Experienced claims professional prepared to excel in handling and resolving complex claims. Strong focus on team collaboration, adapting to changing needs, and achieving results. Proven skills in assessing claims, customer service, and effective communication. Reliable and solution-oriented, with commitment to delivering high-quality outcomes.
Work History
Claims Associate-Express
3 Years 9 Months
State Farm | 01.2023 - Current
• Delivers a remarkable customer experience throughout the handling of lower complexity claims, identifying and ensuring prompt routing of claims to other functional areas
• Receives and processes claim information, and communicate with internal and external customers via phone and other communication channels
• Works in a team environment and handles low complexity/high volume work in contact/call center environment
• Works under close supervision to apply basic understanding of the auto policy and endorsements, state laws and regulations, customer service and claims philosophy, automotive repair methods and procedures
• Utilizes the appropriate job aids, expertise, and tools to process lower-complexity claims
• Handles claims meeting Express criteria, engage Express team leads as appropriate and routes claims to other segments
• Explains coverage on liability, PIP/MPC,UMPD, physical damage coverages, and initiates auto processing for payments as appropriate
• Acquires and reviews claim documentation to support claims payments
• Initiates outgoing communications to customers as required by jurisdiction or State Farm processes
Administrative Assistant
9 Months
Dallas County Elections Department | 04.2022 - 01.2023
Prepares, tests and coordinates the set-up of election equipment, computer systems, workstations and supplies to meet specification of voting system.
Bended, stooped, and stood for 8-10 hour shifts to complete job responsibilities.
Assisted in training employees on election equipment and procedures to enhance operational readiness.
Lifted over 50 lbs repeatedly during 8+ hour shifts to ensure efficient operation.
Supported election day operations by testing precinct counters, responding to technical issues, instructing election judges and clerks on equipment use, preparing supply boxes, and auditing logged ballots.
Maintained election equipment through troubleshooting, repairing, and replacing defective parts to ensure compliance with voting regulations and safety guidelines, while also cleaning, storing equipment, and managing inventory.
Executed various additional tasks as directed to support team objectives.
Inbound Warehouse Worker
7 Months
Target Distribution Center | 09.2021 - 04.2022
Prepared items for scanning by organizing into bags and boxes
Bended and stooped frequently throughout an 8-10 hour shift to complete tasks efficiently.
Maintained a standing position for 8-10 hours to ensure readiness for customer service.
Customer Service Representative
2 Months
Ellis Appraisal District | 04.2021 - 06.2021
Assisted walk-in customers in accurately completing and filing forms, utilizing computer, property books, and resources, while ensuring compliance with Texas Property Tax Code requirements
Competently and politely assists walk-in customers in correctly completing and filing forms,with properly using computer, property books, and other available resources, with understanding appropriate Texas Property Tax Code requirements, and in numerous other ways
Accepts, reviews for accuracy and completeness, and notarizes exemptions applications
Distributed informational brochures, employment application forms, and exemption application forms to enhance customer understanding and engagement
Executed various additional responsibilities within the department
Customer Service Support Representative
2 Months
GFS Logistics | 12.2020 - 02.2021
Resolved customer complaints through phone, email, mail, and social media, ensuring customer satisfaction.
Contacted customers to verify account information, enhancing communication and trust.
Entered customer orders into database accurately.
Provided information about company policies and services.
Create client appointments for pickup and drop off of loads.
Scheduled client appointments for pickup and drop-off of loads, streamlining logistics.
Office Coordinator/Recruiter
11 Months
Smith Personnel Solutions | 12.2019 - 11.2020
Recruit potential workers for active jobs.
Gathered information from recruits to recommend suitable positions based on qualifications.
Provided exceptional customer service by addressing inquiries and resolving issues promptly.
Coordinated Microsoft team meetings among recruiters across offices to enhance collaboration.
Deliver amazing customer service.
Created Excel spreadsheets of current active recruits and clients.
Train recruits on their responsibility of their required positions and of their active accounts in their local areas.
Make excel spreadsheets, when required, of current active recruits and clients.
Verified recruits and conducted background checks to ensure qualified placements.
Customer Service Representative
4 Months
Progressive | 02.2019 - 06.2019
Answered customer calls in a professional manner.
Resolved customer issues with a focus on enhancing their experience and loyalty.
Gather information from the customer to make appropriate recommendations for new products and services.
Provided exceptional customer service to enhance satisfaction.
Customer Advocate
4 Years 11 Months
Blue Cross Blue Shield | 03.2014 - 02.2019
Provides assistance, service and education to all internal and external members, providers, and agents.
Ensures accuracy and timeliness in responding to a variety of inquiries.
Processed and resolved customer issues of varying complexities, including system updates and claims research, ensuring customer satisfaction.
Possesses and maintains base knowledge of insurance terms and practices along with various company offered products.
Followed up on inquiries from members and providers, relaying and gathering information from internal parties to resolve issues or discrepancies.
Identified and utilized appropriate resources to gather detailed information regarding member or provider inquiries, addressing specific inquiries and plan details effectively.
Ability to spend approximately 90% of the scheduled time on the phone according to business needs and sit for long periods of time with scheduled breaks.
Team Leader
1 Year 5 Months
Whataburger | 10.2012 - 03.2014
Evaluated team member performance, identified training needs, and communicated progress to General Manager.
Greet customers and solicit feedback regarding product and service quality and use feedback to initiate immediate improvements in the shift.
Ensure Team Members follow accurate cash handling and security procedures.
Completed various administrative tasks, including filing documents and managing schedules.
Took on additional responsibilities to support team objectives.
Assume additional responsibilities as assigned.
Trained new team members and leaders on floor policies and procedures, providing actionable feedback to upper management.
Team Member
4 Years 6 Months
Whataburger | 04.2008 - 10.2012
Demonstrate the ability to accurately explain the "Whataburger Difference" to customers.
Communicated promptly with management regarding scheduling issues, customer service problems, and equipment malfunctions to ensure smooth operations.
Follow all safety procedures and guidelines including personal safety, equipment use, and food handling and storage.
Ensure all products are stocked, maintained, and prepared according to Whataburger quality standards.
Properly stock inventory using First-In/First-Out (FIFO).
Clean the customer service areas by following the proper procedures as directed by the management person on duty, including outside landscaping, building entrances, dining room tables and condiment stations, restrooms, and food production and storage units.
Achieved certification in specific stations and mastered cleaning and sanitation procedures to uphold quality standards.
Demonstrate fiscal responsibility with all Company assets by following company cash handling policies.
Contributed to team success through effective communication and collaboration with team members.
Took on extra duties to support team operations.
Education
Associate of Science - General Studies
NAVARRO COLLEGE | Corsicana, TX | 05-2009
Skills
Customer service (10+ years)
Call Center (5+ years)
Claims Documentation
Medical Terminology (5 years)
Claims Management
Claims Processing
Kronos (5+ years)
Spreadsheet proficiency
Powerpoint (5+ years)
Report Generation
Administrative Experience (2 years)
Inventory (5+ years)
Claims Analysis
Critical thinking
Insurance Terminology
Personal Information
Work Permit: Authorized to work in the US for any employer