TYKIA BAYSMORE
Charlotte,NC
Summary
Highly experienced and dedicated customer service professional with over 18 years in the insurance industry.
Overview
22
22
years of professional experience
Work History
EZ Pass Customer Service Specialist
TTEC
New York, NY
05.2024 - 01.2025
- Assists customers with inquiries about their E-ZPass accounts, including balance checks, billing questions, toll charges, and account management
- Helps customers set up new accounts, update their information, process payments, and manage auto-replenishment settings
- Troubleshoots and resolves customer issues related to account discrepancies, toll violations, and device malfunctions, ensuring timely resolutions
- Identifies and escalates complex issues to the appropriate departments, ensuring follow-up and satisfactory resolution
- Accurately documents customer interactions, issues, and resolutions in the customer relationship management (CRM) system
Senior Claims/PIP Claims Representative
GEICO INSURANCE
Woodbury, NY
09.2005 - 10.2023
- Managed customer and attorney inquiries regarding insurance policy coverage, claim status, and payment updates via email, phone, and chat
- Interpreted legal documents, such as contracts and court orders, to evaluate claims for approval or denial
- Communicated clear explanations of benefits, eligibility requirements, and relevant laws to customers
- Conducted thorough investigations of claims, confirmed coverage and liability, negotiated settlements, and determined appropriate payments
- Identified potential fraud indicators during claims review and reported suspicious activities
- Investigate injury claims, and all transient states in order to determine coverages, handle medical expenses and loss wages as a result of a MVA
- Medically manage claims including bill payments, precertification process, taking recorded statements, and setting up Independent Medical Exams
- Monitoring claims for fraud trends, communicating directly with Special Investigation Units
- Process and pay loss wage benefits, essential services, death and funeral benefits
Intake Coordinator
St.John's Hospital
Rego Park, NY
06.2003 - 07.2005
- Greeted and assist patients/visitors with registration in a timely/professional matter while maintaining patient confidentiality
- Liaised with insurance companies to obtain pre-authorizations for procedures and medications
- Scheduled and confirmed patient appointments and consultations
- Navigated through multiple online systems to obtain documentation
- Answered telephones and reviewed emails to direct to the appropriate medical or administrative staff
Education
High School Diploma -
Jacqueline Kennedy Onassis High School
Skills
Proficiency in Microsoft Office Suite/365, Guidewire Claim Center, Flutter, Tractable, Duck Creek Policy/Billing
AAPC Certified Professional Coder (CPC)
Timeline
EZ Pass Customer Service Specialist
TTEC
05.2024 - 01.2025
Senior Claims/PIP Claims Representative
GEICO INSURANCE
09.2005 - 10.2023
Intake Coordinator
St.John's Hospital
06.2003 - 07.2005
High School Diploma -
Jacqueline Kennedy Onassis High School