Tactful Claims Specialist with expertise in settlement preparation, claims processing and appeal filing. Diplomatic and personable professional accustomed to handling sensitive, confidential information and investigating complex liability claims. Committed to maintaining customer satisfaction and contributing to company success.
Overview
7
7
years of professional experience
Work History
Licensed Sales Producer
Sitel/Progressive Auto Insurance
02.2021 - 07.2021
Engaging with potential clients to understand their insurance needs, financial goals, and risk tolerance, and offering tailored insurance solutions to meet their specific requirements
Empowering clients with a clear understanding of insurance concepts, terms, and policy features, enabling them to make well-informed decisions
Monitoring and analyzing sales metrics, conversion rates, and other key performance indicators to identify areas for improvement and achieve sales targets.
Utilized targeted email campaigns and cold calling to increase revenue.
Met with customers to provide information about available products and policies.
Worked with sales team to collaboratively reach targets, consistently meeting or exceeding personal quotas.
Analyzed risk factors to recommend appropriate coverage levels.
Determined financial needs by assessing existing coverage and aligning new products and services with long-term goals.
Evaluated competitors' products and services to gain competitive advantage.
Customer Care representative
Continuum Global Solutions
10.2020 - 02.2021
Providing prompt, friendly, and knowledgeable assistance to customers via various communication channels (phone, email, chat) to address inquiries, resolve issues, and ensure a positive customer experience
Managing customer accounts, updating information, and ensuring accurate record-keeping to facilitate personalized service and future interactions
Managing high-pressure situations, such as service outages or product recalls, by providing accurate information, reassurance, and guidance to customers.
Addressed customer complaints and mitigated dissatisfaction by employing timely and on-point solutions.
Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
Navigated multiple computer systems and applications to find information.
Communicated with clients regarding account services, statements, and balances.
Maintained and managed customer files and databases.
Data Entry Clerk
Costco
03.2020 - 04.2020
Entering a variety of data, including text, numerical figures, dates, and other details, into computer systems, databases, spreadsheets, or other designated software platforms
NOTE: I was laid off due to the COVID-19 Pandemic, resulting me for only being employed for a month.
Completed data entry tasks with accuracy and efficiency.
Sorted documents and maintained organized filing process.
Communicated with supervisors and colleagues to process data quickly and resolve discrepancies.
Entered data into various computer systems accurately using Microsoft Office Suite.
Scanned documents and saved in database to keep records of essential organizational information.
Entered numerical data into databases with speed and accuracy using 10-key pad.
Files Clerk/ Intership
Lanier High School
08.2014 - 05.2016
Provided quality clerical support through data entry, document management, email correspondence, and overseeing theoperation of office equipment.
Interacted with students by phone, email, or in-person to provide information.
Maintained filing system and organized student documents for easy retrieval of information.
Drove customer loyalty and consistent sales through friendly service and knowledgeable assistance.
Monitored office supplies and made arrangements for restocking low-stock items.
Education
High School Diploma -
Lanier High School
Jackson, MS
05.2016
Bachelor of Arts - English Education
Jackson State University
04.2022
Master’s - Counseling Education, Public Relations
Delta State University
Cleveland, MS
05.2025
Skills
Analytical Thinking
Data Analyst
Conflict resolution and issue escalation
Compliance with industry regulations (HIPAA, CMS)
Adaptability
Claims processing and adjudication
Exceptional communication
Data entry and electronic health records (EHR)
Time Management
Account Management Expertise
Files/Records Maintenance
Insurance Policies
Attention to Detail
Medical Coding Knowledge
Team Collaboration
Technology Proficiency
Interpersonal Communication Skills
Client Account Management
Policy Management Expertise
Team Training
Client Service
Production Goals
Estimate Preparation
Documentation Review
Insurance Industry Experience
Accounts Payable and Accounts Receivable
Forms Validation
Microsoft Office
Electronics Knowledge
Policy Adjustment Knowledge
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
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Pediatric Nurse Practitioner, Emergency Medicine at Children's of MississippiPediatric Nurse Practitioner, Emergency Medicine at Children's of Mississippi