Experienced customer service and claims professional with over six years across healthcare, insurance, corrections, and IT support. Skilled in high-volume task management, customer satisfaction, and process optimization. Proven ability to handle complex inquiries, improve efficiency, and consistently achieve positive client outcomes.
Overview
3
3
years of professional experience
Work History
Enrollment Coordinator
Tufts Health Plan
09.2024 - Current
Processed over 200 Medicare insurance applications daily during the Annual Enrollment Period, ensuring accuracy and compliance with CMS guidelines.
Maintained meticulous records of all applicant information and application statuses in the CRM system, achieving a 99% accuracy rate in data entry.
Collaborated with internal teams to resolve complex enrollment issues, successfully reducing escalation needs by 15%.
Proactively identified and addressed application errors or missing information, streamlining the enrollment process and decreasing reprocessing time by 20%.
Sr. Customer Representative
Root Insurance
04.2024 - 08.2024
Received and addressed over 50 inbound calls daily, building rapport and fostering strong customer relationships, achieving a 95% customer satisfaction rating.
Educated and advised customers on policy options, coverage choices, and risk management, resulting in a 15% increase in policy upgrades and conversions.
Leveraged internal tools to thoroughly research and resolve customer inquiries, improving first-call resolution by 20%.
Guided customers through mobile app navigation to successfully make payments, update auto policy details, and manage account settings, ensuring a seamless and user-friendly experience.
Corporal
Arkansas Department Of Corrections
09.2023 - 01.2024
Vigilantly monitored a dynamic population of 250+ inmates daily, fostering a controlled and disciplined environment that deterred disruptions
Operated seamlessly within the control room, orchestrating security systems and responding with precision to incidents as a proactive correctional officer.
Implemented new daily security check that reduced contraband by 25% and inmate violence by 30%.
Wrote daily reports on prisoner behavior, identified vulnerable individuals, and managed referrals to mental health treatment. Efforts have helped the facility see a 10% reduction in self-harm incidents.
Email/Chat Agent
Teleperformance
11.2022 - 08.2023
Elevated customer support by swiftly responding to 100+ daily emails and live chats, expertly unlocking accounts, resetting passwords, and tracking product orders.
Attained a flawless 100% customer service satisfaction rating, crafting positive experiences through adept communication and creative problem-solving.
Surpassed the company's 5 minute target with a remarkable average response time under 3 minutes, elevating customer service standards.
Meticulously documented customer information in the computer system, creating notes for future reference and streamlined assistance.
Catastrophe Claims Adjuster
Allstate
05.2022 - 11.2022
Led initial contact and consultation with insured clients, assessing and documenting damages for homeowners, commercial properties, and large loss claims resulting from weather-related events and natural disasters.
Increased claims resolution speed by 20%, collaborating with internal teams and field adjusters to ensure swift, accurate settlements and minimize client wait times.
Streamlined claims processing for large-scale events, improving disaster response efforts and accelerating community recovery.
Healthcare Customer Service Representative
Conduent
09.2021 - 04.2022
Managed and processed over 100 claims weekly, ensuring timely and accurate resolution, resulting in a 98% claims accuracy rate.
Answered 60+ inbound calls daily, providing responsive and empathetic support to patients and providers, maintaining a 95% customer satisfaction score.
Investigated and resolved grievances and appeals, thoroughly analyzing cases and coordinating with internal departments to achieve a 20% reduction in response time
Education
Greenville Christian Academy
05.2011
Skills
Ms Office
Data Entry
Critical Thinking
Troubleshooting
Active Listening
Adaptability
Project Management
Interpersonal
Multitasking
Negotiation
Empathy
Report Writing
Timeline
Enrollment Coordinator
Tufts Health Plan
09.2024 - Current
Sr. Customer Representative
Root Insurance
04.2024 - 08.2024
Corporal
Arkansas Department Of Corrections
09.2023 - 01.2024
Email/Chat Agent
Teleperformance
11.2022 - 08.2023
Catastrophe Claims Adjuster
Allstate
05.2022 - 11.2022
Healthcare Customer Service Representative
Conduent
09.2021 - 04.2022
Greenville Christian Academy
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