Claims representative with strong problem resolution skills and effective client communication. Demonstrated expertise in managing claims processes efficiently. Committed to leveraging technical skills to improve customer service outcomes.
Overview
3
3
years of professional experience
2
2
Certifications
Work History
Claims Representative
Principle Choice Solutions
Remote, AL
07.2024 - 06.2025
Resolved complex claim issues through effective collaboration with team members.
Tracked and managed claim statuses using claims management software.
Assisted in training new representatives on operational processes and tools.
Gathered information and clarified claim details through client communication.
Participated in team meetings to enhance workflows and service efficiency.
Processed claims by obtaining required documents from policyholders, witnesses, and medical providers.
Reviewed insurance policies to assess coverage and loss extent.
Medicare Advocate
Agent C Solutions
Remote , AL
05.2024 - 09.2024
Assisted clients in selecting optimal health insurance plans and coverage options.
Educated customers on policy details to enhance understanding of benefits.
Collaborated with team members to refine sales strategies and boost customer engagement.
Conducted follow-ups with clients to assess satisfaction with insurance selections.
Participated in training sessions to remain informed on industry changes and regulations.