Summary
Overview
Work History
Education
Skills
Timeline
Generic

Shaniesa JeanBatiste

Blythewood,SC

Summary

Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.

Overview

10
10
years of professional experience

Work History

CL Customer Care Specialist Sr

Progressive Insurance
05.2024 - Current
  • Provided support and assistance to customers regarding their inquiries, complaints, and requests for insurance policy information.
  • Resolved billing and service issues for customers.
  • Resolved customer problems with knowledgeable and friendly service, promoting high customer satisfaction.
  • Communicated with customers to effectively comprehend their requisites, assist them in resolving complaints and provide insights on product queries.
  • Educated customers where applicable to alleviate need for future contact.
  • De-escalated customer issues with proven conflict mediation and problem-solving abilities.
  • Adhered to company policies when handling confidential customer information.
  • Ensured compliance with company guidelines and regulatory standards when dealing with customers' accounts or policies.
  • Provided feedback and suggestions for process improvement initiatives.
  • Implemented strategies to increase efficiency of processes.
  • Asked probing questions and offered solutions to resolve customer issues.
  • Conducted policy reviews and renewals, ensuring customer satisfaction and retention.

PATIENT ACCESS REPRESENTATIVE

CONIFER HEALTH SOLUTIONS
Lakewood, Washington
10.2019 - 11.2020
  • Greeted patients and visitors in a courteous and professional manner.
  • Verified insurance coverage for services provided by the facility.
  • Collected co-pays and other payments from patients at time of service.
  • Responded to patient inquiries regarding billing or financial matters.
  • Ensured accuracy of all data entered into computer system.
  • Scanned documents into electronic medical records system.
  • Performed pre-registration functions such as verifying demographic information, obtaining authorizations, and collecting deposits and co-payments.
  • Maintained confidentiality of all patient information in accordance with HIPAA regulations.
  • Provided assistance to internal departments when needed.
  • Answered phones promptly in a professional manner.
  • Provided directions and information to patients and families, enhancing their hospital experience.
  • Supported emergency department registration during peak times, ensuring rapid patient processing.
  • Managed incoming faxes related to patient registration processes.

CUSTOMER SERVICE SPECIALIST

GETIXHEALTH
Puyallup, Washington
08.2019 - 10.2019
  • Answered incoming customer inquiries regarding product and service information.
  • Conducted research to resolve discrepancies in billing statements.
  • Contacted patients via telephone, mail, and email to discuss payment options.
  • Negotiated payment plans with patients based on their financial abilities.
  • Performed data entry tasks related to patient account information updates.
  • Assisted in the resolution of credit balances due to overpayment or incorrect coding issues.
  • Researched and responded promptly to customer inquiries concerning billing disputes.
  • Collaborated with other departments within the organization to resolve any billing issues.
  • Documented all conversations between patients and staff related to collections activities.
  • Took billing calls, questions and concerns from patients and third party carriers.
  • Protected medical office operations and integrity by keeping patient information confidential.
  • Received payments and posted amounts to customer accounts.

CLAIMS ADJUSTER

STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY
Salt Lake City, Utah
03.2015 - 06.2019
  • Handled claims using electronic resources within approved limits or authority.
  • Within approved limits or authority, explained terms of policy, applied claims settlement procedures to handle claims, initiated claim payment process, and closed files.
  • Follows established procedures to appropriately review, handle, and settle applicable routine claims.
  • Organized and processed assigned work and large volumes of claims, utilizing appropriate procedures.
  • Researched, resolved, and settled claims within approved limits and/or as directed.
  • Applied knowledge of insurance contracts and endorsements, state laws, and regulations.
  • Communicated with team members, business partners, and external customers, which required contact by telephone, written correspondence, in person, or other electronic media.
  • Recognizes and refers claims that are beyond the scope of authority
  • Provided clear explanations of automotive repair methods and parts, assessed written or computerized estimates, coordinated rental car and towing services, and demonstrated comprehension of medical and anatomical terminology.
  • Worked in partnership with the Claim Specialist.

Education

Bachelors of Arts - Early Childhood Education

Ashford University
07-2019

Skills

  • Microsoft Office
  • Team Building
  • Office Skills
  • Negotiation
  • Time Management
  • Multi Tasking
  • Data entry
  • Administrative Experience
  • Excellent Customer Service
  • Medical Collection
  • Insurance Verification
  • Medical Terminology
  • Documentation Review
  • Medical Records
  • Hospital Experience
  • Policy investigations
  • Highly Motivated
  • Verbal and Written Communication

Timeline

CL Customer Care Specialist Sr

Progressive Insurance
05.2024 - Current

PATIENT ACCESS REPRESENTATIVE

CONIFER HEALTH SOLUTIONS
10.2019 - 11.2020

CUSTOMER SERVICE SPECIALIST

GETIXHEALTH
08.2019 - 10.2019

CLAIMS ADJUSTER

STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY
03.2015 - 06.2019

Bachelors of Arts - Early Childhood Education

Ashford University

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Shaniesa JeanBatiste