Beatrice Wanju
Houston
Summary
Results-driven professional experienced in customer service and medical claims processing. Resolves customer concerns and processes claims while ensuring compliance with healthcare regulations. Communicates effectively and demonstrates strong problem-solving and organizational skills.
Overview
7
7
years of professional experience
Work History
Remote Customer Service Representative
Velocitii
Des Moines
04.2025 - 04.2026
- Reviewed and processed medical claims for accuracy and completeness.
- Verified patient insurance coverage and eligibility to ensure accurate claim processing.
- Investigated claim discrepancies, coordinating with providers, insurance companies, and patients to resolve issues efficiently.
- Maintained compliance with HIPAA and healthcare industry regulations.
- Updated claim records and documentation in claims management systems to maintain accuracy and compliance.
- Assisted in reducing claim processing delays through accurate data entry and timely follow-up.
Remote customer service representative
Netfor
Indianapolis
08.2023 - 09.2024
- Assisted customers account inquiries, billing questions, and service concerns via phone, email, and chat.
- Resolved customer issues efficiently while maintaining high levels of customer satisfaction.
- Documented customer interactions and updated account information accurately.
- Explained company policies, procedures, and services in a clear and professional manner.
- Escalated complex issues to appropriate departments when necessary.
- Consistently met performance goals for call quality, productivity, and customer satisfaction.
Shift Manager
McDonald's
Houston
12.2018 - 09.2022
- Supervised daily operations to ensure efficient workflow and excellent customer service.
- Resolved customer complaints promptly to enhance satisfaction and loyalty.
- Trained new employees on procedures, safety protocols, and customer interaction techniques.
- Managed inventory levels and ordered supplies to meet restaurant demands.
- Collaborated with management on staff performance evaluations and development plans.
- Developed and maintained positive working relationships with staff, customers, and vendors.
Education
High School Diploma -
Elsik High School
12601 High Star Dr, Houston,TX, 7707206-2013
Skills
- Customer Service & Support
- Remote Support
- Customer Account Management
- Issue Resolution
- Problem Resolution
- Policy Clarification
- CRM Systems
- Data Entry & Documentation
- HIPAA Compliance
- Microsoft Office Suite
- Time management
- Team Collaboration
- Communication skills
Timeline
Remote Customer Service Representative
Velocitii
04.2025 - 04.2026
Remote customer service representative
Netfor
08.2023 - 09.2024
Shift Manager
McDonald's
12.2018 - 09.2022
High School Diploma -
Elsik High School