Brigette Webb
Clio
Summary
Experienced and knowledgeable customer service professional with a solid background in the insurance industry, particularly in claims support. Proven ability to build rapport with clients and provide exceptional service. Team player who also thrives when working independently with minimal supervision. Highly organized, dependable, and capable of managing multiple priorities with a proactive, can-do attitude. Committed to customer satisfaction and contributing to company success.
Overview
17
17
years of professional experience
Work History
FNOL-Claims Service Representative
The Hanover Insurance Group, Inc.
04.2024 - Current
- · Process, assign, and provide insight on AIX Program Claims
- · Input detailed records of all claims activities, ensuring compliance with regulatory requirements and company policies.
- · Provide exceptional customer service by responding to inquiries promptly and offering support throughout the claims process as needed.
- · Collaboration with internal departments and external vendors to resolve claims.
Benefit Verification Specialist
Highmark Blue Cross Blue Shield
10.2022 - Current
- Manage approximately 50 inbound/outbound calls, emails, and faxes per day from members for first-call resolution.
- Research and assign medical, dental, and prescription benefits as appropriate to third-party administrators, members, and providers.
- Process and route claims for adjudications per company policy.
- Leverage advanced problem-solving skills in navigating complex cases involving multiple policies or payers, ultimately securing coverage approvals where possible.
Customer Service Advocate
Ttec (TeleTech) - HealthCare Solutions
09.2021 - 10.2022
- Communicated through correspondence with members and providers regarding claim payment or required information for successful claim processing.
- Determined appropriateness of payers to protect the organization and minimize risk.
- Advised customers on policy coverage details and claim requirements, fostering trust and loyalty among clients.
- Coordinated with contracting department to resolve payer issues.
Restaurant Owner
Shiners Enterprises, LLC
12.2018 - 07.2022
- Analyzed sales data to identify trends and adjust purchasing decisions accordingly.
- Implemented effective inventory control systems to reduce food spoilage and waste.
- Managed payroll, daily deposits, and cost controls.
- Monitored and adjusted pricing, discounts and promotions to maximize profitability.
Manager
Rite Aid
10.2016 - 02.2019
- Evaluated approximately 15 employee performance and conveyed constructive feedback to improve skills.
- Opened and closed location and monitored shift changes to uphold successful operations strategies and maximize business success.
- Onboarded new employees with training and new hire documentation.
- Reconciled daily sales, returns and processed financial reports.
District Director of Operations
Flint Leasing, Inc
01.2008 - 10.2016
- Led the implementation of company-wide initiatives at the district level, ensuring alignment with corporate goals.
- Collaborated with cross-functional teams to drive continuous improvement efforts throughout the organization.
- Formulated analysis assessments to make informed decisions on proposed projects.
- Drove sales growth by 20% by creating targeted marketing campaigns that effectively communicated product offerings to target demographics.
Education
Associate of Arts -
Charles Stewart Mott Community College
Flint, MI05.2024
Skills
- Knowledgeable in HIPAA regulations
- Healthcare vocabulary expertise
- Relationship Building
- Claims management
- Data Entry
- Insurance Verification
- Benefits Explanation
- Proficient in Microsoft Office
Timeline
FNOL-Claims Service Representative
The Hanover Insurance Group, Inc.
04.2024 - Current
Benefit Verification Specialist
Highmark Blue Cross Blue Shield
10.2022 - Current
Customer Service Advocate
Ttec (TeleTech) - HealthCare Solutions
09.2021 - 10.2022
Restaurant Owner
Shiners Enterprises, LLC
12.2018 - 07.2022
Manager
Rite Aid
10.2016 - 02.2019
District Director of Operations
Flint Leasing, Inc
01.2008 - 10.2016
Associate of Arts -
Charles Stewart Mott Community College
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