Summary
Overview
Work History
Education
Skills
Involvement
Timeline
Generic
Breeanna Wiethorn

Breeanna Wiethorn

Waco,TX

Summary

Customer Service Representative bringing top-notch skills in oral and written communication, active listening and fast learner. Experienced with handling customer interactions and resolving issues promptly. Utilizes communication and empathy to build strong customer relationships. Track record of maintaining high customer satisfaction and fostering loyalty. Eager to contribute to team success and further develop professional skills. Prepared to start career and make meaningful contributions with commitment and drive.



Overview

7
7
years of professional experience

Work History

Claims Adjuster

Wardlaw Claims Services
11.2024 - Current
  • Negotiated as a 3rd party for multiple insurance carriers based on the IICRC to ensure vendors invoices were accurate within the standard
  • Achieved cost savings through successful subrogation efforts, recovering funds from responsible parties in various claims scenarios.
  • Verified insurance claims and determined fair amount for settlement.
  • Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
  • Analyzed information gathered by investigation and reported findings and recommendations.
  • Optimized resource allocation by regularly updating and sharing progress with team members and supervisors to ensure all claims were completed within budget and schedule constraints.
  • Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
  • Maintained detailed records of interactions, ensuring proper follow-up and resolution of issues.
  • Worked productively in fast-moving work environment to process large volumes of claims.
  • Minimized financial losses by identifying fraudulent claims through thorough analysis and investigation.

Pharmacy Customer Advocate

Blue Cross Blue Shield
03.2023 - Current
  • Maintaining strict confidentiality while handling sensitive personal data complying with HIPAA regulations.
  • Monitoring changes in health insurance laws and regulations to verify continuous compliance.
  • Learned and adapted quickly to new technology and software applications.
  • Responding proactively and positively to rapid change.
  • Participated in team meetings and training sessions to stay informed about updates and changes.
  • Exercising leadership capabilities by successfully motivating and inspiring others.
  • Maintaining customer satisfaction with forward-thinking strategies focused on addressing customer needs in the moment and resolving any future concerns.
  • Exceeding performance metrics consistently, earning recognition as one of the top performers within the team.
  • Providing coaching and mentoring to new hires, and employees with more experience contributing to their successful integration into the team.
  • Always putting forth respect, friendliness and willingness to help wherever needed.
  • Strengthened communication skills through regular interactions with others.
  • Working effectively in fast-paced environments.
  • Demonstrating strong organizational and time management skills while managing multiple projects and handling calls.
  • Educated members and pharmacy advocates about health insurance coverage options, benefits and costs.
  • Managed high call volume while maintaining exceptional customer service standards, leading to positive feedback from callers.
  • Assisted customers in navigating online portals such as BAM or mobile applications such as Mybluerx for self-service options related to their health insurance accounts.
  • Conducting thorough research on complex cases, ensuring accurate information was provided to policyholders and healthcare providers.
  • Assisted members in resolving claims-related issues promptly, de-escalating stress during difficult times.
  • Followed up with customers about resolved issues to maintain high standards of customer service.
  • Answering inbound calls from existing and future policyholders to answer inquiries and discuss insurance options.

Assistant Leasing Manager

Eagle Crest Apartments, DTI Investments
06.2021 - 03.2023
  • Answering customer telephone calls promptly to avoid on-hold wait times.
  • Communicated effectively with owners, residents, and on-site associates.
  • Managed daily and weekly marketing and leasing plans.
  • Generated leads for sales and rental properties through calls and referrals.
  • Collected, completed, and processed lease applications.
  • Conducted property tours to highlight features of properties.
  • Handled customer inquiries and suggestions courteously and professionally.
  • Assisted prospective tenants in paperwork completion and other logistics to facilitate smooth move-in processes.
  • Performed background, reference and credit checks as part of screening process of prospective tenants.
  • Registered customers on database to enable tracking history and maintain updated records.
  • Verified tenant incomes and other information before accepting lease applications.
  • Used Onesite and Bluemoon to help create property brochures for advertising available properties and developments.
  • Documented information on Word Document and Excel Sheets.
  • Established strong, professional relationships with residents by promoting team collaboration and delivering exemplary service.
  • Oversaw monthly collections and maintained high payment rates.
  • Implemented and enforced policies and procedures to maintain properties to highest standards.
  • Conducted regular inspections of both interior and exterior of properties for damage.
  • Resolved conflicts between tenants regarding noise, encroachments, and parking.
  • Worked with property manager to maintain market readiness and facilitate smooth transitions.
  • Created and submitted daily reports on leasing activities.
  • Scheduled various contractors to complete needed work on vacant and occupied units.

Food Handler

Czech Stop
01.2021 - 06.2021
  • Maintained high customer satisfaction levels by preparing orders accurately.
  • Actively listened to customers, handled concerns quickly and efficiently.
  • Cultivated warm relationships with regular customers.
  • Demonstrated punctuality and reliability in consistently arriving for scheduled shifts to meet service demands.
  • Addressed customer complaints quickly and professionally to avoid negative reviews and loss of business.
  • Supported kitchen team by being responsive and pitching in to complete tasks.
  • Sanitized work surfaces between food preparation, avoiding cross-contamination and maintaining food safety guidelines.
  • Kept workstation and equipment clean, organized, sanitized, and sufficiently stocked.

Childcare Worker

West Parkway Daycare
06.2018 - 12.2020
  • Applied positive behavior management techniques to enhance social interactions and emotional development.
  • Read and told stories to promote and support overall language development.
  • Facilitated learning through play, stories and outdoor activities for successful child outcomes.
  • Developed age-appropriate activities and crafts to engage children.
  • Maintained daily records of children's individual activities, behaviors, meals, and naps. Liaised with parents and guardians to discuss child progress.
  • Maintained accurate and detailed records of enrollments, attendance, health and safety, emergency contact information and incident reports.
  • Maintained group discipline through positive reinforcement, behavior modeling and collaboration with parents.

Education

High School Diploma -

West High School
West, TX
05.2019

Communication Studies - undefined

McLennan Community College
Waco, TX
12.2020

Skills

  • HIPAA Compliance
  • Health Insurance Knowledge
  • Continuous Improvement
  • Teamwork and Collaboration
  • Multitasking Abilities
  • Problem-Solving
  • Strong Communication Skills
  • Quality Assurance Requirements
  • Medical terminology
  • Telephone and email etiquette
  • Reliability
  • Claims investigation
  • Critical thinking

Involvement

  • Pharmacy Customer Advocate
  • Training Assist Line
  • Sims Calls for Wichita Falls New Hire Class
  • Rx- Integration Call Auditing
  • Working as a Learning Coach on Assist Line with CAS
  • Job Shadowing with CAS Mary Magers
  • Call Auditing for AHT Calls
  • Rx Secured Calls and Chats

Timeline

Claims Adjuster

Wardlaw Claims Services
11.2024 - Current

Pharmacy Customer Advocate

Blue Cross Blue Shield
03.2023 - Current

Assistant Leasing Manager

Eagle Crest Apartments, DTI Investments
06.2021 - 03.2023

Food Handler

Czech Stop
01.2021 - 06.2021

Childcare Worker

West Parkway Daycare
06.2018 - 12.2020

Communication Studies - undefined

McLennan Community College

High School Diploma -

West High School

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