KENISHA HALL SUMTER
Columbia,SC
Summary
Customer Service and Insurance Professional with 24+ years of experience in claims processing, underwriting, and client service. Skilled in resolving complex issues, working autonomously, and navigating challenging conversations with professionalism. Proficient in remote work environments and experienced in both clinical (dental) and insurance settings. Strong communication, time management, and technical skills ensure accurate, high-quality outcomes in every role.
Overview
924
924
years of professional experience
Work History
Customer Service Representative (Remote)
Conduent Call Center
08.2025 - Current
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Responded to customer requests for products, services, and company information.
Underwriter (Remote)
Team Focus Insurance Group
09.2021 - 03.2925
- Evaluated homeowner policy submissions per Citizens Property Insurance Corporation guidelines.
- Exercised independent judgment in coverage decisions, managing complex cases with minimal supervision.
- Communicated policy decisions effectively with agents, ensuring clarity and understanding in remote interactions.
- Assisted with customer service inbound calls
Customer Service Associate
Blue Cross Blue Shield
06.2025 - 07.2025
- Assist providers with Medicare Health claims submissions, denials and appeals in an inbound call center.
Underwriter (Remote)
Seibels
04.2021 - 09.2021
- Supported high-volume underwriting tasks while mentoring junior staff.
- Provided detailed communication to resolve escalated issues and complaints.
- Maintained over 98% accuracy across case reviews and documentation.
- Assisted the Customer Care department with inbound calls from clients and agents
Underwriter (Remote)
Cutting Edge Recruiting Solutions
01.2021 - 08.2021
- Assessed and approved risk across a broad portfolio of insurance applications.
- Maintained consistent quality metrics and turnaround time, exceeding expectations.
- Collaborated professionally to resolve underwriting discrepancies and appeal reviews.
- Assisted with customer service calls
Customer Service Representative
Seibels
09.2014 - 03.2018
- Handled 50–75 customer inquiries daily regarding claims, policy changes, and endorsements.
- Conducted crucial conversations to de-escalate issues and resolve appeals.
- Managed administrative tasks, including inventory tracking, time logging, and data entry.
Customer Success Associate (Client Onboarding & Support)
Seibels / Colonial Life Insurance Company
12.2005 - 03.2018
- Oversaw client onboarding and training, enhancing early product adoption.
- Utilized Outlook, Excel, and Word to create client reports, support tickets, and follow-ups.
- Built long-term relationships by resolving complex issues and offering proactive solutions.
Bakery Clerk
Walmart
02.2016 - 07.2016
Customer Service Representative
Colonial Life & Accident Insurance Company
12.2005 - 02.2013
- Provided claims, billing, and policy support for Group Voluntary Benefits.
- Delivered accurate written correspondence and maintained excellent grammar and attention to detail.
- Worked independently to resolve sensitive inquiries and policy appeals.
Claims Processor
Blue Cross Blue Shield of South Carolina
09.2001 - 01.2004
- Processed TRICARE medical claims in compliance with federal standards.
- Supported data entry, inventory management, and timely claim resolution.
- Collaborated cross-functionally in a high-volume environment while upholding quality benchmarks.
Education
Associate - Personal Insurance (API), General Insurance (AINS)
Brewer Insurance School
High School Diploma - undefined
Lower Richland High School
01.1997
Skills
- Analytical problem solving
- Risk assessment proficiency
- Claims adjudication expertise
- Customer Service & Client Retention
- Remote Work & Team Collaboration
- Effective Communication (Written & Verbal)
- Conflict Resolution & Crucial Conversations
- Data Entry & Inventory Management
- Proficiency in MS Word, Excel, Outlook
- Strong Grammar & Business Writing Skills
Timeline
Customer Service Representative (Remote)
Conduent Call Center
08.2025 - Current
Customer Service Associate
Blue Cross Blue Shield
06.2025 - 07.2025
Underwriter (Remote)
Team Focus Insurance Group
09.2021 - 03.2925
Underwriter (Remote)
Seibels
04.2021 - 09.2021
Underwriter (Remote)
Cutting Edge Recruiting Solutions
01.2021 - 08.2021
Bakery Clerk
Walmart
02.2016 - 07.2016
Customer Service Representative
Seibels
09.2014 - 03.2018
Customer Success Associate (Client Onboarding & Support)
Seibels / Colonial Life Insurance Company
12.2005 - 03.2018
Customer Service Representative
Colonial Life & Accident Insurance Company
12.2005 - 02.2013
Claims Processor
Blue Cross Blue Shield of South Carolina
09.2001 - 01.2004
High School Diploma - undefined
Lower Richland High School
Associate - Personal Insurance (API), General Insurance (AINS)
Brewer Insurance School
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