Evonne Tucker
Iron Station,NC
Summary
Highly motivated strategic thinker with a current NC P&C License, customer-focused and goal-oriented professional seeking to apply over ten years of stellar service and claims expertise. Strong track record in delivering exceptional results, possessing deep understanding of the insurance industry and its regulations. Passion for providing top-notch service and ability to effectively analyze complex situations consistently exceed expectations. Eager to leverage skills and knowledge to contribute to a dynamic organization that values excellence and drives innovation.
Overview
13
13
years of professional experience
Work History
P&C Licensed Customer Care Representative
Pest Best
09.2021 - Current
- Helped large volume of customers every day with positive attitude and focus on customer satisfation.
- Responded to customer needs through competent customer service and prompt problem-solving.
- Assisted call-in customers with questions and orders.
- Help policyholders understand their policy coverage, claims processing and reimbursement process.
- Maintains understanding of federal and state regulations to include compliance.
Licensed Insurance Agent
USAA/TTEC
06.2020 - Current
- Provide prompt, accurate, and friendly service through inbound calls that includes responding to inquiries regarding insurance availability, eligibility, coverages, policy changes, transfers, and billing clarification
- Maintains a strong work ethic with a total commitment through value based conversations
- Identify customer needs and market appropriate products and services for active and potential auto insurance members
- Use a member-focused, needs-based review process to educate members about insurance options in all 50 states.
Inside Property Adjuster Trainee
Allstate Insurance Company
12.2019 - 02.2020
- Makes and maintains a connection with the customers by understanding and meeting their needs; serves the customer with empathy and follows up to ensure their needs are met
- Investigates, reviews, determine, and verifies basic policy information while providing coverage information to the customer
- Handles first notice of loss for property damage while conducting Fast Track estimating
- Documents basic contents inventory; pricing analysis; and preparing basic damage estimates all while adhering to the compliance standards.
Claims Service Specialist
Allstate Insurance Company
04.2017 - 12.2019
- Evaluate photo packages for completeness and quality before approving them to be sent to auto adjusters for estimates
- Make outbound calls to claimants and insureds to notify of any missing information which could delay their estimates
- Communicates with multiple parties with purpose of investigating Quick Foto Claims including agents, MCO partners vendors and customers
- Respond to inquiry calls, resolving estimate and process questions; correctly handing off calls that are outside my role
- Navigate vendor website to advise caller of status of photo assignments
- Assist claimants and insureds with choosing alternative method of inspection when it is determined that QuickFoto claims is not appropriate for the type or severity of loss
- Provides world class customer service by maintaining a connection with the customer by understanding and meeting their needs.
Insurance Billing Specialist
Mecklenberg Radiology Assoc.
01.2016 - 12.2016
- Followed up on Medicare HMO programs regarding unpaid accounts
- Reviewed Medicare HMO denials and working to completion
- Resolved disputed claims by gathering, verifying, and providing additional information using REALMED
- Analyzed account information to determine an appeal or write off adjustments
- Following up with the customer to ensure their needs are met all while using empathy and compassion.
Patient Case Coordinator TEMP
Amerisource Bergen
12.2014 - 08.2015
- Interacted with patients and their healthcare providers via telephone, mail and fax to complete enrollment activities to special assistance funding program while being persistent and working through and solving coverage issues
- Processed all pharmacy claims using ICD-9/CPT codes and UB-92 and HCFA 1500 forms.
Enrollment/Billing Representative TL
Highmark BCBS
08.2012 - 10.2014
- Performed membership and billing activities for clients which included membership enrollment, verification of enrollment status and demographic changes as required
- Researching, analyzing and interpreting policies and procedures for each individual corporation
- Addressed and resolved enrollment billing issues all while exceeding production and quality standards.
Health Unit Coordinator
UPMC Mercy Hospital
01.2012 - 08.2012
- Assisted with all communication regarding the emergency room department/clinical decision units
- Accurately updated and maintained patient flow process while greeting all patients, family members, visitors and staff
- Coordinated patient testing, procedures, and follow up care upon discharge from the department.
Education
Business Bachelor Degree Candidate -
University of Phoenix
08.2024
Medical Assistant Certificate -
DCI Career Institute
Monaca, PA02.2011
General Studies -
Aliquippa High School
Aliquippa, PA06.1993
Skills
- Customer Service
- Inbound Customer Service
- Data Entry
- Call center experience
- Complaint Handling
- Problem Resolution
- Payment Processing
- Customer Relations
Timeline
P&C Licensed Customer Care Representative
Pest Best
09.2021 - Current
Licensed Insurance Agent
USAA/TTEC
06.2020 - Current
Inside Property Adjuster Trainee
Allstate Insurance Company
12.2019 - 02.2020
Claims Service Specialist
Allstate Insurance Company
04.2017 - 12.2019
Insurance Billing Specialist
Mecklenberg Radiology Assoc.
01.2016 - 12.2016
Patient Case Coordinator TEMP
Amerisource Bergen
12.2014 - 08.2015
Enrollment/Billing Representative TL
Highmark BCBS
08.2012 - 10.2014
Health Unit Coordinator
UPMC Mercy Hospital
01.2012 - 08.2012
Business Bachelor Degree Candidate -
University of Phoenix
Medical Assistant Certificate -
DCI Career Institute
General Studies -
Aliquippa High School
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