Dynamic professional with extensive experience in claims management and customer service. Proficient in medical records management and HIPAA compliance, I excel in fostering client relationships and enhancing satisfaction. Recognized for training initiatives that improved team performance and streamlined operations, ensuring high-quality service delivery.
Overview
8
8
years of professional experience
Work History
Claims Management / Customer Service Representative
Sedgwick Claims Management Services
Montgomery
09.2023 - 05.2025
Handled incoming inquiries related to workers’ compensation, disability, and property claims with a strong focus on empathy and compliance.
Processed new claims, verified information, and updated client records accurately in accordance with company and legal standards.
Served as a liaison between claimants, healthcare providers, and insurers to ensure smooth resolution of claims.
Maintained confidentiality of sensitive data and followed HIPAA and data protection guidelines.
Educated claimants on the claims process, documentation requirements, and next steps, ensuring high levels of customer satisfaction.
Delivery Driver
FedEx
Montgomery
08.2021 - 09.2023
Provided timely and accurate deliveries while maintaining a high standard of customer service and professionalism.
Managed route planning, confirmed deliveries, and handled customer inquiries to ensure satisfaction.
Maintained compliance with all safety protocols and documentation procedures.
Delivered packages promptly to residential and commercial locations.
Trainer / Customer Service Team Lead
Conduent
Montgomery
07.2019 - 08.2021
Delivered training for new hires on healthcare-related accounts, including call handling, claims resolution, and systems usage.
Developed training materials and facilitated sessions on compliance, quality assurance, and customer interaction.
Conducted one-on-one coaching sessions, tracked performance metrics, and contributed to improved call center efficiency.
Healthcare Customer Service Representative
Continuum Global Solutions
Montgomery
10.2017 - 02.2019
Handled high-volume inbound and outbound calls from patients, providers, and insurance representatives.
Assisted customers with benefit verification, claim status updates, and billing concerns.
Maintained detailed and accurate records of all customer interactions in CRM and EHR systems.
Ensured adherence to HIPAA and internal privacy policies during every interaction.
Education
Certified Medical Assistant (CMA) -
Fortis College
Montgomery, AL
05.2014
Skills
Microsoft Office Suite
Data Entry (40 WPM)
Medical Records Management
ICD-10, CPT, HCPCS Coding
EMR Software
Telephone Etiquette
CRM Systems
HIPAA compliance
Timeline
Claims Management / Customer Service Representative