Florence Harris
Las vegas
Summary
Detail-oriented Healthcare and Claims Professional with expertise in appeals, insurance claims, compliance, and case management. Skilled in reviewing documentation, resolving discrepancies, and maintaining accurate records while effectively communicating with clients and teams. Experienced in supporting high-volume operations with a focus on efficiency and accuracy.
Overview
2
2
Languages
1
1
Certification
13
13
years of professional experience
Work History
APPEALS SPECIALIST
ENGAGE HEALTH
01.2023 - Current
- Reviewed and analyzed appeals for compliance with company policies, ensuring timely resolution.
- Collected and organized supporting documentation from clients, strengthening appeal submissions and enhancing process efficiency.
- Documented appeal outcomes and maintained accurate records within company systems to support compliance and audit requirements.
EXECUTIVE ASSISTANT
KELLY SERVICES
12.2021 - 01.2023
- Supported daily administrative and operational functions to ensure smooth operations in fast-paced remote environment.
- Coordinated activities between teams to ensure smooth operations. Managed executive calendars and scheduled appointments to support leadership priorities and time management.
- Coordinated executive schedules, ensuring optimal time management and prioritization of critical tasks.
- Streamlined office operations by implementing efficient filing systems and document management processes.
- Managed internal and external communications, enhancing information flow across departments and stakeholders.
CALL CENTER REPRESENTATIVE/CHAT SPECIALIST
TURBO TAX
06.2020 - 09.2021
- Delivered prompt, accurate customer support via phone and chat, enhancing customer satisfaction.
- Documented customer interactions meticulously for quality assurance and regulatory compliance.
- Handled high call volumes with professionalism and composure, ensuring consistent service quality.
- Maintained detailed records of customer interactions for quality assurance and compliance.
INSURANCE CLAIMS SUPERVISOR
SITEL
03.2018 - 03.2020
- Delivered timely, accurate customer support via phone and chat, enhancing customer satisfaction.
- Maintained detailed records of customer interactions for quality assurance and compliance
- Handled high call volumes, ensuring professionalism and composure under pressure.
- Utilized multiple software systems to streamline customer service and minimize hold times.
INSURANCE CLAIMS REPRESENTATIVE
SITEL
11.2016 - 03.2018
- Processed insurance claims with accuracy, adhering to company procedures and systems to ensure compliance.
- Reviewed policy documents to determine coverage and eligibility.
- Communicated with clients to gather and clarify claim information, effectively explaining claims processes and timelines.
- Coordinated with adjusters to assess damage and claim validity.
- Documented claim details in claims management systems, efficiently resolving active-claim inquiries.
- Collaborated with team members to improve claims-handling processes.
CUSTOMER SERVICE REPRESENTATIVE
ALLSTATE
02.2014 - 10.2016
- Resolved customer inquiries and complaints, enhancing overall customer satisfaction.
- Provided customer support through chat and assisted with troubleshooting technical and product-use issues.
- Addressed questions related to products, services, policies, and claims.
- Processed claims and maintained comprehensive records of customer interactions and feedback to inform service improvements.
- Utilized Microsoft Word and Excel for efficient management of daily administrative tasks.
Education
Associate of Science - Health Science (AAS)
Carrington College
Phoenix, AZ01-2025
High School Diploma - undefined
Desert Pines High School
Las Vegas, NVAssociate of Science - Health Studies
Carrington College
Phoenix, AZ03-2024
Medical Assisting - Postgraduate Degree
Carrington College
Phoenix, AZ05-2023
Associate's Degree - Medical Administrative Assisting
Carrington College
Phoenix, AZ01-2023
Skills
- Appeals Management
- Claims Analysis
- Claims processing
- Insurance Claims
- Appeals Documentation
- Appeals Review
- Compliance & Documentation
- Case Management
- Record Management
- Workflow Optimization
- Interdepartmental Collaboration
- Problem Resolution
- Microsoft Word & Excel
- Client management
Certification
Project Execution: Running the Project, Google, Issued Aug 2026, Credential ID 677B2Z30YRXS, Issued Jul 2026
Languages
English
Spanish
Timeline
APPEALS SPECIALIST
ENGAGE HEALTH
01.2023 - Current
EXECUTIVE ASSISTANT
KELLY SERVICES
12.2021 - 01.2023
CALL CENTER REPRESENTATIVE/CHAT SPECIALIST
TURBO TAX
06.2020 - 09.2021
INSURANCE CLAIMS SUPERVISOR
SITEL
03.2018 - 03.2020
INSURANCE CLAIMS REPRESENTATIVE
SITEL
11.2016 - 03.2018
CUSTOMER SERVICE REPRESENTATIVE
ALLSTATE
02.2014 - 10.2016
Associate's Degree - Medical Administrative Assisting
Carrington College
Medical Assisting - Postgraduate Degree
Carrington College
Associate of Science - Health Studies
Carrington College
High School Diploma - undefined
Desert Pines High School
Associate of Science - Health Science (AAS)
Carrington College