Lareese Golden
Georgetown
Summary
Detail-oriented and experienced professional with a strong background in document processing, regulatory compliance, and team management. Seeking to transition into the Corrections Specialist position at the Travis County Sheriff’s Office to utilize my skills in handling sensitive information, coordinating with external agencies, and ensuring accuracy in legal and inmate documentation.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Customer Service Supervisor/Escalation Coordinator
Blue Cross Blue Shield of South Carolina
02.2020 - Current
- Supervised a team of customer service representatives, providing training, guidance, and performance feedback to maintain high-quality service.
- Handled escalated customer inquiries and complex cases, ensuring timely and accurate resolution in accordance with company policies and regulatory guidelines.
- Processed sensitive client information, ensuring compliance with privacy laws (e.g., HIPAA) and company protocols, while maintaining accuracy and confidentiality.
- Collaborated with cross-functional teams (claims, billing, legal) to resolve issues and maintain smooth operational workflows.
- Utilized customer service management software and databases to track issues, monitor team performance, and generate reports for senior management.
- Trained and mentored new staff on document management procedures, regulatory compliance, and customer service best practices.
Claims Support Specialist I
Humana
01.2017 - 02.2020
- Processed healthcare claims and ensured compliance with regulatory guidelines, maintaining accurate and up-to-date documentation.
- Reviewed and verified sensitive claims data, ensuring compliance with company policies and industry regulations.
- Communicated with healthcare providers, clients, and internal departments to resolve discrepancies and ensure the accuracy of claims.
- Managed claims processing systems and databases, ensuring accurate record-keeping and documentation for all claims and related correspondence.
- Provided assistance to customers and stakeholders in navigating the claims process, explaining procedures, and addressing concerns.
- Generated reports on claims status, identifying trends or issues and working with management to implement improvements.
Education
Associate of Arts -
Mississippi Delta Community College
Moorhead, MS05-2019
Skills
- Document Management & Review
- Customer Service & Team Supervision
- Claims Processing & Regulatory Compliance
- Confidentiality & Data Security (HIPAA)
- Problem-Solving & Issue Resolution
- Microsoft Office Suite (Word, Excel, Outlook)
- Database Management & Recordkeeping
- Effective Communication
- Time Management & Organization
- Staff Training & Development
Certification
- BLS/CPR
American Heart Association
Timeline
Customer Service Supervisor/Escalation Coordinator
Blue Cross Blue Shield of South Carolina
02.2020 - Current
Claims Support Specialist I
Humana
01.2017 - 02.2020
Associate of Arts -
Mississippi Delta Community College
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