Courtney May
Pensacola
Summary
Adept at claims processing and customer service, I enhanced client retention rates at United Healthcare by skillfully managing complex cases and fostering strong relationships. My expertise in claims software and exceptional verbal communication have consistently improved operational efficiency and customer satisfaction, showcasing my ability to solve problems and prioritize effectively.
Experienced with managing claim evaluations and resolutions. Utilizes keen analytical skills to ensure precision and compliance in processing claims. Knowledge of industry regulations, contributing to seamless and efficient operations.
Professional claims processing specialist with strong analytical skills and thorough knowledge of insurance policies and procedures. Proven ability to collaborate effectively within teams, meeting deadlines, and adapting to changing priorities. Skilled in data entry, document review, and customer service. Known for reliability and achieving results in fast-paced environments.
Overview
6
6
years of professional experience
Work History
Claims Processing Specialist
United Healthcare, UHG
02.2024 - 02.2025
- Collaborated with team members to ensure consistency in claims processing, resulting in reduced discrepancies.
- Handled complex cases with a keen attention to detail, ensuring proper evaluation and adjudication of each claim.
- Established strong working relationships with healthcare providers, fostering better collaboration during the claims process.
- Developed strong rapport among clients by addressing their concerns promptly, which ultimately resulted in higher client retention rates.
QA Analyst
Sagility Health
01.2023 - 02.2024
- Utilized test management tools for maintaining test cases and defect logs.
- Documented testing procedures for creating a knowledge base for future reference.
- Implemented feedback from team members to enhance testing strategies.
- Reviewed existing test processes to identify areas for improvement.
Customer Service Representative
The Hartford
10.2021 - 12.2022
- 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.
Customer Service Representative
SYKES
10.2020 - 09.2021
- 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.
- Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
Customer Service Representative
Lincare
09.2018 - 08.2020
- 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.
Education
Bachelor of Science - Sociology
Southern New Hampshire University
Hooksett, NH06-2026
High School Diploma -
Pennfoster High School
Scranton, PA01-2016
Skills
- Claims processing software
- Verbal communication
- Medical terminology
- Data entry proficiency
- Research
- Claims review
- Claims
- Problem-solving
- Customer service
- Time management
- Attention to detail
- Organizing and prioritizing work
- Excellent communication
- Active listening
Timeline
Claims Processing Specialist
United Healthcare, UHG
02.2024 - 02.2025
QA Analyst
Sagility Health
01.2023 - 02.2024
Customer Service Representative
The Hartford
10.2021 - 12.2022
Customer Service Representative
SYKES
10.2020 - 09.2021
Customer Service Representative
Lincare
09.2018 - 08.2020
Bachelor of Science - Sociology
Southern New Hampshire University
High School Diploma -
Pennfoster High School
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