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
Waco, TX
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
Waco, TX
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
Waco, TX
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
Waco, TX
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