Danielle Griggs
Palos Hills,IL
Summary
Hardworking employee with customer service, multitasking and time management abilities. Devoted to giving every customer a positive and memorable experience. Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
10
10
years of professional experience
Work History
Claims Customer Service Representative
The Hartford
01.2022 - Current
- I currently take personal/ commercial property and personal/ commercial auto FNOLs/ inquires. I also take commercial and personal liability. Lastly, I take Workers Comp FNOL/ inquiries.
- Proficient in reading over the insured's coverage and deductible.
- Proficient in Mitchell estimating system.
- Proficient in reading EOB's and denial/approval codes.
- Schedule repairs for auto or setting up a remediation service for property claims make reservations for rental vehicles.
- I perform my day-to-day task, which includes maintaining an average handle time, customer commitment time, schedule adherence, and navigating our computer system and multiple monitors, all while implementing day-to-day changes
- I usually encounter insureds, insured reps, claimants, attorneys, medical offices, officers, and the claimant’s insurance carriers
- Copart’s on total losses and schedule tows
- I have also taken both property and auto claims related to natural disasters ( CAT).
- Fostered strong relationships with current and prospective clients to maintain client retention.
- Asked probing questions and offered solutions to resolve customer issues.
- Responded to queries, solved or referred problems and followed up with clients to increase satisfaction.
- Organized information by using spreadsheets, databases or word processing applications.
- Corresponded with insured or agent to obtain information or inform of account status or changes.
- Assisted new policyholders with processing claims.
- Provided quality customer service to assigned, insured and claimants throughout claims process to deliver timely service to customers.
- Verified details with policyholders and requested additional information.
- Maintained knowledge of policies and procedures and insurance coverage benefit levels, eligibility systems and verification processes.
- Reviewed data to verify validity of claims and determine case management actions.
- Gathered information from various third parties to determine claim acceptability.
- Tracked and reported on patterns of claims and repeat offenders to help eliminate system abuse.
- Mentored new employees on procedures and policies to maximize team performance.
- Consulted with customers to resolve service and billing issues.
- Asked probing questions to determine service needs and accurately input information into electronic systems.
Secretary
PRN Quality Care
01.2017 - Current
- Era Dr Northbrook Data Entry / Processing and Phlebotomy Duties include working hand and hand with licensed Medical Professionals
- Specimen Processing, Swabbing, and Phlebotomy in a high-level clinical lab
- Computer data entry, billing, coding, reception duties, I also provided excellent customer service, troubleshooting, filing, faxing, and other clerical duties.
- Cross-trained in registration health screenings, processing of specimens, transporting specimens to the Lab, and aided in different clinical studies.
- Maintained organized filing system of paper and electronic documents.
- Coordinated communications, taking calls, responding to emails and interfacing with clients.
- Ordered office supplies to purchase items and maintain appropriate levels.
- Managed staff calendars and coordinated travel, meeting and hotel accommodations.
- Sent and distributed mail and parcels.
- Scheduled meetings and sent invitations specifying time and location.
- Aided in research projects by collecting and entering data, assisting with analyzing data and preparing reports and manuscripts.
- Assisted with answering phones, filing paperwork, entering data and scheduling events to support operations department.
- Created and updated spreadsheets to track and report data.
- Managed multiple calendars and contacts using computer software.
- Answered telephone calls to give information to callers, take messages or transfer calls to appropriate individuals.
- Anticipated leadership needs by preparing or gathering records, reports and correspondence.
- Assisted with accounts receivable and accounts payable functions.
- Processed both outgoing and incoming payments and invoices. (tax return,statements, balance sheets etc.)
- Collaborated with senior staff to produce accurate, current and timely financial reports and supporting documentation.
- Constructed itemized bill listing for internal accounting and office-wide distribution.
- Entered and verified timekeeping data with consistent reviewed, corrections and deletions.
- Established employee payroll files and updated existing files with new information.
- Protected payroll operations and maintained employee confidence by keeping information private.
Customer Service HouseCalls
UnitedHealthcare
05.2019 - 01.2022
- Set insured members up with an in-home assessment visit with a HealthCare practitioner
- This position allowed me to handle live calls inbound and outbound (I handle approximately 80-110 daily), while also reading through member's information to know how to properly brand and handle the call
- Handled emails, calls, assessment complaints, transfers, and other escalations in a fast paced environment
- The company incorporates new methods, ideas, and programs very often
- I was chosen to pilot the new operating system our company wanted to start using in place of the old system.
- Resolved customer complaints or answered customers' questions.
- Participated in tasks to facilitate productivity or help overcome difficulties.
- Collaborated and established strong working relationships with physicians, supervisors and colleagues.
- Located scheduling barriers and implemented appropriate solutions.
- Communicated with patients with compassion while keeping medical information private.
- Managed front office customer service, appointment management, billing and administration tasks to streamline workflow.
- Adhered to HIPAA requirements to safeguard patient confidentiality.
