Enthusiastic and self-motivated accounting graduate with a minor in Business Administration. Seeking to secure a career opportunity to utilize my training and skills to make a significant contribution to the success of the company.
Overview
6
6
years of professional experience
Work History
Fraud Claims Analyst
Wells Fargo
Charlotte, NC
04.2021 - Current
Oversee multiple claim types, and take appropriate action to make the decision about the account by using different systems and applications
Contact third parties for research regarding checks
Perform outbound calls to customers in regard to account closure due to fraudulent activity
Processed a high volume of claims efficiently while maintaining quality standards.
Reviewed and verified claim information to ensure accuracy of data and compliance with established policies.
Collaborated with other departments to resolve billing disputes or address customer concerns quickly.
Developed strategies to reduce the number of denied or delayed claims within assigned portfolio.
Provided clear explanations of benefits, eligibility requirements, and applicable laws when communicating with customers.
Educated customers on their rights under state and federal regulations governing insurance policies.
Assisted in developing new processes and procedures for improved efficiency.
Conducted research into medical terminology related to healthcare claims processing activities.
Maintained detailed records of all communication with customers, claimants, providers, and internal departments.
Filed appeals on behalf of customers when necessary after denial of a claim due to insufficient evidence.
Identified potential fraud indicators during the review process and reported suspicious activity accordingly.
Documented changes in claim statuses using specialized software systems.
Provided quality customer service to assigned, insured and claimants throughout claims process to deliver timely service to customers.
Reviewed documentation and accounts to gain full picture.
Customer Service Representative
Concentrix
Charlotte, NC
01.2020 - 10.2020
Answered inbound calls to help customers in need of roadside assistance, navigation support and emergency calls in a high volume, fast-paced call center environment
Process credit and debit card transaction in the upsell of client products and/or service
Handled difficult callers and able to communicate difficult messages clearly and professionally
Gathered customer feedback through surveys and used the data to improve customer service.
Resolved complex problems by working with other departments to provide solutions that meet customer needs.
Conducted regular follow-up calls with customers after resolving their issues.
Answered customer inquiries and provided accurate information regarding products and services.
Answered customer inquiries via phone, email, and chat.
Developed strong relationships with customers by providing personalized assistance and support.
Developed positive relationships with customers through friendly interactions.
Provided excellent customer service to resolve customer complaints in a timely manner.
Assisted customers with product selection, ordering, billing, returns, exchanges and technical support.
Provided accurate information about products and services to customers.
Identified opportunities for upselling additional products or services based on customer needs.
Implemented innovative methods for streamlining the customer service process.
Identified areas of improvement in customer service processes and suggested changes accordingly.
Tracked orders from start to finish to ensure timely delivery of goods or services.
Resolved customer complaints promptly and efficiently.
Accounting Intern
Winston Police Department
Winston-Salem, NC
05.2019 - 08.2019
Ensure the integrity of the Police Department financial statements
Monitor financial transactions and ensure appropriate application of generally accepted accounting principles
Prepare and review general journal and budget entries
Ensure monthly statements are reconciled
Assisted with month-end closing process, including preparation of accruals, prepaids, and other adjusting entries.
Prepared bank reconciliations and journal entries to record transactions in the general ledger.
Reconciled bank statements to ensure accuracy of financial records.
Reviewed and analyzed financial statements for accuracy and discrepancies.
Assisted in the preparation of budgets and forecasts.
Maintained fixed asset records to prepare monthly depreciation schedules.
Performed account analysis on balance sheet accounts.
Collaborated with other team members on special projects when needed.
Generated reports using Microsoft Excel to track budget expenditures versus actual costs.
Processed invoices in accordance with company policies and procedures.
Processed invoices, payments, credit memos, and other accounting documents.
Assisted in preparing financial statements such as income statement, balance sheet, cash flow statement.
Supported accounting projects by coordinating files and updating tracking spreadsheets.
Assisted with smooth preparation of monthly journal entries and accounts reconciliation.
Supervisor of Factory Operations
Soft Serve Ice Cream
Concord, NC
05.2019 - 05.2019
Training new employees, and motivating employees to use product knowledge to drive sales
Assist in the opening and closing of the store
Balance daily transactions by totaling cash and credit transactions to make bank deposit.
Coordinated with other departments to ensure smooth flow of work in the factory.
Conducted employee training sessions related to safety protocols, equipment operation, and other job-related tasks.
Organized regular meetings with team members to discuss issues and resolve conflicts related to production activities.
Managed inventory levels and organized storage systems for raw materials and finished products.
Tracked order processing times and ensured timely deliveries of finished products.
Education
Bachelor of Science - Accounting, Business Administration
Winston-Salem State University
12.2019
High School Diploma -
Concord High School
06.2015
Skills
Written communication
Verbal communication
Analytical skills
Mathematical reasoning
Collaboration
Financial Operations
Compliance and Confidentiality
Cash Handling
Customer Relationship Management
Independent work
Time management
Prioritization
Computer skills
Microsoft Office
Spreadsheets
Excel
Claims processing
Regulatory compliance
Cost analysis
Involvement And Awards
Winston-Salem State University- Dean’s List
Winston-Salem State Accounting Achievement Certificate
Dan Pike Scholarship
Joe Plummer Scholarship
Timeline
Fraud Claims Analyst
Wells Fargo
04.2021 - Current
Customer Service Representative
Concentrix
01.2020 - 10.2020
Accounting Intern
Winston Police Department
05.2019 - 08.2019
Supervisor of Factory Operations
Soft Serve Ice Cream
05.2019 - 05.2019
Bachelor of Science - Accounting, Business Administration