1. BETH ANN REILLEY
902 Cherry Circle
Lansdale, PA 19446
Home: (267) 613-8077 Cell: (610) 724-3885
BETHHOS@COMCAST.NET
OBJECTIVE: Seeking a position within the Insurance Industry utilizing my knowledge and experience to further the opportunity
for professional growth and personal contribution.
SUMMARY OF QUALIFICATIONS:
Offering comprehensive experience and knowledge in the following areas of responsibility:
 Organize, evaluate, and follow up varied responsibilities in a timely manner.
 Ability to develop an excellent repoire with customers, insurance agents and health providers.
 Knowledge in analyzing guidelines in order to determine eligible benefits.
 Proficient in Office 98, 2000 and XP; Microsoft Windows; Microsoft Excel; ABS; NECHO: AS400;
Keller; DynaComm; Processor 2; Image Right; STEP LTC, Case 360, NLTCAS, Avaya phone system,
Cisco phone System
 Property & Casualty License; HIAA and LOMA examinations: Medical Expense, Supplemental Insurance
and LOMA 1 & 2.
PROFESSIONAL HISTORY:
October 2014 Will Thomson Jr., State Farm Agency – Warrington, PA
To Customer Relations Representative
April 2015
 Attained Property and Casualty License.
 Completed all required State Farm Training Modules required by my position.
 Maintained a strong work ethic.
 Identified customer needs, and marketed appropriate products and services.
 Established customer relationships and followed up with customers.
 Provided prompt, accurate, and friendly customer service.
 Answered inquiries regarding insurance availability, eligibility and coverages.
 Completed policy changes, transfers, claim submissions, and provided billing clarification.
 Educated customers about different insurance options.
July 2013 Examination Management Services, Inc. – Waco, TX
To Underwriter Individual Life/LTC
August 2014
 Responsible for Medical Summarizations for Prudential Life Applicants.
 By request completed Medical Summations for other company lines.
 Maintained Quality regardless of product line.
 Quality level 98% or greater on consistent basis.
 Determined if Full Underwriting was needed based on Product Line’s Guidelines.
November 2008 Univita Health – Woodbury, MN
To Long Term Care Underwriter
October 2012
 Review and evaluate applications and supporting documentation for applicants with benign health histories
to ensure accuracy and completeness.
 Use established protocols, underwriting guidelines and procedures to analyze risks ensuring decisions are
consistent with client and corporate guidelines and programs.
 Approve or decline the application within the established criteria, while utilizing professional judgment.
 Forward applications with conditions not listed within the “benign condition” protocol to a Medical Review
panel for evaluation.
 Order Risk Management Information according to program guidelines.
 Conduct phone history interviews as warranted.
 Ensure accuracy of data entry of RMI.
 Ensure a timely response to applicant’s requests.

2. (2)
BETH ANN REILLEY
902 Cherry Circle
Lansdale, PA 19446
Home: (267) 613-8077 Cell: (610) 724-3885
BETHHOS@COMCAST.NET
June 2008 AF&L Insurance Company – Warminster, PA
To Investigative Analyst – Special Investigations Unit
November 2008
 Assist in development of the SIU processes and procedures.
 Maintain claim files from referral to the completion of the SIU investigation.
 Complete detailed documentation of all SIU activities.
 Retain SIU database.
 Audit monthly reports to identify possible fraudulent submissions.
 Communicate with claim staff, management, legal representatives, outside vendors and federal/state/local
authorities when appropriate.
 Perform regular claims adjudication when available.
June 2004
To Claims Examiner
May 2008
 Responsible for reviewing and processing Long Term Care, Home Health Care and Hospital Indemnity
claims in accordance with policy provisions and state guidelines.
 Research and respond to Insurance Department complaints and attorney inquiries.
 Speak directly with claimants and/or family members to help expedite the claim’s process.
 Contact facilities or providers of care to verify current information related to each claim.
 Work in conjunction with case managers to establish needs of insured in reference to policy guidelines.
 Released from audit within 30 days of hire.
 Complete Month End Reporting for all Open claims and year end Claims Compliance reporting for each
state
 Researched all Pennsylvania claims for 2000-2004 to determine if claims were paid in accordance with
state guidelines.
March 2003 Richard A. Bongiovanni & Associates, LTD – Ambler, PA
To Senior Claims Examiner
February 2004
 Initiated contact with Lloyds of London insured’s to secure important information and evidence related to
the circumstances surrounding possible claims.
 Interviewed insured’s over the telephone to determine who, what, when, where, why and how the chain of
events surrounding the alleged claimed occurred.
 Arranged inspections of insured’s property to determine the extent and nature of the damage claimed.
 Determined if coverage existed for a specific claim on a particular date of loss for Commercial Auto,
Property and Inland Marine/Cargo claims.
 Recovered damages on Subrogation claims.
 Trained new claim adjusters on policy provisions and claim procedures.
December 2003 The Pampered Chef
To Independent Kitchen Consultant
June 2004
 Initiated contact with potential clients via telephone conversations, mailers, and personal interactions.
 Developed promotional flyers, booklets and coupons for potential and active clients.
 Traveled to clients home to host kitchen shows and introduce new and existing products.
 Follow up phone calls and letters sent to past and current clients to verify satisfaction, areas of
improvement or need for additional products.

