Anita Walker
Sr. Customer Services Assistance And Claims
Duluth,GA
Summary
Knowledgeable and dedicated customer service professional with extensive experience in medical, dental and commercial insurance industry. Solid team player with outgoing, positive demeanor and proven skills in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Specialize in quality, speed and process optimization. Articulate, energetic and results-oriented with exemplary passion for developing relationships, cultivating partnerships and growing businesses.
Overview
18
18
years of professional experience
Work History
Dental Customer Care Rep ll
Elevance Health
Atlanta , GA
02.2024 - Current
- Work well in a team setting, providing support and guidance.
- Identified issues, analyzed information and provided solutions to problems.
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Skilled at working independently and collaboratively in a team environment.
- Adaptable and proficient in learning new concepts quickly and efficiently.
- Self-motivated, with a strong sense of personal responsibility.
Customer Service Associat
Anthem Blue Cross BlueShield
Atlanta, GA
07.2014 - 05.2021
- Assist the nurses with taking incoming calls from members who are in need of medical assistance
- verify members insurance information to determine the members medical needs.
- All serious symptoms are transferred to a Registered Nurse.
- Assist members in locating a doctor, hospital or urgent care facility in area
- Communicated with mangers and associates through messenger from home
- Worked from home 6yrs.
- Assisted customers with a warm and professional attitude.
- Handled emails, inbound calls, and outbound calls.
Insurance Claims Processor II, Orthodontic Claims Processor and Adjuster
Delta Dental Insurance
Alpharetta, GA
05.2013 - 03.2014
- Process dental claims in a timely manor that came through system with a edit to avoid accrual of interest paid on claims
- Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
- Evaluated and settled complex insurance claims in strict timeframes.
- Cleared edits to be able to drop claim for payment.
- Work independently in a timely manner.
Insurance Claims Processor
Ranstad Staffing Agency-Assigned To Delta Dental
Alpharetta, GA
11.2012 - 11.2013
- Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
- Evaluated and settled complex insurance claims in strict timeframes.
- Collaborated with claims department and industry anti-fraud organizations to resolve claims.
Sr. Claims Processing Tech
Great American Insurance Company
Alpharetta, GA
02.2011 - 11.2011
- Handle problem resolving calls from customers and other stakeholders about claims and payment processes.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Maintained contact with claimants and attorneys to determine payment status.
- Assist claims adjusters handling correspondence with claimant inquiries.
- Set up First Report of Injury. Sending information about state guideline.
Customer Service Representative
21st Century /Farmers Insurance
Alpharetta, GA
01.2010 - 01.2011
- Clarified customer issues and determined root cause of problems to resolve product or service complaints.
- Offered advice and assistance to customers, paying attention to special needs or wants.
- Exhibited high energy and professionalism when dealing with clients and staff.
- Resolved complaints, billing inquiries and payment issues over phone with 50 plus customers daily.
- Handled upset customers in fast-paced call center setting.
- Met customer call guidelines for service levels, handle time and productivity.
Assistant Underwriter III/Commercial Assistant
AIG Insurance Agency Auto
Alpharetta, GA
07.2006 - 01.2010
- Process claim endorsement for personal line and commercial policy.
- Reviewed new and existing business.
- Reinstate policy's and changes to determine quality of risk.
- Process rewrites for personal and commercial line.
Education
High school diploma - General Studies
John C. Fremont Senior High School
09.1986 - 06.1989
Skills
Professional telephone demeanor
undefinedAccomplishments
- Awarded with employee of the month for commitment of going above and beyond the call of duty ona regular basis
- Awarded with “You Make a Difference” for assisting co-workers on transitioning to a new job positioning by making a “POSITIVE” song for the co-workers, was submitted by VP of operations
- Awarded with World Class Employee for the month of : 12/06, 2/07, 05/07- 09/07
Interest
My personal interest are enjoying spending time with family. Traveling on cruise line. Going out to a gold restaurant to eat. Learning new and exciting thing.
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
There are two types of people who will tell you that you cannot make a difference in this world: those who are afraid to try and those who are afraid you will succeed.
Ray Goforth
Timeline
Dental Customer Care Rep ll
Elevance Health
02.2024 - Current
Customer Service Associat
Anthem Blue Cross BlueShield
07.2014 - 05.2021
Insurance Claims Processor II, Orthodontic Claims Processor and Adjuster
Delta Dental Insurance
05.2013 - 03.2014
Insurance Claims Processor
Ranstad Staffing Agency-Assigned To Delta Dental
11.2012 - 11.2013
Sr. Claims Processing Tech
Great American Insurance Company
02.2011 - 11.2011
Customer Service Representative
21st Century /Farmers Insurance
01.2010 - 01.2011
Assistant Underwriter III/Commercial Assistant
AIG Insurance Agency Auto
07.2006 - 01.2010
High school diploma - General Studies
John C. Fremont Senior High School
09.1986 - 06.1989
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