Jacinda Moore
Pound,VA
Summary
Detail-oriented Examiner with 3 years of experience. Strong command of conflict resolution and negotiation combined with excellent reporting and research skills. Thorough understanding of claims process and fraud detection.
Overview
22
22
years of professional experience
Work History
Fraud Claims Analyst
Advance Call Center Technologies
10.2020 - Current
- Reduced claims processing time by implementing efficient analytical techniques and strategies.
- Enhanced customer satisfaction by resolving complex claims issues in a timely manner.
- Managed high-volume caseloads, prioritizing tasks to ensure timely completion of all claims.
- Conducted thorough investigations into each claim, gathering relevant data and documentation to support decision-making processes.
- Maintained compliance with industry regulations and company policies while managing sensitive client information and claims records.
- Demonstrated a high level of accuracy and attention to detail in reviewing claim documentation for approval or denial decisions.
- Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
CSR
Serco
08.2018 - 04.2020
- Enhanced customer satisfaction by promptly addressing inquiries and resolving issues efficiently.
- Improved customer retention rates with exceptional product knowledge and personalized service recommendations.
- Managed high call volumes, maintaining a professional demeanor during peak hours and effectively multitasking in a fast-paced environment.
- Assisted customers with account set-up, enabling smooth transitions into using the company''s products or services.
- Conducted thorough research to provide accurate information to customers regarding product specifications or usage guidelines.
- Upheld strict adherence to company policies and procedures while providing exceptional service experiences for each client interaction.
- Demonstrated empathy and active listening skills, resulting in a higher rate of customer satisfaction and repeat business.
Office Assistant
Abingdon Foot And Ankle Cllinic
07.2017 - 02.2018
- Enhanced office efficiency by managing schedules, organizing files, and maintaining a clean workspace.
- Expedited document processing with accurate data entry and timely filing.
- Increased customer satisfaction by providing professional and courteous front desk support.
- Facilitated smooth operations by efficiently handling incoming mail, phone calls, and visitor inquiries.
- Maintained confidentiality in handling sensitive information while performing administrative tasks.
- Interacted with customers by phone, email, or in-person to provide information.
- Welcomed office visitors and alerted staff to arrivals of scheduled appointments.
- Completed clerical tasks such as filing, copying, and distributing mail.
- Managed daily data entry and kept clerical information accurate and up-to-date.
- Ordered office supplies and kept office stocked with needed resources to operate smoothly.
- Received customer payments
Assistant Teacher/ Bus Driver
Kids Central Inc
08.2012 - 05.2017
- Increased student engagement by incorporating hands-on activities and group projects into the curriculum.
- Enhanced students'' critical thinking skills through problem-solving exercises and open-ended questions.
- Ensured a safe and supportive learning environment by enforcing classroom rules and addressing behavioral issues promptly.
- Assisted lead teacher in providing individualized attention to students, resulting in improved academic performance.
- Established positive relationships with parents through effective communication, fostering parental involvement in their children''s education.
- Created visually appealing bulletin boards that showcased student work and reinforced key concepts from lessons.
- Supported students in developing social skills through structured activities and positive reinforcement techniques.
- Assisted in creating a safe and nurturing classroom environment that promoted emotional well-being and academic growth for all students.
- Oversaw students in classroom and common areas to monitor, enforce rules, and support lead teacher.
- Worked with teachers to design lesson plans and coordinate activities for classes.
- Supported student physical, mental, and social development using classroom games and activities.
- Supervised recess, lunch and daily student intake and dismissal.
- Completed daily reports, meal count sheets, and attendance logs.
- Worked with teacher and administrators to enforce school policies and procedures.
- Assisted in implementation of new learning tools, systems and materials.
- Kept records of student progress for teachers and parents and made notes on behavior, grades, comprehension, and personal growth.
- Oversaw classroom operations during teacher and parent meetings.
- Drove school bus
Assistant Teacher/ Cook/ Bus Driver
Kids Central Inc
08.2001 - 10.2008
- Increased student engagement by incorporating hands-on activities and group projects into the curriculum.
- Enhanced students'' critical thinking skills through problem-solving exercises and open-ended questions.