3. (3)
BETH ANN REILLEY
902 Cherry Circle
Lansdale, PA 19446
Home: (267) 613-8077 Cell: (610) 724-3885
BETHHOS@COMCAST.NET
April 2002 Life & Health Insurance Company of America – Plymouth Meeting, PA
To Claim Supervisor
March 2003
 Supervised three fulltime employees in their daily operations.
 Collaborated with other department mangers & upper management to establish and meet goals of the
company.
 Established new claim processing procedures to streamline the processing of claims.
 Created and updated claim forms for use on the company website.
 Trained employees to increase phone skills and claim knowledge.
 Researched and responded to attorney inquiries and Insurance Department complaints.
 Former Treasurer of Long Term Care International Forum.
December 1998 AIG, The AIG Life Companies (U.S.), Long Term Care Division – Trevose, PA
To Senior Claims Examiner
March 2002
 Established claim processing procedures, specific forms and reports for unit.
 Created Database utilized by Customer Service to help them serve our customers more efficiently.
 Trained Claim Examiners and Customer Service on Microsoft Access Database.
 Worked directly with Marketing, Compliance, Actuarial and Legal departments to establish new product
lines.
 Reviewed and processed all claims for benefit eligibility in accordance with state guidelines.
 Spoke directly with claimants and/or family members to help expedite the claim’s process.
 Collaborated with Underwriting to establish and maintain a strong Underwriting guide.
 April 2001 began Underwriting mentoring program and became a relief underwriter.
 April 2001, Guest Speaker at LTCIF conference in Palm Springs, CA.
 Member of Greater Philadelphia Claims Association.
August 1995 GE Financial Assurance – Trevose, PA
To Examiner Pace Analyst
December 1998
 One of two employees in unit who mastered four diverse company lines.
 Continually maintained quality and quota during increased workload.
 Chosen to participate in special projects to refine and expedite claims handling.
 Completed unit reports on trends, personal progress and company benchmarks.
 Trained and audited colleagues.
 Handled provider and policyholder inquiries to solve claim processing issues.
February 1995 Claim Entry Clerk
To
August 1995
 Evaluated the eligibility of a policyholder
 Determined if a claim could be entered or rerouted.
 Entered eligible claims.
May 1992 Merrill Lynch Corp – Ft. Washington, PA
To Assistant Supervisor for Data Entry

4. February 1995
 Entered 401(k) contributions and enrollment information.
 Oversaw payroll contribution reports.
 Communicated with plan administrators, client supervisors and accounting.
 Administered tests to prospective employees for the Human Resources Department.
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BETH ANN REILLEY
902 Cherry Circle
Lansdale, PA 19446
Home: (267) 613-8077 Cell: (610) 724-3885
BETHHOS@COMCAST.NET
EDUCATION:
August 1990 Clarion University of Pennsylvania – Clarion, PA
To Major: Speech Pathology
May 1994 Activities: Marching Band, Honorary Sorority: Tau Beta Sigma, Member of National Speech Hearing and
Language Assoc.
August 1991 Montgomery County Community College – Blue Bell, PA
To General Education curriculum
August 1994
AFFILIATIONS:
April 2000 Long Term Care International Forum
To Member
February 2003 Treasurer 2002-2003
December 1998 Greater Philadelphia Claims Association
To Member
February 2003
References available upon request