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 Specialist I and II
Aflac
Columbus, GA
02.2017 - Current
Resolved claims by approving or denying documentation and calculating benefits due.
Maintained knowledge of policies and procedures and coverage benefit levels and verification processes.
Provided customer service by responding promptly to inquiries from claimants regarding their claims.
Researched medical records to evaluate claim validity and verify the existence of pre-existing conditions.
Participated in continuing education seminars related to company standards for insurance claims processing.
Customer Service Rep II
WellPoint, Anthem Blue Cross
Columbus, GA
10.2013 - 02.2017
Answered customer inquiries and provided accurate information regarding benefits and services.
Answered inbound calls, chats and emails to facilitate customer service.
Maintained detailed records of customer interactions, transactions and comments for future reference.
Made outbound calls to obtain account information.
Mentored new employees on procedures and policies to maximize team performance.
Liaised between customers and providers to meet customer demands.