Summary
Overview
Work History
Education
Skills
Timeline
Generic

Jahniece Thomas

Flushing,NY

Summary

Qualified Claims Representative versed in investigating claims, verifying information and managing settlements. Friendly and upbeat team player with organized and disciplined approach. Offering years of insurance experience.

Passionate about promoting lasting customer satisfaction by delivering quality service and unparalleled support. Proficient in customer service best practices and related options.

Dependable retail sales professional with experience in dynamic, high-performance environments. Skilled in processing transactions, handling cash, using registers and arranging merchandise. Maintains high-level customer satisfaction by smoothly resolving customer requests, needs and problems.

Overview

5
5
years of professional experience

Work History

Claim Assistant Remote

National General Insurance
Williamsville, Ny
03.2021 - 06.2022
  • Posted payments to accounts and maintained records.
  • Assured timely verification of insurance benefits prior to patient procedures or appointments.
  • Maintained confidentiality of patient finances, records and health statuses.
  • Reviewed Number patient cases per week and verified insurance coverage information.
  • Notified insurance agents and accounting departments of policy cancellations and changes.
  • Processed and recorded new policies and claims.
  • Makes and maintains a connection with the customer by understanding and meeting their needs
  • Performs clerical duties, including data entry, filing paper documents, email, calendar management, and word processing
  • Handles claim files (locates/requests files, files paperwork, reconstructs missing files, moves misfiled documents, sends to other offices, etc.)
  • Retrieves, prints, faxes, or mails supporting documentation to vendors or others as directed
  • Receives, screens and routes incoming telephone calls and other electronic correspondence
  • Contacts or receives contact from customers or other claim related third parties to obtain and/or provide necessary file information to comply with quality and process standards
  • Generates and sends appropriate forms to insured/claimant for completion
  • Completes all necessary forms, logs documents into the system, and routes them to the appropriate parties

Customer Service Representative

Precision Pipeline Solutions LLC
New Windsor, NY
05.2020 - 11.2021
  • Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
  • Provided primary customer support to internal and external customers.
  • Responded to customer requests for products, services and company information.
  • Clarified customer issues and determined root cause of problems to resolve product or service complaints.
  • Manage large amounts of inbound and outbound calls in a timely manner
  • Follow communication “scripts” when handling different topics
  • Identify customers’ needs, clarify information, research every issue and provide solutions and/or alternatives
  • Seize opportunities to upsell products when they arise
  • Build sustainable relationships and engage customers by taking the extra mile
  • Keep records of all conversations in our call center database in a comprehensible way
  • Frequently attend educational seminars to improve knowledge and performance level
  • Meet personal/team qualitative and quantitative targets

Floor Associate

Walmart
Valley Stream, NY
09.2018 - 04.2020
  • Greeted customers, helped locate merchandise and suggested suitable options.
  • Took measurements and studied floor sketches to calculate area to be floored and amount of materials needed.
  • Swept, scraped and chipped dirt and irregularities from base surfaces and filled cracks with cement and putty to form smooth foundation.
  • Answered questions about store policies and addressed customer needs

Provide customer service by greeting and assisting customers, and responding to customer inquiries and complaints greetings customers and ascertain what each customer wants or needs.

2. Describe merchandise and explain use, operation, care of merchandise to customers.

3. Recommend, select, and help locate or obtain merchandise based on customer needs and desires.

4. Stock shelves, and mark prices on shelves and items.

Cashier

Mc Donalds
Jamaica , Ny
10.2017 - 07.2018
  • Answered questions about store policies and addressed customer concerns.
  • Helped customers complete purchases, locate items and join reward programs.
  • Worked flexible schedule and extra shifts to meet business needs.
  • Reconciled cash drawer at start and end of each shift, accounting for errors and resolving discrepancies.
  • Maintained secure cash drawers, promptly resolving discrepancies in daily totals.

Receive payment by cash, check, credit cards, vouchers, or automatic debits.

2. Issue receipts, refunds, credits, or change due to customers.

3. Count money and audit money drawers.

4. Assist customers by providing information and resolving their complaints.

5. Count money in cash drawers at the beginning of shifts to ensure that amounts are correct and that there is adequate change.

7. Answer customers' questions, and provide information on procedures or policies.

  • 8. Sort, count, and wrap currency and coins.
  • Reviewed new promotions and monitored price changes.

Education

Diploma -

Queens Academy High School
Jamaica, NY
05.2015

Skills

  • Dependable and Responsible
  • Multitasking Abilities
  • Data Entry
  • Active Listening
  • MS Office
  • Excellent Communication
  • Call Documentation
  • Responding to Difficult Customers
  • Data Entry and Maintenance
  • Cash Register Operations
  • Customer Service and Assistance
  • Telephone Management
  • Complaint Response
  • Call Volume and Quality Metrics
  • Customer Account Management
  • Product Availability
  • Customer Satisfaction
  • Inventory Accuracy
  • Insurance Claim Forms Review
  • Eligibility Determinations
  • Claim Amount Calculations
  • Policy Modifications and Updates
  • Customer Transactions
  • Customer Assistance
  • Cash Drawer Management
  • Food and Beverage Preparation

Timeline

Claim Assistant Remote

National General Insurance
03.2021 - 06.2022

Customer Service Representative

Precision Pipeline Solutions LLC
05.2020 - 11.2021

Floor Associate

Walmart
09.2018 - 04.2020

Cashier

Mc Donalds
10.2017 - 07.2018

Diploma -

Queens Academy High School
Jahniece Thomas