Larea Wimberly

Reviewed and validated flood insurance documentation, ensuring accuracy and completeness for policy issuance.

Examined insurance documents meticulously, identifying and correcting discrepancies.

Analyzed differences between digital and physical documents to inform best practices in document management.

Monitored and applied changes in system to maintain operational efficiency and security.

• Reviewed and processed over 40 Medicare claims daily, ensuring adherence to CMS guidelines.
• Evaluated medical records and documentation to ensure claim accuracy and minimize denial rates.
• Oversaw appeals process for denied claims, driving improvements in reimbursement outcomes.
• Investigated and resolved patient issues related to plan benefits, coverage eligibility, and claims processes.
• Clarified policies, procedures, and services to enhance patient understanding.
• Addressed inquiries regarding authorization procedures, copay requirements, and premium details.
• Facilitated patient access to health care services by establishing referral processes.
• Orchestrated effective communication channels between patients and medical staff.
• Resolved patient complaints by directly addressing issues and collaborating with medical staff to implement effective solutions.
• Streamlined task prioritization and organization to enhance service goal achievement.

• Answered 100+ inbound calls per day and directed to designated individuals or department.
• Assisted field operations in maintaining consistent customer satisfaction with quality products and services.
• Drove quality customer experiences by leading retention strategy development and conflict resolution to improve overall support delivery.
• Utilized consultative selling techniques to educate and offer existing customers additional services to drive sales.
• De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
• Observed system functioning and entered commands to test different areas of operations.
• Accurately documented calls and caller information into software and made updates to data as needed.

• Maximized customer satisfaction by providing assistance with purchases, locating items and signing up for rewards programs.
• Processed customer payments quickly and returned exact change and receipts.
• Built and maintained effective relationships with peers and upper management to drive team success toward common sales, service and operational goals.
• Negotiated and closed deals with minimal oversight.

• Answered incoming telephone calls to provide information about products, services, store hours, policies and promotions.
• Processed efficient and accurate cash, check, debit, and credit card payments using Point-of-Sale system.
• Received product orders, unloaded merchandise and arranged store stock into appealing displays.
• Welcomed customers, offering assistance to help find necessary store items.
• Completed daily checklists to maximize the efficiency of photo department operations.
• Received and processed face-to-face and online orders for photo prints and specialty items.
• Supported special projects upon request from the department manager.
• Trained and guided employees on how to correctly process payments, print photos and merchandise products.
• Ordered all photo laboratory supplies, including toner, ink and paper, so that inventories were always maintained.
• Oversaw the maintenance of lab printers and photo processing equipment to ensure consistent functionality.
• Filled and processed prescriptions to ensure prompt and efficient patient care.
• Maintained lines of communication with patients, providing instructions and general support.