La Quata Walker
Colton,CA
Summary
As a resourceful Customer Service Specialist with 20+ years experience who consistently meets and exceeds productivity goals while providing excellent customer service. Proven capacity to process a large volume of calls in a day as well as troubleshoot concerns to resolve customer issues quickly. Maintains the highest level of professionalism, patience and efficiency to minimize customer dissatisfaction and increases consumer loyalty.
Overview
4
4
years of professional experience
Work History
Insurance Agent
PMG Insurance Agent
01.2024 - 10.2024
- Processed insurance applications, endorsements, and renewals accurately and efficiently.
- Assisted clients with selecting appropriate insurance coverage based on their needs and budget.
- Provided exceptional customer service by promptly addressing client inquiries and resolving issues.
- Collaborated with underwriters to ensure accurate policy issuance and adherence to guidelines.
- Maintained a high level of product knowledge to effectively explain coverage options to clients.
- Reviewed policies for accuracy, identifying any discrepancies or missing information.
- Managed a large volume of incoming calls from policyholders regarding claims, billing inquiries, and policy changes.
- Updated client records in the database system with accurate contact information and policy details.
- Prepared quotes for potential clients based on their specific requirements and risk factors.
- Assessed claim reports submitted by clients, gathering necessary documentation for processing.
- Developed strong relationships with insurance carriers to negotiate favorable terms for clients.
- Performed data entry tasks accurately while maintaining confidentiality of sensitive client information.
Customer Service/Claim Specialist
Elevance Health
11.2021 - 12.2023
- I answered and handled 50+ calls per day while documenting each call and answering the customers inquiries regarding their health policies.
- I provided policy and benefit information, I would troubleshoot any issues they may have with their online member portal, order ID cards and provide 1095 tax forms.
- I would assist members with quotes for certain medical procedures, I also assisted with escalations and grievances and/or appeals.
- I would review submitted claims for completeness, accuracy, and compliance with plan benefits and policies.
- This included verifying information, ensuring accuracy, and resolving any issues related to the claim and if it needed any adjustments I would send the claim back for review.
- I also would discuss the many benefits offered on the companies app to ensure the member received the most from their health care plan.
Customer Service Specialist
Aerotek
Chino, California
01.2021 - 07.2021
- I handled both new and established customers, I assisted by answering questions providing information regarding their benefits, claims, extensions and any other concerns they had.
- I assisted with over 100 calls per day while navigating multiple screens and applications (Cubs, VCC, PureCloud, IDV) all while providing excellent customer service to the customers.
- Contracted by Aerotek
Skills
- Conflict Resolution
- Time Management
- Problem Solving
- Strong Organizational Skills
- Strong Data Entry
- Fast Learner With A Wide Range Of Practical Skills
- Proficient In Microsoft Office
- Word
- Excel
- Outlook
Timeline
Insurance Agent
PMG Insurance Agent
01.2024 - 10.2024
Customer Service/Claim Specialist
Elevance Health
11.2021 - 12.2023
Customer Service Specialist
Aerotek
01.2021 - 07.2021