Amber Walker
Katy
Summary
I have over five years of customer service experience where I’ve learned how to keep things calm, clear, and solution‑focused. I’m good at understanding what people need, even when they’re frustrated, and I know how to break down problems quickly so I can fix them the right way. I’ve handled high‑volume situations, resolved tough issues, and built strong relationships by staying patient, professional, and genuinely helpful. I take pride in making sure people leave the interaction feeling supported and taken care of.
Overview
10
10
years of professional experience
Work History
Medical Claims Processor
Horizon Blue Cross Blue Shield of NJ
Remote
03.2025 - 04.2026
- Processed medical claims efficiently, ensuring compliance with industry regulations and company policies.
- Reviewed claim submissions for accuracy, identifying discrepancies and resolving issues promptly.
- Collaborated with healthcare providers to obtain necessary documentation for claim approvals.
- Utilized claims management software to track processing status and maintain accurate records.
Customer Service Representative
Healthfirst Insurance
Remote
04.2020 - 03.2025
- Resolved customer inquiries efficiently using CRM software to enhance satisfaction levels.
- Provided thorough support for policyholders by explaining coverage options and benefits clearly.
- Assisted in processing claims, ensuring compliance with company policies and industry regulations.
- Collaborated with cross-functional teams to streamline communication and improve service delivery.
Customer Service Representative
Affirm
12.2019 - 04.2020
- Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
- Developed strong product knowledge to provide informed recommendations based on individual customer needs.
- Assisted customers in navigating company website and placing online orders, improving overall user experience.
- Negotiated solutions with dissatisfied customers, turning potential negative reviews into positive testimonials.
Customer Service Representative
ABCmouse.com
Remote
10.2017 - 12.2019
- Identified recurring issues in customer feedback, contributing insights for process improvements.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Responded to customer requests for products, services, and company information.
Cashier
Family Dollar
Houston, TX
01.2016 - 10.2017
- Processed customer transactions accurately and efficiently at point of sale.
- Maintained cleanliness and organization of checkout areas to enhance customer experience.
- Assisted customers with inquiries and product location to improve service satisfaction.
- Managed cash register operations, ensuring balanced drawer at shift end.
Education
High School Diploma -
Northbrook Highschool
Houston, TX05.2016
Skills
- Critical Decision-making
- ICD-10-cM coding
- Customer service
- Claim denial resolution
- HIPAA compliance awareness
- Organizational growth
- Insurance claims processing
- Professionalism and ethics
- Continuous learning mindset
- Telephone etiquette
- Knowledgeable in software
- Teamwork
- Problem-solving
- Time management
- Attention to detail
- Problem-solving abilities
- Multitasking
- Reliability
- Critical thinking
- Decision-making
Timeline
Medical Claims Processor
Horizon Blue Cross Blue Shield of NJ
03.2025 - 04.2026
Customer Service Representative
Healthfirst Insurance
04.2020 - 03.2025
Customer Service Representative
Affirm
12.2019 - 04.2020
Customer Service Representative
ABCmouse.com
10.2017 - 12.2019
Cashier
Family Dollar
01.2016 - 10.2017
High School Diploma -
Northbrook Highschool