Charlie Paris Cox
Waco,TX
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Seeking full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
13
13
years of professional experience
Work History
Life Claims Examiner
Globe Life Insurance
03.2022 - Current
- Adjudicating various claims with a high degree of accuracy
- Evaluating claims to determine eligibility for benefits according with the policy contract
- Responsible for processing claims according to company procedures and performing necessary accounting entries to complete claim processing
- Examined photographs and statements.
- Direct contact with policyholders, PR Representatives, Marketing Specialists, claimants, agents and or/medical directors/providers regarding claim process
- Ordering medical records, running medical information
- Contact is by telephone, email and written correspondence
- Provided exceptional customer service by empathetically addressing claimants'' concerns and effectively explaining the claims process to them.
- Consulted police and hospital records when needed.
- Handled sensitive information with discretion, ensuring confidentiality of personal and financial details for claimants throughout the claims examination process.
- Enhanced customer satisfaction by promptly addressing inquiries and providing accurate information on claim status.
- Served as a mentor to junior examiners, sharing expertise and providing guidance on best practices within the field of claims examination.
- Researched claims and incident information to deliver solutions and resolve problems.
- Reduced claim processing time by implementing efficient workflow strategies and prioritizing tasks effectively.
- Utilized analytical skills to evaluate medical bills for accuracy and appropriateness of charges before approving payments as part of the claims process.
Public Relations Assistant
Globe Life Insurance
08.2015 - 03.2022
- Perform various duties within department including communication via telephone and/or email
- Issue and administer AD&D and Group Life policies with high degree of accuracy
- Resolved complaints to maintain customer satisfaction.
- Developed key messaging documents for clients to guide consistent communications across all channels.
- Handled crisis communications situations delicately preserving company reputation minimizing negative impact.
- Assisted during high telephone volumes and customer escalations.
- Improved client satisfaction rates by consistently delivering timely and accurate reporting on campaign results.
- Worked closely with other internal departments to resolve customer service issues.
- Performed tasks and projects as assigned by director of marketing.
- Assisted with planning, development and implementation of company projects and programs.
Outlet Manager
Patrick's Dry Cleaning
08.2014 - 04.2015
- Built talented and valuable team of departmental employees through outstanding mentoring, coaching and teaching skills.
- Answered questions about store policies and addressed customer concerns.
- Supervised and effectively trained 2 employees to decrease process lags and boost productivity.
- Enhanced store aesthetics with meticulous visual merchandising techniques, attracting more customers.
- Promoted business strategy by implementing improvements based on guest feedback.
Crew Member
Rudy's BBQ
03.2012 - 07.2014
- Greeted customers entering store and responded promptly to customer needs.
- Welcomed customers and helped determine their needs.
- Worked flexible schedule and extra shifts to meet business needs.
- Operated cash register for cash, check, and credit card transactions with excellent accuracy levels.
- Built relationships with customers to encourage repeat business.
- Maintained a balanced cash drawer, ensuring accurate accounting at the end of each shift.
- Restocked and organized merchandise in front lanes.
- Counted money in cash drawers at beginning and end of shifts to maintain accuracy.
- Stocked, tagged and displayed merchandise as required.
- Assisted customers with inquiries and provided exceptional service, resulting in positive feedback from shoppers.
- Resolved customer complaints professionally, leading to improved customer relations and loyalty.
- Handled multiple payment methods securely, minimizing discrepancies and potential losses.
Education
Business Management -
Eastern Gateway Community College
Steubenville, OH01.2023
High School Diploma -
China Spring High School
China Spring05.2010
Skills
- Ambitious
- High production
- Verbal Communication
- Committed
- Punctual
- Perceptive
- Independent
- Teamwork
- Adaptable
- Capable
- Efficient work style
- Enthusiastic
- Resourceful
- Flexible
- Honest
- Coordination
- De-Escalation Techniques
- Technical Support
- Clerical Support
- Live chat support
- Claims Processing
- Data Verification
- Disability claims process
- Microsoft Office Suite
- Computer Skills
- Claims Evaluation
- Decision-Making
- Customer service and support
- Payment Processing
- Critical Thinking
- Claims
- Team Leadership
- File and Record Management
- Denied claims identification
- Claims Investigation
- MS Office
- Coverage Determination
- Sourcing and Compiling Information
- Relationship Building
- Insurance policy coverage knowledge
- Fraudulent Claims Investigation
- Team Collaboration
- Records Review
- Risk Management
- Report and Records Review
- Investigation Management
- Claims adjustment
- Coaching and Mentoring
- Database Management
- Problem-solving abilities
- Customer Relations
- Problem Resolution
- Money handling abilities
- Conflict Resolution
- Complaint Handling
- Complaint resolution
- Client Relations
- Customer satisfaction measurement
- Professional telephone demeanor
- Call Center Operations
- Follow-up skills
- Paperwork Processing
- Team Development
- Administrative Support
- Maintaining confidentiality
- Verbal and written communication
- Database entry
- Billing and Invoicing
- Documentation and Recordkeeping
- Spreadsheets Management
- Document Management
Timeline
Life Claims Examiner
Globe Life Insurance
03.2022 - Current
Public Relations Assistant
Globe Life Insurance
08.2015 - 03.2022
Outlet Manager
Patrick's Dry Cleaning
08.2014 - 04.2015
Crew Member
Rudy's BBQ
03.2012 - 07.2014
Business Management -
Eastern Gateway Community College
High School Diploma -
China Spring High School
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