Summary
Overview
Work History
Education
Skills
Timeline
Generic

Jasmyne Haywood

Dallas,TX

Summary

Accomplished and dynamic professional with a proven history in effective communication with customers seeking to utilize education and personal experience servicing customers. Skilled interpersonal communicator able to work as part of a high-performing team or independently.

Results-oriented achiever with proven ability to exceed targets and drive success in fast-paced environments. Combines strategic thinking with hands-on experience to deliver impactful solutions and enhance organizational performance.

Overview

9
9
years of professional experience

Work History

Advocate4Me Medical Claims Processor

United Healthcare
03.2023 - Current
  • Help guide and educate customers about the fundamentals and benefits of consumer – driven health care topics to select the best benefit plan options, maximize the value of their health plan benefits and choose a quality care provider
  • Respond to and resolve customer service inquiries and issues
  • Perform Basic Clerical Functions with proficient PC Skills
  • Investigate non-standard requests and problems with some assistance from others
  • Provide expertise and support for all related aspects of appeal and grievance processes and business rules
  • Consistently meet established productivity, schedule adherence , and quality standards
  • Educate and guide customers on consumer-driven healthcare topics
  • Assist with appointment scheduling and connect customers with care providers
  • Navigate company websites and empower customers to become self-sufficient
  • Collaborate with team members and serve as a resource for others
  • Self-motivated, with a strong sense of personal responsibility.
  • Worked effectively in fast-paced environments.
  • Followed up on pending claims to ensure timely processing.
  • Coordinated with insurance companies to clarify billing issues.
  • Communicated with healthcare providers to resolve discrepancies in claims.
  • Processed claims by verifying patient information and insurance coverage.

Auto Claims Processor

Farmers Insurance Company
06.2022 - 01.2023
  • Consults effectively with internal and external customers relating to insurance needs, eligibility and solutions to provide a positive customer experience
  • Utilizes in-depth knowledge of Company products and services while working across multiple lines of insurance and within multiple technology platforms within a fast-paced, dynamic, contact center environment
  • Resolves customer and agent inquiries, solves problems related to policies
  • Consults effectively throughout the insurance life cycle relating to coverage, renewals, cancellations, pricing and other general service related requests
  • Utilizes multiple system platforms to conduct research, identify processes and review prior transactions to make sound decisions and recommendations to customers
  • Maintains accurate system documentation of customer interactions or transactions, details of inquiries, complaints, or comments, as well as action taken
  • Acts as an advocate of the business to identify new coverage opportunities, retain customers and recommend Farmers Insurance to others
  • Investigated, evaluated, negotiated and settled auto and property damage claims
  • Handled a diary system to systematically review and resolve claims within the specified state compliance guidelines
  • Managed an inventory of claims
  • Self-motivated, with a strong sense of personal responsibility.
  • Worked effectively in fast-paced environments.
  • Expedited claims process by effectively managing multiple tasks simultaneously while prioritizing urgent cases as needed.
  • Provided prompt responses to customer inquiries regarding their claims status or coverage details.
  • Enhanced communication between policyholders and adjusters, leading to quicker resolutions.

Account Coordinator

AMN Healthcare (Staffcare)
04.2021 - 05.2022
  • Support staffing needs by performing a wide variety of clerical and administrative duties needed to place a healthcare professional on assignment
  • Cover open account management territories by calling facility contacts to open orders, submit files and expedite interviews and offers, in order to support department performance goals
  • Streamlined communication between clients and internal teams for seamless project execution.
  • Ensured timely response to client inquiries by maintaining open lines of communication through email correspondence or phone calls.

Insurance Sales Agent

Allstate Insurance Company
04.2019 - 02.2021
  • Helped grow a local Allstate agency by engaging new prospects and building strong relationships in the community
  • Apply insurance knowledge and sales skills to increase the customer’s understanding of the value of insurance and cultivate long-term relationships with trusted advice
  • Help protect customers by offering Allstate products that will meet their needs
  • Collaborated with team members to share best practices and improve sales strategies.
  • Reviewed and analyzed policy documents to ensure compliance with regulations.

Billing CSR 1

Spectrum / Charter Communications
01.2018 - 03.2019
  • Serve as a subject matter expert to resolve customer issues and answer questions efficiently
  • Determine if field visits are necessary to ensure satisfaction
  • Escalate issues to upper management as needed
  • Process orders and take detailed documentation of customer interactions
  • Enhance the customer experience through empathetic communication and active listening
  • Managed high call volumes, maintaining a professional demeanor during peak hours and effectively multitasking in a fast-paced environment.
  • Demonstrated empathy and active listening skills, resulting in a higher rate of customer satisfaction and repeat business.

Response Specialist 1

Sirius XM
01.2017 - 11.2017
  • Communicated effectively with customers to resolve complaints, answer questions, and add on services
  • Stayed knowledgeable of product and service offerings and provided customized recommendations
  • Continuously met or surpassed established performance goals due to excellent work ethic
  • Followed all company policies and procedures to deliver quality work.
  • Improved customer satisfaction rates through proactive problem-solving and efficient complaint resolution.

Claims Specialist

State Farm
01.2016 - 12.2016
  • Investigated auto insurance claims to determine the liable party and ensured regulatory compliance with the benefit policies
  • Communicated with customers, CSR’s, and insurance adjusters regularly
  • Integral role in in-depth investigation and analysis to include interviews and data evaluations
  • Explained policy, coverage and appropriate courses of action (follow-up, status calls, touch base with the customer)
  • Documented claim files and sent appropriate correspondence and communicates with customers and repair facilities
  • Ensured compliance with specific state regulations, policy provisions and standard operating procedures
  • Arranged, handled and paid repair, rental, towing, total losses and negotiated storage
  • Applied knowledge of estimating standards ranging from minor to moderate complexity
  • Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
  • Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.

Education

Associate of Arts - General Studies

Florida State Community College At Jacksonville

Skills

  • Empathetic Communication
  • Active Listening
  • Collaboration
  • Problem Resolution
  • Documentation
  • Customer Service
  • Communication
  • Investigations
  • Friendly, positive attitude
  • Teamwork and collaboration
  • Customer service
  • Problem-solving

Timeline

Advocate4Me Medical Claims Processor

United Healthcare
03.2023 - Current

Auto Claims Processor

Farmers Insurance Company
06.2022 - 01.2023

Account Coordinator

AMN Healthcare (Staffcare)
04.2021 - 05.2022

Insurance Sales Agent

Allstate Insurance Company
04.2019 - 02.2021

Billing CSR 1

Spectrum / Charter Communications
01.2018 - 03.2019

Response Specialist 1

Sirius XM
01.2017 - 11.2017

Claims Specialist

State Farm
01.2016 - 12.2016

Associate of Arts - General Studies

Florida State Community College At Jacksonville

Similar Profiles

CREATE PROFILE
Jasmyne Haywood