Brandon Robertson
Mesquite
Summary
Dynamic Claims Processor with a proven track record at Robert Half, excelling in claims review and regulatory compliance. Demonstrated exceptional problem-solving and analytical skills, leading to improved accuracy in claims processing. Recognized for fostering collaborative relationships and enhancing customer satisfaction through effective communication and attention to detail.
Overview
10
10
years of professional experience
Work History
Claims Processor
Robert Half
08.2023 - Current
- Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.
- Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
- Reviewed applications and supporting documents to verify claims eligibility and accuracy.
- Managed workload and priorities to meet claims processing meet deadlines.
- Utilized specialized software to process incoming claims, enter data and generate reports.
- Followed up with customers on unresolved issues.
- Handled escalated customer concerns regarding claim denials or delays with empathy and professionalism.
- Utilized excellent analytical and problem-solving skills to quickly and accurately assess insurance claims.
- Assisted in onboarding of new claims processors to familiarize with company procedures, policies and processes.
Customer Service Representative
Iqor
11.2022 - 09.2023
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Responded to customer requests for products, services, and company information.
- Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
- Developed rapport with customers through active listening skills, leading to higher retention rates and positive feedback from clients.
- Maintained detailed records of customer interactions, ensuring proper follow-up and resolution of issues.
- Contributed to sales growth by upselling products and services based on individual customer requirements.
- Exceeded performance metrics consistently, earning recognition as a top performer within the team.
Customer Service Representative
General Dynamics
09.2019 - 11.2022
- Developed strong product knowledge to provide informed recommendations based on individual customer needs.
- Assisted customers in navigating company website and placing online orders, improving overall user experience.
- Collaborated with team members to develop best practices for consistent customer service delivery.
- Collaborated with product team to communicate customer feedback, resulting in product enhancements.
- Resolved escalated customer issues, restoring confidence in company's commitment to service excellence.
- Analyzed customer service metrics to identify trends and develop strategies for improvement.
- Led quarterly customer service meetings to review performance and set goals for improvement.
- Participated in training programs to enhance product knowledge and customer service skills.
Maintenance Technician
Aramark
04.2018 - 08.2019
- Operated varied hand and power tools to complete repairs.
- Used problem-solving skills to alleviate issues efficiently with minimal supervision.
- Troubleshot equipment breakdowns and performed preventive maintenance.
- Followed work orders and specifications for machine and equipment replacement, repair, or maintenance.
- Followed safety protocols to minimize workplace accidents.
- Contributed to a safer work environment, promptly addressing any identified hazards or concerns.
- Increased team efficiency by quickly addressing maintenance requests and following up with customers.
- Streamlined inventory management for janitorial supplies, ensuring sufficient stock while minimizing waste.
- Improved customer satisfaction by promptly responding to concerns and providing top-notch service.
- Complied with company policies and procedures while maintaining confidentiality when working around sensitive areas or materials within the facility setting.
- Upheld overall facility appearance through diligent cleaning, painting, and minor repairs when necessary.
Hourly Associate
Panera Bread
10.2017 - 04.2018
- Increased customer satisfaction by resolving complex issues and providing exceptional service at all times.
- Developed and implemented strategies to increase customer satisfaction and engagement.
- Streamlined inventory management processes, reducing waste and ensuring optimal stock levels were maintained.
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
- Excellent communication skills, both verbal and written.
- Worked well in a team setting, providing support and guidance.
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Worked flexible hours across night, weekend, and holiday shifts.
- Organized and detail-oriented with a strong work ethic.
Material Handler
Waco Composites I
05.2015 - 09.2017
- Transported inventory items to appropriate locations.
- Packed items into appropriate containers for shipment.
- Maintained a safe work environment by following proper safety protocols and conducting regular inspections.
- Collaborated with team members to ensure timely completion of tasks and high-quality work standards.
- Listened closely during team meetings to gain complete understanding of duties required for each shift, completing priority tasks first.
- Facilitated smooth operations, coordinating with various departments to fulfill material requests promptly.
- Conducted routine maintenance checks on material handling equipment to ensure optimal functioning throughout daily operations.
- Supported production goals, ensuring that all necessary materials were available when needed on the manufacturing floor.
- Alerted supervisors and coworkers of hazards and other issues for quick resolutions.
Education
Memorial High School
Garland, TX05.2015
Skills
- Claims review
- Accuracy and precision
- Transactions reconciliation
- Claims
- Policy interpretation
- Professionalism and ethics
- Regulatory compliance
- Medical terminology
- Data entry proficiency
- Critical evaluation
- Claims trend analysis
- Attention to detail
- Records management
- Critical thinking
- Active listening
- Microsoft office
- Insurance coverage verification
- Customer service
- Organizing and prioritizing work
- Eligibility determination
- Recordkeeping organization
- Prior authorization processing
- Collaborative relationships
- Coverage determination
- Policy analysis
- Documentation skills
- Patient rapport
- Denied claims identification
- Skilled in software
- Paperwork processing
- Decision-making
- Policy review
- Teamwork and collaboration
- Composing business correspondence
- Great mathematical skills
- Regulatory compliance adherence
- Patient contact
- Financial transactions
- Teamwork
- Problem-solving
- Time management
- Multitasking
- Claims investigation
Timeline
Claims Processor
Robert Half
08.2023 - Current
Customer Service Representative
Iqor
11.2022 - 09.2023
Customer Service Representative
General Dynamics
09.2019 - 11.2022
Maintenance Technician
Aramark
04.2018 - 08.2019
Hourly Associate
Panera Bread
10.2017 - 04.2018
Material Handler
Waco Composites I
05.2015 - 09.2017
Memorial High School
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