Erica Warren
Summary
Results-driven administrative and customer service professional with 5+ years of experience in insurance, healthcare, and account management. Proven track record of processing high-volume claims, coordinating national service accounts, maintaining regulatory compliance, and delivering exceptional customer support. Recognized for accuracy, problem-solving, and relationship management.
Overview
1
1
Certification
6
6
years of professional experience
Work History
Health Plan Specialist
Medica
Saint Louis, MO
04.2024 - Current
- Coordinated effective communication between members and healthcare providers to facilitate better understanding of care options.
- Analyzed claims data to identify trends and improve service delivery.
- Reviewed and resolved member inquiries and issues to enhance member satisfaction and trust.
- Maintained up-to-date knowledge of healthcare regulations and compliance standards to ensure adherence and mitigate risks.
- Evaluated insurance claims to ensure compliance with company policies.
- Resolved customer inquiries related to claim status and coverage details.
- Managed high call volumes while maintaining service quality standards.
National Accounts Administrator
Terminix
07.2023 - 04.2024
- Process and coordinate 70+ national account service requests daily by researching account information and facilitating service dispatch.
- Verify customer account details, service agreements, and billing rates to support accurate service delivery and documentation
- Communicate detailed customer information and service needs to internal teams to facilitate timely dispatch and issue resolution.
- Maintain accurate case records and account documentation while adhering to company procedures and service standards.
Insurance Sales & Client Advisor
Ehealth insurance
06.2022 - 07.2023
- Presented and clearly explained insurance policy options based on clients' needs and goals.
- Provided product information and answered questions about Medicare services.
- Followed up with 50+ clients weekly to support customer engagement and enrollment goals.
- Developed and implemented sales strategies to increase Medicare enrollment.
Claims Representative
Farmers insurance
12.2020 - 06.2022
- Processed 200+ claims monthly with 98% accuracy and zero compliance issues.
- Provided quality customer service to assigned, insured and claimants throughout claims process to deliver timely service to customers.
- Verified claim data correctness in preparation for processing.
- Assisted customers via telephone inquiries related to their specific claim status or general questions about the company's services.
- Adhered to all applicable laws, regulations, and company standards while processing claims.
Education
High School Diploma -
Skills
- Account management
- Customer service
- Microsoft excel
- Attention to detail
- Insurance operations
- Time management
- Data entry and documentation
- Problem solving
Certification
- Google IT Support Cert
- Google Data Analytics Cert
Timeline
Health Plan Specialist
Medica
04.2024 - Current
National Accounts Administrator
Terminix
07.2023 - 04.2024
Insurance Sales & Client Advisor
Ehealth insurance
06.2022 - 07.2023
Claims Representative
Farmers insurance
12.2020 - 06.2022