Emanuel Simien
Dallas,TX
Summary
Capable Claims Representative adept at claims investigations, information review and settlement management. Positive and reliable professional with a detail-oriented and systematic approach. Bringing more than 5 years of related experience.
Overview
7
7
years of professional experience
1
1
Certification
Work History
UPS Arlington 1st Shift
Adecco
Grand Prairie, Tx
11.2023 - Current
- Assisted with both sorting and grouping packages for dispatch to intended destination
- Loaded packages into appropriate delivery vehicles.
Compliance/Consumer Advocate Specialist
The CMI Group
Plano, Tx
09.2021 - 02.2023
- Implemented new FDCPA regulations to enhance security by 100% and prevent encryption of consumer data
- Identified corrective action and formulated solutions that minimized the impact of identified compliance issues.
- Answered customer inquiries and provided accurate information regarding products and services.
- Analyzed claim documents for completeness and compliance with applicable standards.
- Documented changes in claim statuses using specialized software systems.
Claims Resolution Analyst
Support Services Group
Waco, Tx
04.2021 - 09.2021
- Supported first responders by submitting confidential consumer data for healthcare programs
- Contributed with creating spreadsheets which improved overall file organization by 30%
- Helped support customers by providing affordable health coverage plans and spending limits.
- Reviewed, evaluated and processed incoming claims to determine eligibility for coverage based on policy provisions.
CC Training Specialist
Telvista
Dallas, Tx
05.2019 - 01.2020
- Educated, coached, and mentored new hires in multiple positions
- Developed training materials, manuals, procedures, and visual aids to effectively achieve organizational goals
- Identified and communicated to management regarding areas needing additional training
- Tracked attendees and participation with understanding of course material.
Customer Service Supervisor
Telvista
Dallas, Tx
08.2018 - 01.2019
- Assisted staff with resolving complex customer issues and implementing targeted solutions
- Investigated sensitive customer service complaints and delivered prompt resolution to customer satisfaction
- Assessed team member performance by delivering one-on-one coaching to promote better service.
- Provided guidance and support to junior customer service representatives, including coaching and mentoring.
Customer Service Representative
Telvista
Dallas, Tx
11.2017 - 01.2019
- De-escalated problematic customer concerns, maintaining calm, friendly demeanor
- Escalated customer concerns, store issues and inventory requirements to supervisors
- Tracked shipping, including weekly and monthly fallout.
Education
High School Diploma -
Franklin D. Roosevelt High School
01.2015
Business Administration/Management -
Dallas College
Skills
- Expert with CRM software: Quickbase & NetSuite
- Coaching and Mentoring
- Employee Training
- Proficient with Microsoft Office Suite (Access, Excel, Word, Outlook)
- Keystrokes per hour (KPH): 15,000
- Advanced Knowledge of Quickbooks
- Documentation research
- Settlement agreements
- Claims Investigation
Profile - Name
Emanuel Simien
Certification
- Certified Call Center Trainer, Telvista - 2019
Timeline
UPS Arlington 1st Shift
Adecco
11.2023 - Current
Compliance/Consumer Advocate Specialist
The CMI Group
09.2021 - 02.2023
Claims Resolution Analyst
Support Services Group
04.2021 - 09.2021
CC Training Specialist
Telvista
05.2019 - 01.2020
Customer Service Supervisor
Telvista
08.2018 - 01.2019
Customer Service Representative
Telvista
11.2017 - 01.2019
High School Diploma -
Franklin D. Roosevelt High School
Business Administration/Management -
Dallas College