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This job seeker has chosen to hide his personal information and contact info. You can contact him using this page: https://www.work.ua/resumes/12119155/

Insurance Specialist (trucking, construction, medical billing)

Considering positions:
Insurance Specialist (trucking, construction, medical billing), Auditor, Team lead, Sales representative, Billing specialist, Logistics specialist
Employment type:
full-time
City of residence:
Vinnytsia
Ready to work:
Remote, Vinnytsia

Contact information

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Work experience

Pipeline Manager

from 01.2025 to now (1 year 9 months)

1. First few months, I was responsible for following up and reaching out to insurance companies about property claims, facilitating the claim process to a degree that's permitted by law (making sure the documents were submitted, timeline is being followed and all the steps are not delayed), communicating regarding supplementals submitted after the work done/roof built, ensuring internal communication was on point and we are not dropping the ball with any projects.

2. After a few months and satisfactory results, I was offered the managerial position and one person directly under me as assistant. Now, as a pipeline manager, I was overseeing the entire pipeline of the construction repair/replacement from lead generation to payment by the carrier. Including but not limited to: following up with the sales guys regarding their individual projects, making sure project manager is on time with crew communication and job scheduling, as well as ensuring our collection is going smoothly.

3. Experience with several new CRM programs and different software like Monday.com to take a broader view of the company processes, also responsible for facilitating our relationship with property attorney, public adjusters, appraisers and other legal entities involved in construction. Experience with managing several key metrics such as conversion, approval rate, collections, etc. Participating in the weekly manager meeting with COO & CEO regarding the future direction of the company. And also, reviewing the sales with newhired sales manager to identify problematic areas and offer solutions.

Primary biller (medical insurance)

from 02.2024 to 12.2024 (11 months)
Pharmbills, Remote (Consulting, accounting and auditing)

1. Maintaining the facilities outstanding balance - billing/aging. Submitting the residents monthly claims to health insurance provider. Pursuing the payment for both the current and old balance that are owed to the company. Any and all tasks that are pertinent to both these processes such as investigation of the reason for denial or reduced payment and determining the next course of action to rectify that, and so on.

2. Completed all the tasks outlined by the company, met the required collections in order to be eligible for the maximum bonuses and produced satisfactory results on all levels.

3. Work with dedicated billing CRM - NCS (National Care Systems), cooperation with managerial stuff of SNF facility, upper management of insurance carriers to facilitate the collection of claims.

Associate Vendor Coordinator

from 04.2023 to 02.2024 (11 months)
Zelh, Vinnytsia (Transportation and logistics)

1. Reaching out to the customers (drivers/carriers) and conducting a "training", explaining the specifics of the load they would be taking for us (whether or not additional straps are needed, what type of trailer is required to haul this cargo, etc). Maintaining the database of the existing customers by adding information on their equipment, insurance and driver history. Checking eligibility on carrier via FMSCA website, their insurance and general conditions established by the company.

2. Since I'm fluent in russian/ukrainian & english I was able to assist with people who had issues with latter, and was volunteering to help my team members. Company recognized my efforts and initiated an expedited pay raise.

3. Extended work experience with SalesForce CRM system and its features.

Insurance & claims specialist

from 01.2020 to 04.2023 (3 years 4 months)
Logistics company (NDA restricted), Mykolaiv (Transportation and logistics)

1. Compliance. Providing the necessary insurance coverage for drivers, cargo, and equipment (truck, trailer, etc.). Primary communication with company customers (drivers, truck owners) regarding the availability of necessary insurance. If it is not available, offering them insurance from the insurance company we collaborate with and acting as a mediator between them (the insurer) and the owner-driver to ensure the necessary insurance coverage. Further support for drivers and equipment owners regarding all insurance matters during their work with the company: passenger insurance coverage, putting insurance on hold, resolving questions about insurance payments, etc.



2. Claims management. Being the point of contact in the event of an accident. When an incident occurs, gathering information from the driver and providing further instructions based on the situation (sending them to the nearest shop, requesting police assistance, communicating with the affected party or the facility owner where the incident occurred). Subsequently, resolving the issue until its complete closure: communicating with our insurance company and adjusters if it falls under our insurance claim. Communicating with all involved parties and seeking compensation from the party that caused damage to our property or their insurance.

3. Experience in working with Google Sheets and its deeper features, also worked with multiple HRM systems and was doing drivers screening during their hiring to provide recommendation from insurance POV (reviewing records, experience, documentation).

Education

Petro Mohyla black sea national university

Finance, insurance & banking with extended english learning, Mykolaiv
Higher, from 2017 to 2020 (3 years)

Additional education and certificates

Has achieved CEFR C1 in the EnglishScore Core Skills test

Knowledge and skills

  • Adaptability
  • Flexibility of thinking
  • Independent decision-making
  • Attentiveness

Language proficiencies

  • English — advanced
  • Ukrainian — advanced

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