DAVINA KRIZ
Gainesville,FL
Summary
Energetic and personable with exceptional communication and leadership skills. Knowledgeable in customer service, time management and organizational skills. Committed to being a team player and ensuring to be a positive asset to the team.
Overview
14
14
years of professional experience
Work History
Guest Services
Comfort Inn
Gainesville, FL
02.2025 - Current
- Provided warm welcome to arriving guests.
- Facilitated guest check-in by ensuring identity verification.
- Facilitate small-scale maintenance activities.
- Handled reservation management.
- Manage guest concerns efficiently.
- Executed payment processing with accuracy.
Disability Examiner
Sedgwick CMS
Columbus, OH
10.2021 - 01.2025
- Obtain medical records and statements from treating physicians
- Evaluate claim submissions to determine payment eligibility.
- Maintain expertise in ICD-10, HCPCS, CPT, and revenue codes.
- Maintain efficient communication by completing return calls, messages, and emails within one business day.
Ambassador
Activus Connect
10.2020 - 10.2021
- Provided empathetic and prompt customer assistance.
- Executed prompt and streamlined processing of consumer applications.
- Guided consumers via email on their Emergency Broadband Benefit application.
Support Advisor
Florida Blue Health Insurance
Jacksonville, FL
09.2019 - 10.2020
- Ensured efficient customer service by offering empathetic and thorough benefits information.
- Ensured strict compliance with HIPAA guidelines by following all provided articles.
- Streamlined billing and payment assistance for members.
- Assessed and validated information on policies and rewards programs for members.
- Delivered solutions for technical challenges faced by members on their website.
Senior Chat Advisor
Kelly Services
Troy, MI
08.2017 - 09.2019
- Provided prompt customer assistance while maintaining average handle time.
- Performed troubleshooting by running diagnostic reports on hardware components.
- Coordinated repair appointments for device issues beyond support scope.
- Collaborated with advisors to support customer interactions.
Claim Specialist I
Nationwide Insurance
Gainesville, FL
03.2011 - 08.2017
- Evaluated liability and bodily injury for Metro Atlanta claims with precision and fairness, ensuring exceptional customer service.
- Reviewed healthcare charges and facilitated bill negotiations when appropriate.
- Oversaw management of reserves and legal documentation.
- Assessed claims to identify potential SIU cases.
- Conducted MD training sessions for new employees.
- Achieved a year-to-date CSI score of 9.
- Received flawless rating in yearly performance evaluation.
Education
Diploma - undefined
Cypress Creek H.S.
Orlando, FL05.2001
Skills
- Guest services
- VIP guest services
- Luxury guest services expertise
- Guest services oversight
- Critical thinking
- Claims investigation
- Active listening
- Highly motivated
- Settlement negotiation
- Caseload management
Timeline
Guest Services
Comfort Inn
02.2025 - Current
Disability Examiner
Sedgwick CMS
10.2021 - 01.2025
Ambassador
Activus Connect
10.2020 - 10.2021
Support Advisor
Florida Blue Health Insurance
09.2019 - 10.2020
Senior Chat Advisor
Kelly Services
08.2017 - 09.2019
Claim Specialist I
Nationwide Insurance
03.2011 - 08.2017
Diploma - undefined
Cypress Creek H.S.