Breon Charles
Claims Processor
Jeanerette,LA
Summary
Detailed Claims Processor with 7 years of experience investigating claim information for correctness. Trustworthy teammate with benefit knowledge and rapport-building skills. Noted for thoroughness and ethical customer service.
Overview
9
9
years of professional experience
Work History
Claims Processor
Guardian Life Insurance
05.2021 - 07.2022
- Maintained knowledge of policies and procedures and insurance coverage benefit levels, eligibility systems and verification processes.
- Processed FMLA claims daily and expertly handled as many as 300 files with impeccable quality.
- Provided quality customer service to assigned, insured and claimants throughout claims process to deliver timely service to customers.
Technical Support Representative
Concentrix
Jeanerette, LA
02.2019 - 03.2021
- Assisted customers with various types of technical issues via email, live chat and telephone.
- Used remote login tools to assist clients with technical and product questions.
- Documented customer complaints and inquiries for use in technical documentation and bug tracking.
- Delivered local and remote Tier 1 IT support for hardware and software to company personnel.
Apple Technical Advisor
Concentrix
Jeanerette, LA
11.2018 - 01.2019
- Maintained composure and patience in face of difficult customer situations, applying de-escalation techniques and positive customer support.
- Proficient in network protocols, DHCP, DNS and SMPT.
- Supported employees with advanced troubleshooting on helpdesk tickets.
- Supported customers having data connectivity issues, assisting with troubleshooting steps and rebooting of hardware.
Member Service Representative
BroadPath Healthcare Solutions
Jeanerette, LA
10.2017 - 05.2018
- Prepared, completed and processed customer account forms and database changes.
- Assisted in maintaining accurate records by verifying and updating member account information.
- Ensured compliance with established policies, procedures, and processes.
- Answered inbound calls from a wide range of members, welcoming callers in a polite, friendly, and professional manner.
Licensed Insurance Agent- Humana
Stream Global Services Inc.
Fort Drum, NY
08.2013 - 02.2016
- Applied basic insurance underwriting knowledge to evaluate and analyze information.
- Navigated computer system to look up customer information and update policies.
- Displayed strong telephone etiquette, effectively handling difficult calls.
- Analyzed customer needs and provided best options, upselling products and services.
Education
High School Diploma -
Jeanerette Senior High School
Jeanerette, LA05.2011
Bachelor of Science - Pre Law
Lynchburg College
Lynchburg, VAAssociate of Applied Science -
Houston Community College
Houston, TXSkills
- LAN/WAN
- Call Center Operations
- Hardware upgrades
- Technical Troubleshooting
- Windows XP/Vista
- Apple Certified Support Professional (ACSP)
- Antivirus Software
- Application installations
- Documentation review
- Benefit explanation
- Workers' compensation claims
- Fraud identification
- Claims file management processes
- Medicaid knowledge
- Insurance terminology
- Documentation skills
- Insurance plan verification
- Patient rapport
- Electronic authorization processing
- Exceptional recordkeeping abilities
- Avaya software customer management systems
- Multitasking
- JavaScript expert
- SQL expert
- HTML
- Quality Assurance
- Medical billing
- Medical filing
- Credit card payment processing
- Microsoft Office expertise
- Inbound and Outbound Calling
- High-energy attitude
- Conducting assessments
- Leave of Absence Intake
- FMLA/STD
- Intake/Inquiry calls
- Teams Meeting
- Zoom Meeting
- Adobe Connect
- VPNs
- PingID
- ADP
- WEX
- Dual Monitors
- Genesys
- ARK
- CISCO
- Life/Health Insurance License
- Medicaid/Medicare
- Part D Pharmaceutical
- Billing
- Sales
- Cold/Warm Transfers
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
The person who says it cannot be done should not interrupt the person who is doing it.
Chinese proverb
Timeline
Claims Processor
Guardian Life Insurance
05.2021 - 07.2022
Technical Support Representative
Concentrix
02.2019 - 03.2021
Apple Technical Advisor
Concentrix
11.2018 - 01.2019
Member Service Representative
BroadPath Healthcare Solutions
10.2017 - 05.2018
Licensed Insurance Agent- Humana
Stream Global Services Inc.
08.2013 - 02.2016
High School Diploma -
Jeanerette Senior High School
Bachelor of Science - Pre Law
Lynchburg College
Associate of Applied Science -
Houston Community College
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