Reliable and organized individual with strong attention to detail and positive attitude. Familiar with basic claims processes and proficient in data entry and administrative tasks. Committed to contributing to efficient claims handling and customer satisfaction.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Claims Assistant
Texas Mutual Insurance Company
08.2022 - Current
Provided exceptional customer service through clear communication, empathy, and proactive problem-solving during difficult situations.
Prepared files, letters and notices.
Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
Ensured compliance with company policies and industry regulations through meticulous documentation of claim files.
Enhanced claims processing efficiency by streamlining workflows and optimizing data entry procedures.
Insurance Customer Service Representative
Travelers Insurance
12.2016 - 08.2022
Managed high call volume while maintaining professionalism, empathy, and attention to detail in each interaction.
Processed policy updates and changes accurately, ensuring client needs were met in a timely manner.
Answered incoming phone calls to articulate product value to prospective customers and support current policyholders.
Responded to customer requests for products, services, and company information.
Taking multiple chats in our chat department.
Testing new programs in our Lab department to roll out to company.
Benefit Coordinator/Customer Service Agent Assistant
Pacific Dental Services
12.2011 - 12.2016
Make outbound calls to providers, member, facilities, and vendors, and provide benefit information.
·Obtain insurance information via insurance carrier’s affiliated websites.
Data entry- updated individual’s benefit information and their eligibility status
·Knowledge of copays, deductibles, out of pocket maximum, par/non par status, diagnosis codes, and procedure codes.
Education
No Degree -
Cedar Valley College
Dallas, TX
01-2003
High School Diploma -
Justin F Kimball Highschool
Dallas, TX
01-1997
Skills
Microsoft office
Data entry
Processing mail
Call routing
Coordinating documents
Time management
Flexible schedule
Teamwork
Certification
Worker Comp Adjuster license 2003 May
Timeline
Claims Assistant
Texas Mutual Insurance Company
08.2022 - Current
Insurance Customer Service Representative
Travelers Insurance
12.2016 - 08.2022
Benefit Coordinator/Customer Service Agent Assistant
Pacific Dental Services
12.2011 - 12.2016
Worker Comp Adjuster license 2003 May
No Degree -
Cedar Valley College
High School Diploma -
Justin F Kimball Highschool
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