Summary
Overview
Work History
Education
Skills
Timeline
Generic

Brittany Smith

Garland,TX

Summary

Accomplished Claims Representative with a proven track record, adept in insurance claims review and demonstrating exceptional interpersonal communication. Excelled in a fast-paced environment, achieving high customer satisfaction through effective conflict resolution and meticulous attention to detail. Skilled in leveraging team collaboration and critical thinking to enhance operational efficiency and customer service excellence.

Overview

5
5
years of professional experience

Work History

Claims Representative

State Farm
Richards, TX
12.2023 - Current
  • Currently licensed property & causality all lines
  • Investigating, evaluating, negotiating, and settling claims bill payment
  • Applying knowledge of policies and insurance regulations when determining coverage, liability, & damages
  • Contacting customers by telephone, written correspondence and/or various electronic media
  • Effectively managing work through task driven queues while multi-tasking in a fast-paced call center environment
  • Supporting our customers through personalized, caring, and simple interactions

Customer Service Representative

Conduent
Plano, TX
03.2023 - 12.2023

Type in data provided directly from customers

Move data from paper formats into computer files or database systems using keyboards data recorders or optical scanners

Prepare spreadsheets with large numbers of figures without mistakes

Perform verification of data by comparing it to source documents

Review and update existing data

Collect data from the database or electronic files as requested

Organize system backups on a regular basis to ensure data preservation

Compiling, verifying accuracy and sorting information to prepare source data for computer entry.

Reviewing data for deficiencies or errors, correcting any incompatibilities and checking output.

Customer Service Representative

EMPLOYMENT SOLUTIONS, INC. Wisconsin Works
Plano, TX
01.2023 - 04.2023
  • 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.

Sets up new accounts, taking and providing information, making account changes, and processing requests

Processes correspondence by receiving and responding to emails, faxes and other requests for information.

Processes payments by verifying information for accuracy, reviewing images, processing payments for overnight payments, and researches and

resolves credit card disputes.

Ability to cope with job related stress including but not limited to deadlines, customer, supervisory and staff interactions, multi-tasking and high work volumes is required

Claims Processor

Allstate Corp
Irving, TX
02.2020 - 06.2022

Answering 40-60 calls per day to address customer inquiries and concerns. Deliver exceptional level of service to each customer by listening to

concerns and answering questions.

Manage team of upwards of 20 new hire employees, overseeing hiring, training, and professional growth of employees.

Serve customers in a friendly, efficient manner following outlined steps of service.

Collaborate with Virtual Assist adjusters, Auto Adjusters, and Team Leads to achieve best training results.

Develop and maintain courteous and effective working relationships. Proven successful working within tight deadlines and fast-paced

atmosphere.

Collect and analyze activity data and initiate, develop and recommend improvements to systems, processes and procedures to increase

productivity and reduce cost.

Record findings of auto inspection process, collaborating with quality team members, and department managers to implement procedural

remedies.

Provide regular updates to team leadership on quality metrics, communicating consistency problems or production deficiencies with quality.

Provide analytical, planning and coordination support on projects as assigned, reviewing, interpreting, analyzing and illustrating data to stimulate

and support enlightened decision making

Solved


Education

Education

Emmett J Conrad High School
Dallas, TX
05.2012

Skills

  • Microsoft office
  • Insurance claims review
  • Claims investigation
  • Time management
  • Team collaboration
  • Data analysis
  • Decision-making
  • Interpersonal communication
  • Coverage assessments
  • Coverage determination
  • Accident investigations
  • Settlement negotiation
  • Documentation review
  • Workers compensation
  • Database management
  • File management
  • Conflict resolution
  • Settlement determinations
  • Flexible schedule
  • Claims trend analysis
  • Allocating claims
  • Insurance regulations
  • Documentation research
  • Accident review
  • Settlement agreements
  • Claims processing
  • Customer service
  • Attention to detail
  • Active listening
  • Critical thinking
  • Teamwork and collaboration
  • Eligibility determination
  • Documentation processing
  • Records management
  • Claims adjustment
  • Insurance coverage verification
  • Denied claims identification
  • Financial transactions
  • Information verification
  • Payment and investigation escalations
  • Organizing and prioritizing work
  • Insurance claim forms review
  • Policy analysis
  • Patient contact
  • Google suite proficiency
  • Small claims payouts
  • Data entry software
  • Data entry
  • Proficient in software
  • Medical terminology
  • 10-key touch
  • Account management
  • Policy review
  • New policies processing
  • Documentation skills
  • Claim amount calculations
  • Reporting skills
  • Patient rapport
  • Paperwork processing
  • Billing software
  • Appointment scheduling
  • Business correspondence
  • Account management software
  • Number-savvy
  • Recordkeeping organization
  • Skilled in software
  • Application review
  • Teamwork
  • Problem-solving
  • Problem-solving abilities
  • Multitasking
  • Multitasking Abilities
  • Reliability
  • Excellent communication
  • Organizational skills
  • Effective communication
  • Adaptability and flexibility
  • Verbal and written communication
  • Teamwork skills
  • Relationship building
  • Computer proficiency
  • Team building
  • Task prioritization
  • Self motivation
  • Interpersonal skills
  • Goal setting
  • Risk assessment
  • Professionalism

Timeline

Claims Representative

State Farm
12.2023 - Current

Customer Service Representative

Conduent
03.2023 - 12.2023

Customer Service Representative

EMPLOYMENT SOLUTIONS, INC. Wisconsin Works
01.2023 - 04.2023

Claims Processor

Allstate Corp
02.2020 - 06.2022

Education

Emmett J Conrad High School
Brittany Smith