Blair Papillion
Experienced Customer Service Representative
Midwest City
Summary
Knowledgeable individual with more than 15 years' working as a Customer Service Representative for several well-run organizations. Determined and experienced in Customer Service and Administrative tasks. Excellent at juggling multiple tasks and working under pressure. Customer-focused professional with a background in customer service roles. Known for providing top-notch client support while maintaining high levels of customer satisfaction and loyalty. Strengths include exceptional communication, problem-solving skills, and ability to handle multiple tasks simultaneously. Proven track record of consistently improving operational processes to enhance the overall customer experience.
Overview
9
9
years of professional experience
Work History
Customer Service Representative
Cognizant
Oklahoma City
02.2025 - 02.2026
- Addressed customer inquiries, delivering accurate information on coverage and benefits to enhance understanding.
- Provided clear explanations of benefits, eligibility requirements, and applicable state Medicaid laws when communicating with customers.
- Reviewed prior authorization requests for medical services and treatments.
- Guided patients through prior authorization process, clarifying requirements to facilitate access to necessary services.
Licensed Insurance Adjuster
TTEC
01.2020 - 07.2023
- Analyzed evidence and applicable laws to determine fault in auto accidents, supporting claims decisions and reducing disputes.
- Evaluated insurance claims for accuracy and ensured compliance with policy guidelines to facilitate fair settlements.
- Conducted interviews with claimants, witnesses, medical providers, and attorneys for investigation of the claim.
- Collaborated with clients to gather essential documentation, expediting claims processing and enhancing client satisfaction.
Epic Efficiency and CES Specialist
Global Health
04.2017 - 09.2019
- Uploads all claims received from clearinghouses into EPIC.
- Built Provider, Vendor and Place of Service records in EPIC
- Built accounts, reset passwords, added providers, designated access to streamline user management.
- Input missing provider or vendor information in pending claims to ensure timely processing.
- Created, managed, and resolved tickets in JIRA IT system to support IT operations.
- Inputs CMS edits into a processing system.
Education
GED -
Oklahoma City Community College
Oklahoma City, OK09-2008
Associate of Applied Science - Health Care Administration
Oklahoma State University
Oklahoma City, OKSkills
- Customer service
- Claims processing
- Customer education
- Policy evaluation
- EPIC reporting
- Customer relationship management
- Claim assessment
- Fault determination
- Problem solving
- Team collaboration
Timeline
Customer Service Representative
Cognizant
02.2025 - 02.2026
Licensed Insurance Adjuster
TTEC
01.2020 - 07.2023
Epic Efficiency and CES Specialist
Global Health
04.2017 - 09.2019
GED -
Oklahoma City Community College
Associate of Applied Science - Health Care Administration
Oklahoma State University