JANEIRA PETERSON
Omaha,Ne
Summary
Knowledgeable Claims Analyst with extensive experience in analyzing and processing claims accurately and efficiently. Proven track record in resolving complex claims and ensuring compliance with industry standards. Demonstrated ability in utilizing analytical skills and attention to detail to support team goals and improve operational processes.
Overview
12
12
years of professional experience
Work History
Claims Analyst I
Remedy Staffing Agency
Omaha, NE
06.2025 - Current
- Analyze and process insurance claims efficiently to ensure timely resolution.
- Review documentation for accuracy, ensuring compliance with industry regulations and standards.
- Interact with clients and employees, which helped cultivate positive working relationships.
- Identify insurance coverage limitations with thorough examinations of claims documentation and related records.
- Conducted thorough investigations into claims discrepancies, providing detailed reports for management review.
- Demonstrated a high level of accuracy and attention to detail in reviewing claim documentation for approval or denial decisions.
SCHEDULER
Omni-SafeRide Health
09.2024 - 05.2025
- Assisted callers with medical transportation to and from medical facilities
- By means of scripted questions determined best mode of transportation to fit callers needs
- Activated immediate transportation through dispatch department verifying location of caller to ensure timely pickup
- Communicated with routing personnel to determine ETA of drivers who did not arrive at location
- Inputted appointment times and locations using GPS software
- Pre-qualified callers for city transportation by means of preset health questionnaires
- Assisted callers with cancelling and modifying rides using computerized software to input changes in transportation
COURIER
Lab Logistics
05.2024 - 08.2024
- Completed daily delivery assignments while adhering to strict time constraints, ensuring consistent service quality.
- Established lasting relationships with customers by delivering packages on time, interacting professionally, and responding promptly to questions.
- Developed strong relationships with clients through dependable service that ensured repeat business.
- Ensured the safety of packages by properly handling fragile items during transportation and storage.
- Maintained accurate records of pick-ups, deliveries, and vehicle maintenance to ensure compliance with company policies.
CLEANING SPECIALIST
Above and Beyond
05.2023 - 05.2024
- Upheld exceptional cleanliness standards to support operational efficiency and safety.
- Executed proper handling protocols for equipment, chemicals, and materials, prioritizing safety and risk mitigation.
- Ensured client satisfaction through timely and professional resolution of customer inquiries.
- Executed removal of trash, debris, and waste materials from premises to maintain cleanliness and safety standards.
- Performed cleaning and sanitization of bathrooms, kitchens, and other designated areas to uphold hygiene standards.
CUSTOMER SERVICE
Teledirect
09.2019 - 08.2023
- Supported callers during after-hours operations to ensure customer inquiries were addressed promptly.
- Recorded comprehensive messages and directed them to relevant contacts for the requested company.
- Facilitated dispatch of maintenance calls for distressed callers contacting property management after hours, ensuring continuous communication until management intervention occurred.
- Facilitated connections between callers seeking legal advice and on-call lawyers.
- Facilitated access to addiction treatment resources by providing callers with facility contact information and locations.
CUSTOMER SERVICE
Protouch Communications
Omaha, NE
01.2018 - 12.2019
- Facilitated after-hours support for callers by taking messages and entering information into the computer system.
- Managed outreach to on-call medical staff, ensuring prompt communication for urgent patient care requirements.
- Provided timely support through chat and email to resolve access issues for real estate agents experiencing account lockouts.
- Communicated unresolved calls to incoming staff for seamless shift transitions.
- Compiled detailed accounts of customer complaints to support effective resolution processes.
CLEANING ASSOCIATE
ServiceMaster Clean
Omaha, NE
04.2017 - 04.2018
- Followed detailed instructions from supervisor to complete assigned tasks efficiently.
- Operated cleaning equipment to maintain cleanliness and hygiene standards in various environments.
- Resolved client concerns by providing swift solutions, fostering positive relationships with customers.
- Monitored inventory levels of cleaning supplies, ensuring availability for uninterrupted service operations.
CUSTOMER SERVICE
Alorica
Omaha, NE
04.2015 - 09.2017
- Guided callers through appliance service processes, ensuring efficient issue resolution.
- Executed troubleshooting procedures utilizing owner's manuals to resolve caller inquiries regarding appliances.
- Coordinated service appointment scheduling to align with caller availability.
- Facilitated escalation of callers to next support tier upon identifying potential appliance replacement needs.
- Entered detailed descriptions of appliance issues to facilitate efficient tracking and resolution.
CLEANING ASSOCIATE
ServiceMaster Clean
Omaha, NE
03.2014 - 03.2015
- Maintained a safe and clean working environment by sweeping, mopping, dusting, vacuuming and scrubbing surfaces; removed trash and recycling.
- Maintained inventory levels of cleaning supplies, ensuring consistent availability for required tasks.
- Enhanced customer satisfaction by maintaining a clean and organized environment in commercial spaces.
- Provided exceptional service to clients through meticulous attention to detail in all cleaning tasks.
Education
High School Diploma -
Omaha North High School
Omaha, NE05-1994
Skills
- Customer engagement
- Ensuring data accuracy
- Call management
- Detail-oriented data management
- Scheduling efficiency
- Experience with CRM applications
- Digital document scanning
- Effective phone communication
- Strong work ethic
- Customer service
- Computer skills
Timeline
Claims Analyst I
Remedy Staffing Agency
06.2025 - Current
SCHEDULER
Omni-SafeRide Health
09.2024 - 05.2025
COURIER
Lab Logistics
05.2024 - 08.2024
CLEANING SPECIALIST
Above and Beyond
05.2023 - 05.2024
CUSTOMER SERVICE
Teledirect
09.2019 - 08.2023
CUSTOMER SERVICE
Protouch Communications
01.2018 - 12.2019
CLEANING ASSOCIATE
ServiceMaster Clean
04.2017 - 04.2018
CUSTOMER SERVICE
Alorica
04.2015 - 09.2017
CLEANING ASSOCIATE
ServiceMaster Clean
03.2014 - 03.2015
High School Diploma -
Omaha North High School