Julie Rivera
Brockton
Summary
Dynamic professional with extensive experience at Point32 Health and a proven track record in claims management and customer support. Skilled in Excel and analytical problem-solving, I excel at building relationships and delivering exceptional service. Recognized for my attention to detail and ability to adapt in fast-paced environments, I consistently drive results.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Senior Products Rep
Point32 Health
Boston
09.2024 - Current
- Greeted customers and responded to inquiries in a timely manner.
- Answered phone calls and directed them to appropriate personnel.
- Established relationships with existing customers to promote new product or service opportunities.
- Participated in training sessions designed to improve overall job performance.
- Displayed strong telephone etiquette, effectively handling difficult calls.
- Escalated unresolved issues to appropriate departments for further investigation.
Workers’ Compensation Claims Adjuster NY & NJ
Retail Business Services
02.2020 - 12.2023
- Investigated insurance claims, reviewed coverage and liability, prepared reports and recommended payment or denial of claims.
- Investigated potentially fraudulent claims with focus on thoroughness, quality, and cost control.
- Managed caseload effectively, prioritizing urgent or high-value claims for prompt attention.
- Developed relationships with attorneys, experts and vendors in order to ensure prompt service when necessary.
- Gathered information from various third parties to determine claim acceptability.
- Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
- Reviewed and applied state laws and regulations to ensure compliance in claim handling.
Assistant Store Manager
Stop & Shop
10.2011 - 02.2020
- Provided leadership support during peak business hours by motivating staff members to meet targets.
- Oversaw daily cash handling procedures, reconciling discrepancies as necessary.
- Oversaw aspects of maintenance, inventory, and daily activity management.
- Maintained inventory by checking merchandise to determine levels.
- Provided training to new employees on company policies and procedures.
- Prepared detailed reports summarizing sales activity, customer feedback, and other relevant information.
- Analyzed market trends to identify opportunities for product expansion or improvement.
- Delegated work to staff, setting priorities and goals.
- Provided mentorship for employees to generate sales, promote effective upselling and cross-sell to improve retail productivity.
- Used excellent verbal skills to engage customers in conversation and effectively determine needs and requirements.
Education
Business Management -
Pine Manor College
Chestnut Hill, MASkills
- Workers' compensation claims processes
- Claims management
- Excel
- Word
- Outlook
- Written communication
- Analytical skills
- Attention to detail
- Accuracy
- Problem-solving
- Multitasking Abilities
- Time management abilities
- Teamwork and collaboration
- Adaptability
- Active listening
- Excellent communication
- Customer support
References
Available upon request.
Accomplishments
- Master Trainer of Step Aerobics for the state of Massachusetts & Rhode Island-2023
Certification
Step Aerobics Instructor in 2021.
Timeline
Senior Products Rep
Point32 Health
09.2024 - Current
Workers’ Compensation Claims Adjuster NY & NJ
Retail Business Services
02.2020 - 12.2023
Assistant Store Manager
Stop & Shop
10.2011 - 02.2020
Business Management -
Pine Manor College
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