Latesha Mccray
Wiggins,MS
Summary
Skilled Claims Specialist with a proven track record at Blue Cross and Blue Shield, enhancing customer satisfaction through empathetic service and efficient claims processing. Demonstrates strong verbal communication and Microsoft Office proficiency, excelling in high-pressure situations by leveraging negotiation skills and critical thinking. Achieved notable improvements in claim resolution efficiency and customer loyalty.
Overview
8
8
years of professional experience
Work History
Claims Specialist
Blue Cross and Blue Shield
04.2022 - 11.2024
- Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
- Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
- Developed strong working relationships with external partners such as adjusters, legal counsel, and medical professionals to facilitate efficient claim resolution processes.
- Settled complex claims fairly by applying critical thinking, negotiation skills, and detailed knowledge of insurance policies.
- Handled high-pressure situations with professionalism and composure, consistently achieving positive outcomes for both clients and the organization.
Customer Service Representative
General Dynamic
01.2017 - 07.2020
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Responded to customer requests for products, services, and company information.
- Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
Education
University of Phoenix
Tempe, AZSkills
- Claims
- Claims processing
- Claims investigation
- Verbal communication
- Microsoft office
Timeline
Claims Specialist
Blue Cross and Blue Shield
04.2022 - 11.2024
Customer Service Representative
General Dynamic
01.2017 - 07.2020
University of Phoenix
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