ASHLEAH SINCLAIR
Hialeah
Summary
Experienced with managing comprehensive claims processes with precision and efficiency. Utilizes analytical skills and attention to detail to ensure accurate and timely claim resolutions. Strong understanding of regulatory compliance and customer service principles, consistently delivering high-quality results.
Overview
6
6
years of professional experience
Work History
Senior Claims Processor
Conduent
01.2023 - 04.2025
- Enhanced claim processing efficiency by streamlining workflows and implementing best practices.
- Reduced turnaround time for claim settlements by prioritizing tasks and managing deadlines effectively.
- Collaborated with cross-functional teams to expedite complex claims investigations and resolutions.
- Maintained compliance with industry regulations by adhering to established procedures and guidelines in claims handling.
- Provided exceptional customer service, addressing concerns and resolving issues promptly to maintain client satisfaction
- Responded to customer inquiries, providing detailed explanations of insurance policies and claims processes.
Technical Support Representative
Alorica
01.2020 - 07.2023
- Escalated high-priority cases promptly to ensure rapid response times for critical situations requiring advanced attention or expertise.
- Provided remote assistance to customers experiencing technical difficulties, guiding them through step-by-step resolutions with patience and professionalism.
- Managed high levels of call flow and responded to technical support needs. Exceeded monthly performance metrics consistently, contributing to the success of the call center operations.
- Resolved complex technical problems through effective troubleshooting techniques, enhancing the user experience.
Customer Service Representative
Securitas
01.2019 - 01.2020
- Answered over 150 calls per shift to meet fast-paced call center demands.
- Increased efficiency of call handling by utilizing available resources such as scripts, FAQs, or knowledge base articles when assisting customers.
- Retained valuable clients by providing empathetic support during challenging situations or escalations, leading to issue resolution.
- Consistently met or exceeded assigned sales quotas while maintaining excellent customer satisfaction ratings.
Education
Medical Assitant Diploma -
Concorde Career College
11-2021
Skills
- Customer Service
- Inbound and Outbound Calling
- Microsoft Office Suite
- Data Entry and Analysis
- Claims Processing
- Verbal and Written Communication
- Collaborative Environments
- Complex Problem-Solving
- Typing Proficiency (45 WPM)
- Vital signs
- Specimen Collection
Glucose Monitoring
Urinalysis
Aseptic Techniques
First Aid and Bandaging
Data Entry
Electronic Health Record
Filing
Telephone Triage Techniques
Appointment Scheduling - Quality Assurance
- Time Management
Timeline
Senior Claims Processor
Conduent
01.2023 - 04.2025
Technical Support Representative
Alorica
01.2020 - 07.2023
Customer Service Representative
Securitas
01.2019 - 01.2020
Medical Assitant Diploma -
Concorde Career College
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