- Interviewed patients to complete case histories and intake forms.
Logistics to Sells
Nordstrom and Nordstrom Rack
San Diego, CA
03.2017 - 08.2019
- Prepare orders for guests
- Assigned to certain floors or departments, I would collect clothing, cooking items, shoes, or any other item that was ordered online, and put the order together for shipment or customer pickup
- I also worked in the Service/ Accessories department, where I handled transactions, returns on the phone, and opening credit cards for guests
- This position required me to close sales.
- Relayed information between drivers and recipients regarding ETA and potential delays.
- Managed paperwork and necessary information required for client shipments.
- Analyzed client orders and deadlines with available driving personnel to plan and execute assignments.
- Maintained and updated systems to drive communication with internal and external customers.
- Prioritized work based on business demands and freight delivery times.
- Evaluated incoming pick-up and delivery requests to determine driver assignments.
- Loaded, unloaded, moved and sorted materials to keep items flowing to correct locations.
- Checked items into computer system, printed labels and directed to storage locations.
- Verified inventory computations by comparing to physical counts of stock and investigating discrepancies.
- Maintained records of damaged goods, backorders and applicable regulatory reporting.
Dispatcher
Father and Sons Trucking INC
Decatur, IL
01.2015 - 08.2018
- Answered customer requests with information about product availability, shipping information and status updates.
- Reviewed routes, daily traffic and weather conditions to adjust plans, meeting daily requirements and service needs.
- Managed daily delivery and work schedules to maximize coverage.
- Liaised with customers to provide logistics for drivers and coordinate delivery times.
- Scheduled loads according to priority and available equipment.
- Leveraged GPS devices and computer programs to plan routes, update customers or advise drivers about upcoming issues.
- Monitored changes in delivery schedule and communicated changes to customers.
- Reported delays, accidents or other traffic and transportation situations.
- Investigated and resolved customer and vendor issues to retain business.
- Alerted personnel of road and weather hazards to minimize accidents and delays.
Cashier/Inventory Specialist
Menards, Crestwood
Bridgeview
01.2016 - 07.2018
- Customer service front end- managed departments inventory Handled transactions with cash, checks, credit, and automatic debit card transactions with 100% accuracy
- Propane and service desk trained, knowledgeable on rental center
- Moved to hardware, where I focused on serving the guest, product knowledge, and doing assigned projects while keeping the floor clean
- I have experience in POG (planograms), I helped set Halloween/ Christmas aisles and merchandising, as well as set clearance and new merchandise POG
- I’ve opened and closed the department; this involves being a key carrier and finishing the morning/ evening paperwork.
- Performed scheduled inventory counts and supply audits.
- Oversaw efficient receiving and inventory management to keep stock within optimal levels.
- Conducted quantity takeoffs and ordered materials.
- Used critical thinking and data analysis to continually improve inventory strategies.
- Compared inventory use against materials planning to verify consistent product availability and adequate production support.
- Researched inventory-related discrepancies and made appropriate adjustments in inventory system.
- Managed daily cycle counts and full audits every [3 days] to keep inventory records accurate and current.
Education
Bachelor of Science - Computer And Electrical Engineering
National University
true12-2024
Skills
- Typing speed of 50 wpm; very computer efficient,
- I can navigate multiple screen interfaces and windows
- Worked in fast pace environments and a call center setting
- Running projects, mentoring and managing department
- Microsoft Access, Excel, Word, Power Point, and Outlook
- Regulatory Compliance Adherence
- Appointment Scheduling
- Critical Thinking
- Recordkeeping Organization
- Policy and Procedure Explanations
- Insurance Claim Forms Review
- Problem-Solving
- Time Tracking and Review
- Employee File Maintenance
Accomplishments
- Consistently maintained high customer satisfaction ratings.
- Led team to achieve An A on our inventory audit, earning recognition from upper management and financial reward.
- Promoted from CSR I to CSR II, in less than 12-months.
- Recognized as Employee of the Month for outstanding performance and team contributions.
References
Reference Name: Brandon Griggs Reference Company: Father and Son Trucking Reference Type: Owner Operator Phone: 217-412-4580
Reference Name: Tina Harper Reference Company: Father and Son Trucking Reference Type: Manager Phone: 813-580-0375
Reference Name: Ebony Blanton Reference Company: Quality Care Mobile Phlebotomy Reference Type: Founder Phone:708-639-5499 Type: Professional
Timeline
Claims Customer Service Representative
The Hartford
01.2022 - Current
Customer Service HouseCalls
UnitedHealthcare
05.2019 - 01.2022
Logistics to Sells
Nordstrom and Nordstrom Rack
03.2017 - 08.2019
Secretary
PRN Quality Care
01.2017 - Current
Cashier/Inventory Specialist
Menards, Crestwood
01.2016 - 07.2018
Dispatcher
Father and Sons Trucking INC
01.2015 - 08.2018
Bachelor of Science - Computer And Electrical Engineering
National University