Alexis Simpson
Southfield
Summary
Skilled professional with a history of providing exemplary and exceptional service in a highly stressful environment. Ability to evaluate and solve difficult problems in a timely manner. Excellent customer service skills; applying a full understanding of client needs balanced with company goals. Effective communication skills to work with both internal departments and external clients. Exhibits a professional and positive work attitude; inspiring favorable outcomes from colleagues and others.
Leverages extensive experience in health insurance and customer support to drive operational excellence. Successfully led teams and implemented process enhancements, fostering collaboration across departments to achieve strategic objectives and improve customer satisfaction.
Overview
12
12
years of professional experience
Work History
Team Leader
Provider Resources Inc
Erie
09.2025 - Current
- Led team meetings to coordinate project updates and resource allocation.
- Facilitated training sessions to enhance team skills and knowledge.
- Implemented process improvements to streamline operational workflows.
- Collaborated with cross-functional teams to ensure project alignment and execution.
- Delegated daily tasks to team members to optimize group productivity.
- Established clear expectations for employees, providing guidance when needed.
Health Insurance Specialist
Provider Resources Inc
Erie
07.2023 - 09.2025
- Analyze documentation and records.
- Make decisions resolving disputes based on evidence presented by the parties.
- Writing notices clarifying what is expected of the parties and specifying matters of the dispute.
Service Support Specialist
Evolution Gaming
Southfield
05.2023 - 06.2024
- Ensured game tables were operational without interruptions.
- Provided updates to all concerned parties throughout the duration of major incidents.
- Identified and resolved all real-time incidents on the gaming floor relating to dealer mistakes and software issues.
Claims and Quality Analyst
BeneSys Inc
Troy
03.2022 - 03.2023
- Researched discrepancies, operational problems and/or other issues.
- Evaluated information surrounding a claim to either approve or deny reimbursement.
- Problem resolution root cause analysis.
- Identified potential contracting/service improvement opportunities.
- Audited processor claims for accuracy and completeness.
Unemployment Insurance Examiner
Department of Labor and Economic Opportunity
10.2020 - 03.2022
- Investigated theft and forgery within customers’ accounts for the Fraud Investigations Unit.
- Identified fraudulent transactions and cancel them from further processing.
- Provided customers with accurate information about claims and benefits.
- Obtained and examined relevant information to assess validity of documentation.
- Handled complex cases which required in-depth data analysis to help provide patterns of fraud by tracking, organizing and analyzing numerous types of evidence.
Analyst
Blue Cross Blue Shield of Michigan
Detroit
12.2017 - 07.2020
- Assisted and supported in the planning, coordination, development and implementation of divisional and corporate-wide projects to enhance the overall efficiency of operational procedures, methods, controls and performance.
- Participated in system testing, developed procedures/controls and provided recommendations for the ongoing improvement of the updated process.
- Ensured that departmental processes and procedures complied with Blue Cross Blue Shield Association guidelines.
Customer Service Representative III
Blue Cross Blue Shield of Michigan
Detroit
10.2013 - 12.2017
- Assisted and advised co-workers on handling complicated and problematic customer calls.
- Improved co-workers work productivity by using various coaching techniques and self-demonstration.
Education
Master of Science - Public Administration
Central Michigan University
Mt. Pleasant, MIBachelor of Science - Applied Sociology
Eastern Michigan University
Ypsilanti, MICertification - Lean Six-sigma
Lawrence Technological University
Skills
- Team leadership
- Process improvement
- Document analysis
- Compliance auditing
- Problem solving
- Data analysis
- Fraud investigation
- Coaching and mentoring
- Quality assurance
- Effective communication
- Performance improvement
Timeline
Team Leader
Provider Resources Inc
09.2025 - Current
Health Insurance Specialist
Provider Resources Inc
07.2023 - 09.2025
Service Support Specialist
Evolution Gaming
05.2023 - 06.2024
Claims and Quality Analyst
BeneSys Inc
03.2022 - 03.2023
Unemployment Insurance Examiner
Department of Labor and Economic Opportunity
10.2020 - 03.2022
Analyst
Blue Cross Blue Shield of Michigan
12.2017 - 07.2020
Customer Service Representative III
Blue Cross Blue Shield of Michigan
10.2013 - 12.2017
Master of Science - Public Administration
Central Michigan University
Bachelor of Science - Applied Sociology
Eastern Michigan University
Certification - Lean Six-sigma
Lawrence Technological University