- Ensured a safe and supportive learning environment by enforcing classroom rules and addressing behavioral issues promptly.
- Collaborated with colleagues to develop cross-curricular lessons, promoting interdisciplinary learning among students.
- Assisted lead teacher in providing individualized attention to students, resulting in improved academic performance.
- Established positive relationships with parents through effective communication, fostering parental involvement in their children''s education.
- Monitored student progress regularly, using assessments to adjust instructional strategies as needed for optimal learning outcomes.
- Supported lead teacher in organizing field trips, enhancing real-world connections to classroom content for increased understanding.
- Created visually appealing bulletin boards that showcased student work and reinforced key concepts from lessons.
- Worked with teachers to design lesson plans and coordinate activities for classes.
- Supported student physical, mental, and social development using classroom games and activities.
- Completed daily reports, meal count sheets, and attendance logs.
- Assisted in lessons, curriculum and homework planning.
- Assisted in implementation of new learning tools, systems and materials.
- Kept records of student progress for teachers and parents and made notes on behavior, grades, comprehension, and personal growth.
- Prepared meals efficiently under time constraints for timely service during peak hours.
- Maintained a clean and sanitary workspace, ensuring compliance with health and safety regulations.
- Assisted in inventory management and ordering supplies, maintaining adequate stock levels for efficient kitchen operations.
- Prepared food items in compliance with recipes and portioning control guidelines.
- Maintained food safety and sanitation standards.
- Contributed to company reputation for reliability by maintaining an exceptional attendance record and punctuality rate.
- Enhanced passenger safety by conducting thorough pre-trip inspections and maintaining a clean bus environment.
- Implemented proper emergency procedures as needed, addressing any potential hazards and ensuring the safety of all passengers on board.
File Clerk
Wise County Clerk Of Court
05.2007 - 08.2007
- Maintained client confidentiality by upholding strict adherence to data privacy regulations and guidelines.
- Managed high volumes of daily paperwork, prioritizing tasks effectively to meet deadlines without compromising accuracy or organization.
- Safeguarded sensitive information with appropriate security measures, including locking cabinets and controlling access permissions in digital databases.
- Prepared files for scanning into digital system
Education
Early Childhood Education
Southwest Virginia Community College
Richlands, VAEarly Childhood Education
University of Cincinnati
Cincinnati, OHHigh School Diploma -
Pound High School
Pound, VA06.1993
Skills
- Interpersonal and Written Communication
- Dispute Tracking
- Claims Review
- Decision Making
- Active Listening
- Attention to Detail
- Data Interpretation
- Organizational Skills
- Multitasking
- Critical Thinking
- Claim Investigation
- Claims Analysis
- Computer Proficiency
- Ethical Conduct
- Time Management
- Claims Processing
- Decision-Making
- Claims Evaluation
Timeline
Fraud Claims Analyst
Advance Call Center Technologies
10.2020 - Current
CSR
Serco
08.2018 - 04.2020
Office Assistant
Abingdon Foot And Ankle Cllinic
07.2017 - 02.2018
Assistant Teacher/ Bus Driver
Kids Central Inc
08.2012 - 05.2017
File Clerk
Wise County Clerk Of Court
05.2007 - 08.2007
Assistant Teacher/ Cook/ Bus Driver
Kids Central Inc
08.2001 - 10.2008
Early Childhood Education
Southwest Virginia Community College
Early Childhood Education
University of Cincinnati
High School Diploma -
Pound High School
Similar Profiles
Suzanne LimonSuzanne Limon
Fraud Prevention Specialist at Advance Call Center TechnologiesFraud Prevention Specialist at Advance Call Center Technologies
Arian FazArian Faz
Customer Service Representative at Advance Call Center TechnologiesCustomer Service Representative at Advance Call Center Technologies
Jonathan MontalvoJonathan Montalvo
Member Service Specialist at Advance Call Center TechnologiesMember Service Specialist at Advance Call Center Technologies
Samantha LopezSamantha Lopez
Supervisor at Advance Call Center Technologies (ACT)Supervisor at Advance Call Center Technologies (ACT)
Charlotte WilliamsCharlotte Williams
Medical Coder at Pikeville Medical CenterMedical Coder at Pikeville Medical Center