Detail-oriented individual with exceptional communication and project management skills. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Recognized for taking proactive approach to identifying and addressing issues, with focus on optimizing processes and supporting team objectives.
Overview
4
4
years of professional experience
Work History
- Claims & Customer Care Specialist
Pacorini USA
08.2023 - 12.2023
Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
Responded to customer needs through competent customer service and prompt problem-solving.
Developed policies to increase accuracy and resolution of customer care department.
Used exceptional communication to connect with customers, assess needs, and present solutions.
Modified, updated and processed existing policies.
Student Account Coordinator
Dillard University Business and Finance Office
02.2022 - 07.2023
Established relationships with customers to encourage payment of delinquent accounts.
Entered client details and notes into system for interdepartmental access and review.
Processed debtor payments and updated accounts to reflect new balance.
Maintained accurate records of customer accounts, payments and payment plans.
Responded to customer inquiries and provided detailed account information.
Developed and documented collection procedures and policies to comply with government regulations.
Located customers with overdue accounts and solicited payment in compliance with fair debt collection practices.
Customer Service Representative
Teleperformance USA
05.2021 - 01.2022
Responded to customer requests for products, services, and company information.
Cross-trained and backed up other customer service managers.
Investigated and resolved accounting, service and delivery concerns.
Delivered prompt service to prioritize customer needs.
Collaborated with staff members to enhance customer service experience and exceed team goals through effective client satisfaction rates.
Investigated and resolved customer inquiries and complaints quickly.
Medical Insurance Analyst
Highland Clinic
01.2020 - 04.2021
Paid or denied medical claims based upon established claims processing criteria.
Responded to correspondence from insurance companies.
Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
Used administrative guidelines as resource or to answer questions when processing medical claims.
Managed large volume of medical claims on daily basis.
Monitored and updated claims status in claims processing system.
Verified patient insurance coverage and benefits for medical claims.
Education
Bachelor of Science - Social Work
Dillard University
New Orleans
05-2022
High School Diploma -
C. E. Byrd Hugh School
Shreveport, LA
05-2017
Skills
Customer service excellence
Quality assurance
Payment processing
Email correspondence
Call logging
Complaint handling
First call resolution
Customer relations
Call center experience
Claims monitoring
Timeline
- Claims & Customer Care Specialist
Pacorini USA
08.2023 - 12.2023
Student Account Coordinator
Dillard University Business and Finance Office
02.2022 - 07.2023
Customer Service Representative
Teleperformance USA
05.2021 - 01.2022
Medical Insurance Analyst
Highland Clinic
01.2020 - 04.2021
Bachelor of Science - Social Work
Dillard University
High School Diploma -
C. E. Byrd Hugh School
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