Cadidrea Boykin
Tampa,FL
Summary
Dynamic and solutions-driven professional with 15+ years of leadership, claims support, fraud analysis, customer operations, and high-volume case management experience across insurance, financial services, and luxury retail. Recognized for delivering quantifiable results in fraud prevention, claims accuracy, workflow improvements, and cross-functional collaboration. Adept at policy interpretation, documentation accuracy, conflict resolution, and high-stakes decision-making.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Loan Processor & Fraud Representative
OppLoans (Opportunity Financial, LLC)
03.2024 - Current
- Conduct fraud investigations by reviewing customer statements, validating identity documentation, analyzing patterns, and identifying red flags aligned with regulatory and internal fraud guidelines.
- Evaluate evidence and determine case legitimacy, assessing inconsistencies, cross-referencing account activity, and escalating high-risk cases for further review when warranted.
- Prepare clear, audit-ready investigative summaries outlining findings, verification steps, and recommended determinations to support compliance and cross-functional decision-making.
- Remote
Claims Customer Experience Representative
Reserv Claims Analysis
11.2024 - 08.2025
- Completed FNOL intake by gathering claimant statements, documenting incident details, confirming policy information, and identifying missing data required for adjuster review.
- Maintained 99%+ accuracy in CRM documentation, ensuring clean, compliant, audit-ready claim files that supported faster determinations.
- Partnered with adjusters, SIU, and internal teams to ensure smooth handoffs and strengthen preliminary claim investigations.
- Remote
Client Advisor
Louis Vuitton
11.2021 - 07.2023
- Delivered luxury-level client service to a global customer base, consistently achieving a 98% satisfaction rating through attentive communication, product expertise, and proactive issue resolution.
- Managed a book of 100+ high-value clientele, maintaining ongoing relationships, anticipating preferences, and providing tailored recommendations that increased repeat engagement and brand loyalty.
- Assessed claim legitimacy and urgency, identifying missing information, clarifying customer accounts, and providing accurate next-step guidance to reduce escalations.
- Remote
Customer Service Representative
Wayfair
06.2020 - 07.2021
- Handled 70+ customer interactions daily across phone, email, and chat, resolving order, shipping, refund, and product issues with a 96% satisfaction rating.
- Reviewed customer statements, shipment details, and product condition reports to assess issues and determine appropriate resolutions in alignment with company policies.
- Remote
Service Center Representative
Sedgwick CMS
03.2018 - 09.2019
- Performed FNOL intake by gathering claimant statements, documenting incident details, verifying policy information, and entering complete data into the system to support accurate claim setup.
- Managed a high volume of inbound and outbound calls, resolving inquiries and reducing escalations through clear, empathetic communication.
- Remote
Service Advocate
Farmers Insurance
09.2016 - 07.2017
- Resolved complex coverage questions, clarifying exclusions, deductibles, and required documentation while maintaining compliance with company standards.
- Handled 50+ daily customer interactions providing guidance on claims procedures, policy coverages, and billing discrepancies.
Customer Service Specialist
Medical Mutual of Ohio
02.2014 - 04.2015
- Managed 60+ daily inquiries from members, providers, and internal teams regarding benefits, claims status, coverage explanations, billing issues, and eligibility verification.
- Investigated billing concerns by validating charges, coordinating with finance and claims departments, and ensuring accurate adjustments when warranted.
- Educated members on policy details including deductibles, coinsurance, authorization requirements, and appeal processes, reducing confusion and repeat calls.
Education
High School Diploma -
Collinwood High School
Cleveland, OH06.2006
Skills
- Claims Handling
- Fraud Investigation
- Claims Documentation
- Coverage Review
- Policy Interpretation
- Conflict Resolution
- Risk Assessment
- CRM Management
- Process Improvement
- High-Volume Case Management
- Leadership & Mentoring
- Data Accuracy
- Salesforce
- Zendesk
- Genesys
- AS400
- Oracle
- Excel
- Google Suite
Certification
Florida 6-20 All-Lines Adjuster License — Active | License No. G300574
Timeline
Claims Customer Experience Representative
Reserv Claims Analysis
11.2024 - 08.2025
Loan Processor & Fraud Representative
OppLoans (Opportunity Financial, LLC)
03.2024 - Current
Client Advisor
Louis Vuitton
11.2021 - 07.2023
Customer Service Representative
Wayfair
06.2020 - 07.2021
Service Center Representative
Sedgwick CMS
03.2018 - 09.2019
Service Advocate
Farmers Insurance
09.2016 - 07.2017
Customer Service Specialist
Medical Mutual of Ohio
02.2014 - 04.2015
High School Diploma -
Collinwood High School