DeJa-Aarin DeBose
Riverview,Florida
Summary
Analytical, organized, and detailed oriented with a strong processing background. Collaborative team player with a track record of delivering high quality resolutions.
Overview
7
7
years of professional experience
Work History
Lead Escalation Specialist
Bloomingdale's
Tampa, FL
07.2025 - Current
- Investigated assigned customers issues by reviewing order history, shipping records, and payment information to determine the appropriate resolution.
- Managed customer claims related to orders, damaged merchandise, missing packages, and billing discrepancies
- Processed refunds, replacements, as well as account adjustments in accordance with company policies.
- Documented claim details and resolutions in internal systems for accuracy and compliance.
- Maintained a high level of customer satisfaction by resolving complaints professionally and efficiently.
Resolution Specialist
Yelp - San Francisco
Tampa, FL
01.2024 - 05.2025
- Reviewed assigned territory account activity, documentation, and internal policies to determine appropriate claim outcomes.
- Managing 50+ cases daily involving review disputes, account issues, and customer complaints.
- De-escalated complex customer issues and complaint's while maintaining a professional and solutions-focused approach.
- Resolved claims efficiently while maintaining high customer satisfaction and quality scores.
Grievance Appeals Specialist
Wellcare
Tampa, FL
05.2019 - 12.2023
- Communicated with members, providers, and internal departments to gather information and resolve complaints in timely matter.
- Reviewed insurance policies, claim documentation, and account history to determine appropriate resolutions.
- Investigated and resolved member grievances related to claims processing, coverage determinations, and billing disputes.
- Maintained professionalism and empathy when assisting members with sensitive healthcare or billing concerns.
Education
High School Diploma - undefined
King High School
Six Sigma Green Belt Certification - undefined
Villanova University
Skills
- Claims investigation
- Customer relations
- Documentation skills
- Policy coverage expert
- Insurance terminology
- Adjustments processing
- Claims analysis
- Teamwork
- Problem-solving
- Customer service
- Reliability
- Critical thinking
Language
English
Timeline
Lead Escalation Specialist
Bloomingdale's
07.2025 - Current
Resolution Specialist
Yelp - San Francisco
01.2024 - 05.2025
Grievance Appeals Specialist
Wellcare
05.2019 - 12.2023
High School Diploma - undefined
King High School
Six Sigma Green Belt Certification - undefined
Villanova University