Customer Service Specialist with a strong record in resolving complex issues and consistently achieving high satisfaction scores. Expertise in claims processing, documentation, and maintaining confidentiality, ensuring operational excellence and reliability.
Overview
1
1
Certification
17
17
years of professional experience
Work History
Customer Service Representative
CVS Health
Plantation, FL
12.2025 - Current
Achieved productivity, quality, and accuracy standards while managing daily claims workloads and priorities to maintain operational efficiency.
Verified claims information, supporting documentation, and healthcare records with high accuracy and attention to detail to ensure compliance and integrity of data.
Examine claims forms and related documentation to ensure information is complete, accurate, and compliant with established procedures and guidelines.
Protect the confidentiality and security of sensitive healthcare, member, and claims information in accordance with privacy and security requirements.
Utilized multiple claims-processing systems and Microsoft Office applications to maintain accurate records and support streamlined operational workflows.onal communication to improve customer satisfaction and retention
Professional Driver
Mansfield ISD
Mansfield, TX
04.2022 - 08.2025
Provided courteous, dependable service, ensuring adherence to schedules, policies, and safety procedures for enhanced customer satisfaction.
Communicated clearly and professionally with customers and team members regarding delays, incidents, schedule changes, and service updates.
Maintained thorough logs, records, and documentation to support operational compliance and accountability.
Demonstrated strong reliability, accountability, professionalism, and attention to detail in daily operations.
Senior Fraud Analyst II
Advanced Call Center Technologies
Johnson City, TN
09.2020 - 02.2022
Investigated disputed transactions and fraud-related concerns, providing timely and accurate resolutions to customer account issues.
Analyzed account and transaction data to identify discrepancies, potential issues, and factors impacting customer accounts.
Explained investigation findings and resolution decisions to customers, ensuring clarity on next steps.
Documented investigation findings and resolution decisions to ensure compliance and support future inquiries.
Identified service challenges with team members, enhancing processes and addressing recurring customer issues.
Professional Driver
Durham School Services
Crowley, TX
10.2009 - 03.2019
Safely and efficiently operated school buses in varying weather and traffic conditions while adhering to established safety procedures and regulations.
Balanced multiple responsibilities while prioritizing safe driving, student safety, and timely service delivery.
Conducted attendance checks and verified riders against authorized passenger lists to ensure accountability and safety of all students at each destination.
Maintained accurate daily vehicle inspection records and reported mechanical or safety concerns to supervisors to uphold safety standards.
Medical Assistant
Lone Star Breast Care
Fort Worth, TX
11.2015 - 03.2016
Fostered a welcoming, patient-focused environment by proactively addressing patient needs and promoting a positive healthcare experience.
Assisted patients with questions, provided clear information, and prepared patients for examinations while delivering courteous, compassionate service.
Coordinated patient records, insurance documentation, and appointment scheduling to enhance daily office operations.
Ensured accurate and confidential management of patient and insurance information, adhering to privacy regulations and office procedures.
Education
Associate of Arts -
Tarrant County College
Fort Worth, TX
Bachelor of Applied Arts & Science - Business / Science coursework
Tarleton State University
Stephenville, TX
Skills
Claims management
Claims documentation
Customer relations
Dispute resolution
MS Office
Multitasking
Attention to detail
Confidentiality management
Problem resolution
Calm Under Pressure
Active listening
Claims processing
Certification
Texas All-Lines Claims Adjuster License
State Farm Certifications (Fire, Auto, Telephony)
Claims Adjuster Academy
Timeline
Customer Service Representative
CVS Health
12.2025 - Current
Professional Driver
Mansfield ISD
04.2022 - 08.2025
Senior Fraud Analyst II
Advanced Call Center Technologies
09.2020 - 02.2022
Medical Assistant
Lone Star Breast Care
11.2015 - 03.2016
Professional Driver
Durham School Services
10.2009 - 03.2019
Associate of Arts -
Tarrant County College
Bachelor of Applied Arts & Science - Business / Science coursework