Andrea McCain
Raleigh,NC
Summary
Experienced customer care and claims processing professional with a strong record of improving customer satisfaction through effective communication and problem-solving. Skilled in optimizing workflows to enhance operational efficiency. Demonstrated critical thinking and analytical abilities that lead to successful outcomes. Proficient in time management to meet deadlines and exceed expectations.
Overview
4
4
years of professional experience
Work History
Short-Term Disability Claims Specialist
MetLife
Cary, NC
04.2025 - Current
- Processed claims to ensure timely resolutions for clients.
- Reviewed policy documents to verify coverage and eligibility details.
- Communicated with clients regarding claim status and requirements.
- Evaluated financial information from claimants to expedite payment processing.
- Analyzed claims to identify discrepancies or issues before resolution.
- Resolved claims by approving or denying documentation and calculating benefits.
- Contributed innovative ideas to enhance team performance and outcomes.
- Completed day-to-day duties with accuracy and efficiency.
- Evaluated disability claims for accuracy and compliance with regulations.
Customer Care Advocate
Metlife
Cary, North Carolina
11.2022 - 04.2025
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Prioritized and organized tasks to efficiently accomplish service goals.
- Assisted with customer requests and answered questions to improve satisfaction.
- Worked with cross-functional teams to achieve goals.
- Approached customers and engaged in conversation through use of effective interpersonal and people skills.
- Recognized by management for providing exceptional customer service.
- Assisted in the implementation of new tools to streamline workflow processes.
Finance Manager
EchoPark Automotive
Cary, North Carolina
02.2022 - 11.2022
- Identified financial discrepancies in documentation, ensuring accuracy and compliance.
- Ensured timely filing of documents in accordance with tax regulations to avoid penalties.
- Conducted monthly bank account reconciliations and implemented corrective actions for deviations.
- Maintained extreme attention to detail in credit application processing.
- Assisted in making informed loan decisions while adhering to HIPAA regulations.
- Reviewed documentation thoroughly to highlight potential financial inconsistencies.
Education
High School Diploma -
Darlene's Academy Of Leading And Learning
Raleigh, NC06-2008
Skills
- Claims processing and policy evaluation
- Financial analysis and compliance assessment
- Discrepancy resolution
- Customer relationship management
- Self-motivator
- Critical thinking skills
Timeline
Short-Term Disability Claims Specialist
MetLife
04.2025 - Current
Customer Care Advocate
Metlife
11.2022 - 04.2025
Finance Manager
EchoPark Automotive
02.2022 - 11.2022
High School Diploma -
Darlene's Academy Of Leading And Learning