Summary
Overview
Work History
Education
Skills
Timeline
Generic

Natauja Johnson

Las Vegas,NV

Summary

Communicative customer service professional motivated to maintain customer satisfaction and contribute to company success. History managing large amounts of inbound calls and sustaining satisfactory relationships with customers. Offers skill with CRM systems paired with outstanding active listening and multitasking abilities.

Overview

11
11
years of professional experience

Work History

Provider’s services specialist 1

Employer’s insurance
Las Vegas, Nevada
06.2025 - Current
  • Work independently while maintaining high standards of professionalism, ethics, and confidentiality.
  • Manage tasks within the claims management system and ensure timely completion according to company policies.
  • Schedule appointments, consultations, second opinions, and Independent Medical Evaluations (IMEs).
  • Track and follow up on medical reporting requests and respond to escalated provider issues.
  • Prepare and maintain provider panels and worksite posters while ensuring compliance with current state regulations.
  • Verify provider demographics and confirm acceptance of work-related injury patients through network partners.
  • Communicate with medical providers by phone, email, and written correspondence to confirm accessibility for injured employees.
  • Maintain logs for panel production, provider services, and customer complaints to support operational efficiency.
  • Review medical bills and manage incoming mail, email, calls, and fax communications.
  • Participate in meetings, assist Managed Care as needed, and complete special projects or additional duties.

Claim Service Representative

Employer
Las Vegas, NV
02.2023 - Current
  • Prepared and reviewed insurance-claim forms and related documents for completeness.
  • Precisely calculated refunds, premiums and adjustments.
  • Reviewed documentation and accounts to gain full picture.
  • Delivered quality customer service to assigned, insured and claimants throughout entire claims lifecycle to promote service times.
  • Assisted claimants, providers and clients with problems or questions regarding claims.
  • Verified details with policyholders and requested additional information.
  • Organized information by using spreadsheets, databases or word processing applications.

Customer Service Representative

Employers
Las Vegas, NV
01.2022 - Current
  • Answered incoming calls and emails, providing frontline customer support or assistance with product and service transactions.
  • Informed customers about billing procedures, processed payments and provided payment option setup assistance.
  • Provided outstanding service to new and long-standing customers by attending closely to concerns and developing solutions.
  • Mentored new employees on procedures and policies to maximize team performance.
  • Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
  • Demonstrated excellent communication skills in resolving product and consumer complaints.

Customer Service Representative

24/7 Intouch
Las Vegas, NV
07.2019 - 01.2022
  • Resolved customer complaints or answered customers' questions.
  • Recommended solutions related to staffing issues and proposed procedural changes to managers.
  • Maintained and exceeded performance and quality standards, meeting customer support objectives.
  • Troubleshot customer issues using remote access software tools.
  • Audited customer account information to identify issues and develop solutions.

Office Assistant

Automation Personnel Services
Union City, GA
07.2018 - 12.2019
  • Maintained business records by updating customer information.
  • Identified issues and utilized emotional intelligence and diplomatic communication to defuse.
  • Maintained and updated filing, inventory and database systems, manually or using computer.
  • Monitored and directed work of lower-level clerks.
  • Dispersed incoming mail to correct recipients throughout office.
  • Opened, sorted and routed incoming mail and prepared outgoing mail.
  • Greeted visitors or callers to handle questions or direct to appropriate staff.
  • Reviewed files, records and other documents to obtain information or respond to requests.
  • Offered diverse clerical support to office team members, managed correspondence, answered telephone calls and tracked documentation.

Server

Waffle House Restaurant
Peachtree City, GA
05.2015 - 06.2019
  • Recorded meal selections and transactions in microsystem to deliver prompt service.
  • Assisted in preparing salads, appetizers and desserts to speed up food service.
  • Satisfied customers by topping off drinks and offering condiments, napkins and other items.
  • Stocked service areas with supplies during slow periods.
  • Garnished dishes and beverages to serve visually appealing menu items.
  • Explained menu options to guests, offered suggestions and took orders for food
  • Provided exceptional service to high volume of daily customers.
  • Trained new employees to perform duties.
  • Greeted customers, answered questions and recommended specials to increase profits.

Education

Dental Assistant Certificant - Dental Assisting

Career Care Institute - Lancaster
Lancaster, CA
01.2015

High School Diploma -

Antelope Valley High School
Lancaster, CA

Skills

  • Documentation Review
  • Coverage Assessments
  • Settlement Determinations
  • Accident Investigations
  • Teamwork and Collaboration
  • Client Interviews
  • Coverage Determination
  • Customer Service
  • Information Verification
  • Insurance Claim Forms Review
  • Verbal and Written Communication
  • Eligibility Determination
  • Premium Collection
  • Data Entry
  • Service Referrals
  • Problem-Solving
  • Attention to Detail
  • Proofreading and Editing
  • Time Management
  • Account Management Software
  • Appointment Scheduling
  • Active Listening
  • Large-Sum Computations
  • Critical Thinking
  • Microsoft Office
  • Regulatory Compliance Adherence
  • Google Suite
  • Policy and Procedure Explanations
  • Recordkeeping Organization
  • 10-key Touch
  • Decision Making

Timeline

Provider’s services specialist 1

Employer’s insurance
06.2025 - Current

Claim Service Representative

Employer
02.2023 - Current

Customer Service Representative

Employers
01.2022 - Current

Customer Service Representative

24/7 Intouch
07.2019 - 01.2022

Office Assistant

Automation Personnel Services
07.2018 - 12.2019

Server

Waffle House Restaurant
05.2015 - 06.2019

Dental Assistant Certificant - Dental Assisting

Career Care Institute - Lancaster

High School Diploma -

Antelope Valley High School
Natauja Johnson