Enthusiastic professional ready to apply expertise in customer support and claims analysis within health, auto, and property sectors in entry-level role, backed by call center management experience.
Overview
1
1
Certification
16
16
years of professional experience
Work History
Agent Advocate/Express Auto Claims Associate
Pilot Catastrophe Services
Chickasaw, AL
11.2023 - 09.2026
Primary resource and liaison between the claims department and the agency staff, through information and knowledge of claims issues and coverage concerns, to support customers through the claims process.
Delivers compassionate service that is fast, fair, and easy.
Demonstrates empathetic and responsive customer service in all transactions, ensures appropriate availability, proactively handles any/all inquiries to minimize customer inconvenience, returns all calls by the end of the business day, addresses customer concerns, and helps resolve conflicts.
Managed workload to ensure timely follow-up and resolution of all assigned claims.
Evaluated auto claims for accuracy and compliance with company policies.
Sales/Member Service Representative
BCBS of Tenn/ Humana
Chickasaw, AL
07.2017 - 12.2025
Assist Medicare recipients by providing solutions to their medical, dental, vision, pharmaceutical, and general health care needs.
Manage multiple CRMs and research tools simultaneously through effective organization and multitasking.
Listen, present, and explain various insurance plans using a consultative approach, based on a true understanding of clients' needs and goals.
Call Center Manager
Alorica
Saraland, AL
05.2010 - 06.2017
Led daily team meetings to review performance, set targets, and motivate staff.
Provided real-time coaching, guidance, and feedback to customer service agents to achieve development goals.
Determined quality assurance benchmarks, and set standards for improvement.
Trained team members on performance metrics and consumer behavior identification.
Education
High School Diploma -
C. F. Vigor High School
Prichard, AL
05-2007
Skills
Medicare Compliance
Analyzing Claims
Claims Preparation
Customer Service and Support
Policy Analysis
HIPAA Compliance
Customer service
Complex Problem-solving
Claims Liaison
Claims processing
Claims evaluation
Health insurance knowledge
Certification
• Property and Casualty License, AL, FL, TX, MI, KY, LA, GA, MS, NC, SC • Accident and Health License, AL, TN, GA • TWIA level 1 • State Farm (Auto, Policy and Estimatics), State Farm