Customer service and claims specialist with 6+ years of experience supporting high-volume, remote contact centers. Adept in long-term care and insurance claims processing, policy interpretation, and cross-functional collaboration.
Overview
8
8
years of professional experience
Work History
Client Support Associate
AmeriGas
06.2022 - 04.2025
- Resolved 40+ inbound inquiries daily regarding billing and claims, maintaining a 95% first-call resolution rate.
- Interpreted policy provisions to determine payment eligibility, ensuring claims were processed in accordance with SOPs and internal guidelines.
- Delivered clear, policy-based explanations to policyholders and authorized representatives regarding coverage, benefit periods, and required documentation.
- Mentored new associates on SOPs, de-escalation strategies, and multi-monitor navigation, helping reduce onboarding time by 30%.
Chat Support Specialist
Saleytics
08.2019 - 05.2022
- Provided real-time support for eligibility, claims, and benefits inquiries, achieving 97% documentation accuracy.
- Processed inquiries aligned with contract terms and coverage details, escalating complex medical scenarios for adjudication.
- Collaborated with QA and training departments to enhance knowledge base articles and support consistent resolution practices.
- Completed remote training modules and consistently met compliance and quality assurance standards.
Customer Support Representative
Sitel
10.2017 - 07.2019
- Handled account, billing, and technical issues across multiple platforms, contributing to a 25% reduction in repeat calls.
- Delivered empathetic, accurate service in a fast-paced environment while meeting KPIs for handling time and customer satisfaction.
- Trained in policy explanation and conflict de-escalation, strengthening customer trust and improving retention.
Education
Some College (No Degree) - Child and Family Services
Stephen F. Austin State University
Nacogdoches, TX
Skills
Claims Processing
Policy Interpretation
HIPAA Compliance
Microsoft Office
CRM Systems
Customer Service
Conflict Resolution
Cross-Functional Collaboration
Multitasking
Communication
Timeline
Client Support Associate
AmeriGas
06.2022 - 04.2025
Chat Support Specialist
Saleytics
08.2019 - 05.2022
Customer Support Representative
Sitel
10.2017 - 07.2019
Some College (No Degree) - Child and Family Services