DESTINY WELLS
METAIRIE,US
Summary
Highly skilled with an extensive experience in remote work environments. Skilled in managing complex claims, providing topnotch customer service, and navigating insurance policies with a deep understanding of regulatory compliance. Proven ability to assess, process, and resolve claims efficiently, while maintaining excellent communication in virtual environments. Adept at leveraging industry knowledge and analytical skills to ensure customer satisfaction and optimize claims outcomes. Highly organized, self-motivated, and proficient in using remote work tools to deliver seamless support and results.
Overview
4
4
years of professional experience
Work History
Licensed Member Advocate
Ehealth
Remote, LA
08.2024 - Current
- Spent a significant amount of time with each customer, verbally reviewing and explaining documents to ensure that they were understood
- Explained the benefits, features, and drawbacks of various policies in order to promote health plan sales
- Obtained underwriting approval by completing an application for coverage
- Maintained high customer service standards by cultivating relationships with clients
- Worked to accommodate new and different insurance requests, as well as investigate new value opportunities to improve the reputation of the insurance agency
Claims Specialist
AT&T
Remote, Louisiana
02.2021 - 10.2022
- Placed a high value on punctuality and worked hard to maintain an excellent attendance record, consistently arriving at work ready to work right away
- Oversaw the quality assurance program, which included on-site assessments, internal audits, and customer surveys
- Conducted research and reviewed data to determine the validity of insurance claims, and contacted companies and customers to inform them of findings
- Processed and managed high call volumes of insurance claims
- Investigated and analyzed claims to determine coverage, liability, and settlement options
- Communicated with policyholders, adjusters, and other parties to provide updates and resolve issues
Education
BACHELOR OF ARTS -
Southern University and a & M College
Baton Rouge, LA01.2025
HIGH SCHOOL -
Alfred Bonnabel Magnet Academy High School
Kenner, LA01.2019
Skills
- Health insurance
- Life insurance
- Sales
- Customer service
- Data entry
- CRM
- Problem solving
- Public speaking
- Call center
- Client analysis
- Claims adjustment
- Claims processing
- Claims resolution
- Remote communication tools
- Microsoft teams
- Remote customer service
- Screen sharing
- Virtual collaboration
- Inbound/Outbound calls
- Call center experience
- Virtual customer support
Timeline
Licensed Member Advocate
Ehealth
08.2024 - Current
Claims Specialist
AT&T
02.2021 - 10.2022
BACHELOR OF ARTS -
Southern University and a & M College
HIGH SCHOOL -
Alfred Bonnabel Magnet Academy High School