Customer Service Representative bringing top-notch skills in oral and written communication, active listening and analytical problem-solving skills. Enhances customer experiences by employing service-oriented behaviors, understanding customer desires and providing customized solutions to build loyalty.
Overview
9
9
years of professional experience
Work History
Disability Claims Analyst
Principal Financial Services
06.2022 - Current
Provide customers with updates regarding medical conditions, restrictions & limitations, job duties, group short term disability policy provisions, claim decisions, and all other aspects of the claim process to ensure accuracy.
Monitor and follow up on outstanding items to ensure compliance with regulations, service timing and quality guidelines.
Identified and forwarded claims to specialized internal and external resources in areas such as medical review, investigations, tender of claim, claim subrogation or physical damage experts.
Directed claims negotiations within allowable limit of $1500 and supported successful litigations for advanced issues.
Sr. Data Entry Specialist
Sonora Quest Laboratories
07.2021 - 06.2022
Gather and transform data from multiple sources, analyze data trends, identify root causes, and provide information to the team to produce consistent results
Completes assigned compliance and operational risk tasks in accordance with established timelines and high standards of quality.
Demonstrated creativity and resourcefulness through the development of innovative solutions.
Customer Care Specialist
ARAG
11.2018 - 06.2021
Promptly respond to customer queries via phone, email, live chat, and social media channels
Maintain a detailed and organized storage system to ensure complete and accurate data entries
Served as primary contact for providers serving as a liaison between attorneys, customers, and management
Executive Resolution Specialist
Wells fargo
10.2013 - 11.2018
Analyze data and compliance to calculate risks and outcomes with applicable policies/procedures and laws/ regulations
Audit data and establish quality control measures for appropriateness of resolution
Examine and determine possible operational and compliance risks as well as company opportunities.
Education
Associate of Applied Science -
DMACC
Des Moines
05.2015
Skills
Claim Management
Effective communication skills
Proficient in Microsoft Office
Strong computer skills and knowledge of QA databases and applications
Human Resources Shared Services Representative II at Principal Financial ServicesHuman Resources Shared Services Representative II at Principal Financial Services