
Results‑driven Claims Call Representative with 3+ years of experience supporting policyholders, resolving claim‑related inquiries, and delivering accurate information in high‑volume insurance environments. Skilled in call handling, documentation, multi‑system navigation, and de‑escalation. Known for professionalism, empathy, and strong performance in remote and independent work settings. Seeking remote roles in claims, operations, or data entry with opportunities for growth and advancement.
• Manage high‑volume inbound calls from policyholders regarding claim status, benefits, documentation requirements, and policy details.
• Provide clear, accurate explanations of claim processes and next steps.
• Document call details, customer concerns, and follow‑up actions across multiple systems.
• Assist customers with navigating claim submissions and required forms.
• Collaborate with claims processors and internal teams to resolve escalated issues.
• Maintain strong quality scores and customer satisfaction ratings.
• Supported patient communication, scheduling, and documentation.
• Entered and updated patient information in EMR systems with high accuracy.
• Assisted therapists with administrative tasks requiring confidentiality.
• Performed high‑volume data entry and documentation review.
• Assisted clients with questions, eligibility requirements, and documentation needs.
• Maintained organized records for audits and compliance.