Joy Moorehead
Summary
Professional and motivated individual who is organized, driven and adaptable with excellent planning and problem-solving abilities. skilled in working with stressed, confused and upset individuals in need of benefits information and supportive guidance to navigate. Effective at operating within regulations and department guidelines to manage telephone calls, emails, letters and in-person requests for assistance.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Medical Only Claims Specialist
Accident Fund Insurance
04.2021 - Current
- Reviewed new files to determine current status of injury claim and to develop plan of action.
- Conducted full claim investigations and reported updates and legal actions.
- Escalated files with significant indemnity exposure to supervisor for further investigation.
- Followed up with customers on unresolved issues.
- Maintained accurate records by diligently updating claim files and ensuring all required documentation was submitted in a timely manner.
- Responded to inquiries by answering questions, providing information and directing customers to appropriate resources.
- Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
Assistant Teacher
Morgans Early Learning Center
08.2020 - 04.2021
- Supported student physical, mental, and social development using classroom games and activities.
- Oversaw students in classroom and common areas to monitor, enforce rules, and support lead teacher.
- Completed daily reports, meal count sheets, and attendance logs.
- Kept students on-task with proactive behavior modification and positive reinforcement strategies.
- Planned, prepared and presented group assignments to encourage collaboration.
Crew Member
Wendy's Restaurant
04.2019 - 08.2020
- Stocked shelves to organize aisles in assigned department.
- Collaborated with team members to complete orders.
- Operated cash register to ring up final bill and process various forms of payment.
- Worked front counter, drive-thru and other areas.
- Addressed guest needs, questions, or concerns to create optimum experience onboard.
- Worked well with teammates and accepted coaching from management team.
- Provided excellent customer service by greeting customers and meeting quality expectations.
- Trained new team members on procedures, customer service, and sales techniques.
Crew Member
Burger King
09.2017 - 04.2019
- Stocked shelves to organize aisles in assigned department.
- Collaborated with team members to complete orders.
- Cleaned and maintained all areas of restaurant to promote clean image.
- Took orders, prepared meals, and collected payments.
- Provided excellent customer service by greeting customers and meeting quality expectations.
- Trained new team members on procedures, customer service, and sales techniques.
- Became familiar with products to answer questions and make suggestions.
- Assisted in reducing wait times by efficiently managing customer queues during peak hours.
Education
Marketing
Lansing Community College
Lansing, MI06.2025
High School Diploma -
Holt Senior High School
Holt, MI06.2020
No Degree - Insurance And Risk Management
Ferris State University
Big Rapids, MI06.2020
Skills
- Compliance Management
- Documentation Review
- Coverage Assessments
- Accident Investigations
- Problem Solving
- Microsoft Office
- Critical Thinking
- Computer Proficiency
- Active Listening
- Written Communication
- Data Entry
Certification
- Licensed Claims Adjuster
- CAWC-Certified Authority in Workers Comp
- Microsoft Training
Timeline
Medical Only Claims Specialist
Accident Fund Insurance
04.2021 - Current
Assistant Teacher
Morgans Early Learning Center
08.2020 - 04.2021
Crew Member
Wendy's Restaurant
04.2019 - 08.2020
Crew Member
Burger King
09.2017 - 04.2019
Marketing
Lansing Community College
High School Diploma -
Holt Senior High School
No Degree - Insurance And Risk Management
Ferris State University
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