Ambreia Smith
Opelousas,LA
Summary
Progressive experience in disability benefit administration processes and claimant eligibility. Highly organized and efficient in a fast-paced environment, communicating effectively at all organizational levels, with clients and stakeholders. Demonstrated to build trusting relationships. Thinks critically, solve problems, plan and organize activities and deliver excellent customer service.
Overview
6
6
years of professional experience
Work History
Senior Member Service Representative
Teladoc
07.2021 - 12.2022
- Recorded patient and insurance payments, maintaining accurate financial records.
- Oversaw claim recoveries, subrogation and salvage.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.
- Evaluated accuracy and quality of data entered into agency management system.
- Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
Claims Representative
Sutherland Global
01.2021 - 07.2022
- Analyzed and addressed escalated claims to resolve issues quickly.
- Worked productively in fast-moving work environment to process large volumes of claims.
- Researched and analyzed complex claims to determine next steps and possible outcomes.
- Updated claims system to track claim status and provide relevant information to other department.
Customer Service Associate
Walmart
02.2017 - 06.2022
- Asked probing questions to determine service needs and accurately input information into electronic systems.
- Answered chats and emails, providing frontline customer support or assistance with product and service transactions.
- Provided outstanding service to new and long-standing customers by attending closely to concerns and developing solutions.
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
Education
Medical Office Assistance
Acadiana Area Career College
Lafayette, LA02.2016
High School Diploma -
Devillier Educational Center
Opelousas, LA05.2015
Skills
- Attention to Detail
- Inbound Calls
- Issue and Complaint Resolution
- Data Analysis
- Insurance Billing
- Organizing and Prioritizing Work
- Microsoft Office
- Proofreading and Editing
- Customer Service
- Time Management
- Problem-Solving
- Recordkeeping Organization
- Account Management Software
- Data Entry
- Verbal and Written Communication
- Insurance Claims Review
- Claims Processing
Timeline
Senior Member Service Representative
Teladoc
07.2021 - 12.2022
Claims Representative
Sutherland Global
01.2021 - 07.2022
Customer Service Associate
Walmart
02.2017 - 06.2022
Medical Office Assistance
Acadiana Area Career College
High School Diploma -
Devillier Educational Center