Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
15
15
years of professional experience
Work History
Claims Processing Specialist
American Fidelity
02.2019 - Current
Utilized specialized software to process incoming claims, enter data and generate reports.
Managed workload and priorities to meet claims processing meet deadlines.
Complied with regulations and guidelines related to claims processing to maintain quality and adherence to standards.
Reviewed applications and supporting documents to verify claims eligibility and accuracy.
Followed up with customers on unresolved issues.
Responded to customer inquiries, providing detailed explanations of insurance policies and claims processes.
Benefit Adjuster III
American Fidelity
08.2016 - 02.2019
Delivered exceptional customer service to policyholders by communicating important information.
Audits claims that require complex judgement and investigation.
Provides appropriate verbal and written communication to internal and external customers in a positive and knowledgeable manner to ensure a high standard of customer service.
Provides strong research and analytical skills.
Documenting claim findings and conclusions
Customer Advocate
American Fidelity
04.2014 - 08.2016
Developed and maintained strong customer relationships by promptly addressing and resolving customer concerns.
Handled difficult customer situations with grace and professionalism, consistently meeting first-call resolution metrics.
Listened to customers in actively to assess issues and provide accurate information.
Developed and implemented strategies to improve customer service experience, resulting in increased satisfaction.
Collaborated with cross-functional teams to provide timely and accurate responses to customer inquiries.
Contacted outside providers on behalf of customers to help solve problems.
Senior Consultant
AT&T Bell Laboratories
10.2008 - 02.2013
Prioritized projects and project tasks depending upon key milestones and deadline dates.
Developed custom solutions based upon clients' strict requirements.
Determined areas for improvement and implemented processes to alleviate problems.
Streamlined processes to cut downtime and optimize employee productivity.
Assessed needs for projects and made proposals to senior executives.
Analyzed problematic areas to provide recommendations and solutions.
Education
Bachelor of Science - Bachelor Of Management And Organizational Studies
Mid-America Christian University
Oklahoma City, OK
05.2016
Skills
Strong communication skills
Exceptional written and verbal skills
Time Management
Strong work ethic
Team player
Ability to prioritize
Timeline
Claims Processing Specialist
American Fidelity
02.2019 - Current
Benefit Adjuster III
American Fidelity
08.2016 - 02.2019
Customer Advocate
American Fidelity
04.2014 - 08.2016
Senior Consultant
AT&T Bell Laboratories
10.2008 - 02.2013
Bachelor of Science - Bachelor Of Management And Organizational Studies