Claims Specialist
Employment Development Department
2021 - 02.2024
Hi, I’m
Eboney Oliver
Administrative
Sacramento,CA
Summary
Successful at fostering collaboration and communication between employees, managers and union representatives. Builds consensus and smooth relations for efficient negotiations. Persuasive and diplomatic leader with charming and amiable nature.
Work History
Employment Development Department
Claims Specialist
2021 - 02.2024
Job overview
- Reviewed data to verify the validity of claims and determine case management actions.
- collected information from various third parties to determine claim acceptability.
- Interviewed claimants, medical specialists, and employers to determine pertinent claim information.
- Recognized by management for providing exceptional customer service.
- Motivated and encouraged team members to communicate more openly and constructively with each other.
- Gathered information and statistics for economic and labor-related proposals.
Blue Shield
Appeals & Grievances Coordinator
2020 - 2021 (1 education.year_Label)
Job overview
- Negotiated collective bargaining agreements on behalf of companies.
- Interpreted contractual agreements for employers and employees to support collective bargaining and labor relations processes.
- Investigated employee grievances and recommended appropriate actions based on collective bargaining terms.
- Assessed risk levels associated with collective bargaining strategies.
- Gathered information and statistics for economic and labor-related proposals.
Schnitzer Steel
Call Center Specialist
2016 - 2020 (4 education.years_Label)
Job overview
- Completed accurate and efficient data entry and database updates to support business operations.
- Documented customer correspondence in CRM to track requests, problems, and solutions.
- Led team engagement to assist cross-functional departments and achieve goals.
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Answered incoming calls and emails, providing frontline customer support or assistance with product and service transactions.
- Trained newly hired top talent to fill key positions and maximize productivity.
- I fielded client queries related to services and products for 80–125 customers daily.
Education
California State University - ChicoChico, CA
Bachelor of Science from Social Sciences
12-2025
Shasta CollegeRedding, CA
Associate of Science from Social Sciences
11.2023
Valley High SchoolSacramento, CA
High School Diploma
05.2015
Skills
- Claims Processing
- Account Management
- Data Entry
- Training and Development
- Contract Interpretation
- Training Leadership
- Complaint Handling
- Contract Negotiation
- Policy Interpretation
- Business Correspondence Writing
Languages
English
Native/ Bilingual
Timeline
Appeals & Grievances Coordinator
Blue Shield
2020 - 2021 (1 education.year_Label)
Call Center Specialist
Schnitzer Steel
2016 - 2020 (4 education.years_Label)
California State University - Chico
Bachelor of Science from Social Sciences
Shasta College
Associate of Science from Social Sciences
Valley High School
High School Diploma