
03.2022 - Current
- Checked documentation for accuracy and validity on updated systems.
- Continuously updated skills through professional development training opportunities, leading to improved job performance.
- Adhered to strict confidentiality guidelines when handling sensitive client data.
- Monitored claim trends for potential fraud indicators, contributing to the reduction of fraudulent activity within the company.
- Developed strong working relationships with clients, adjusters, and other stakeholders in the claims process by maintaining open lines of communication and providing consistent updates on claim status.
- Managed high-volume caseloads and prioritized tasks effectively to meet strict deadlines without compromising on quality or accuracy.
- Prepared and presented detailed reports to management on claims issues to aid in decision making.
Claims Representative
American Family Insurance
03.2021 - 03.2022
- Provided primary customer support to internal and external customers.
- Initiated outbound customer calls to review policy reviews and late payments to avoid lapse in coverage.
- Verified and updated customer contact details to build and maintain accurate customer database.
- Documented customer contact to maintain record of customer interactions and elevate quality of service.
- Followed up with customers on unresolved issues.
Claim Associate
Gallagher Bassett Services Inc.
03.2016 - 03.2021
- Collaborated with claims department and industry anti-fraud organizations to resolve claims.
- Followed up with customers on unresolved issues.
- Established positive and trusting relationships with injured clients, administering efficient customer service and processing claims quickly.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Carried out administrative tasks by communicating with clients, distributing mail and scanning documents.
- Posted payments to accounts and maintained records.
Office Manager
Mid Rivers Dental Group
06.2011 - 03.2016
- Established workflow processes, monitored daily productivity and implemented modifications to improve overall performance of personnel.
- Maintained computer and physical filing systems.
- Established and developed strong administrative team by delivering ongoing coaching and motivation and fostering career advancement.
- Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
- Coached new hires on company processes while managing employees to achieve maximum production.
Education
Associate of Arts - Dental Assisting
East Central College
Union, MOSkills
- Policy understanding
- Settlement determinations
- Coverage assessments
- Documentation review
- Excellent administrative abilities
- New Policies Processing
- Recordkeeping Organization
- Regulatory Compliance Adherence
Timeline
Claims Service Representative
Gallagher Bassett Services Inc.
03.2022 - Current
Claims Representative
American Family Insurance
03.2021 - 03.2022
Claim Associate
Gallagher Bassett Services Inc.
03.2016 - 03.2021
Office Manager
Mid Rivers Dental Group
06.2011 - 03.2016
Associate of Arts - Dental Assisting
East Central College
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