Latisha Hunt
Tupelo,MS
Summary
Claims Specialist with expertise in settlement preparation, claims processing and appeal filing. Diplomatic and personable professional accustomed to handling sensitive, confidential information and investigating complex liability claims. Committed to maintaining customer satisfaction and contributing to company success. Driven Customer Specialist committed to providing quality service and timely issue resolution. Proficient communicator and detail-oriented. Accustomed to working in stressful, high-volume call environments while providing efficient and accurate support.
Overview
18
18
years of professional experience
Work History
Disability Examiner
Sedgwick
05.2023 - Current
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Interviewed claimants and witnesses to gather factual information.
- Verified insurance claims and determined fair amount for settlement.
- Finalized short term disability claim files for insurance claim payment release.
- Handled complaints and grievances using negotiating and problem-solving skills.
- Juris claims management 2 years
- Avaya phone systems 3 years
Supervisor
C & L EXPRESS TRUCKING LLC
02.2020 - 01.2023
- · Lead staff of 10-20 call agents responsible for resolving patient account issues (account access, billing, transaction refunds) via chat support, phone support and email support.
- Facilitate workflows, coding and outbound calls to insurance carriers to investigate rejects and denied claims for individuals and dependents.
- Create training materials, daily shifts, and rotation schedules to meet business needs without altering call outs, agent vacation requests, or PTO requests.
- Audit and evaluate performance of a minimum of 15 agents relative to workflow routing, time with company and skillsets.
- Worked with HR team to coordinate company events.
- Facilitate workflows, coding and outbound calls to insurance carriers to investigate rejects and denied claims for individuals and dependents.
- Create training materials on safety and security related to patient data, billing systems, employee confidentiality, and staying vigilant while on the job.
- Handled customer complaints, resolved issues, and adjusted policies to meet changing needs.
- Motivated and trained employees to maximize team productivity.
Remote Travel Agent
Power 2 Exhale Group
03.2019 - 02.2021
- Booking and selling pre packaged trips to individuals and families
- All clients have A+ customer service and hotel stays.
- Responded to clients' questions, issues, and complaints and found appropriate solutions when needed.
- Arranged travel accommodations for groups, couples, executives and special needs clients.
- Maintained operational proficiency in coordinating both international and domestic travel accommodations for customers, arranging for airfare as well as hotel and rental car reservations.
- Supervised payments via credit and debit cards and handled sensitive information with professionalism and discreteness.
- Communicated benefits and information regarding international travel insurance with clients and obtained best rates, increasing repeat business 15%
- Provided exemplary customer service to new and existing clients, which helped build lasting relationships and secure new travel assignments.
- Adhered to budget requirements with excellent planning and consistent expense monitoring.
Customer Service Specialist/ Cosmetologist
Uniquely Twisted By Tisha LLC
08.2012 - 01.2021
- Make necessary adjustments to customer demographic, payment terms, and account credit balance information.
- Manually audit pending items including charges, legal reviews, payments, and personal information updates via internal data tracking systems.
- Assist in educating onboarded teammates on new insurance and HIPAA guidelines for current year.
- Transmit judicial records requests and corresponding invoices from attorneys offices and law firms.
- Evaluates customer’s financial status and establish budget payment plans and reports status of delinquent accounts to manager.
- Handle collections on unpaid accounts while adhering to company benchmarks as assigned.
- Identify trends/recurring issues and present to supervisor for further investigation and resolution.
- Provide specialty billing and coding recommendations and share information to billing team.
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
- Answered customer telephone calls promptly to avoid on-hold wait times.
- Answered constant flow of customer calls with minimal wait times.
- Assisted customers with setting appointments, special order requests, and arranging merchandise pick-up.
- Educated customers on products to maximize benefits.
- Processed payments, entering sales in register for prompt customer service.
- Booked appointments, answered phones, greeted clients, handled payments and created client service tickets.
- Provided primary customer support to internal and external customers.
- Adhered to company policies and scripts to consistently achieve call-time and quality standards.
- Addressed customer complaints and mitigated dissatisfaction by employing timely and on-point solutions.
- Compiled data and reviewed information for accuracy prior to input.
- Completed data entry tasks with accuracy and efficiency.
- Devised and deployed sales and marketing tactics to drive strategic growth and support achievement of revenue goals.
- Put together realistic budgets based upon costs and fees for successfully operating business.
- Optimized team hiring, training and performance.
- Achieved sales goals and increased revenue and profits through productive strategy development and organizational leadership.
- Examined claims forms and other records to determine insurance coverage
- Introduced higher standards for customer service and increased efficiency by streamlining operations
- Supervised employees and assessed performances to determine training needs and define accurate plans for decreasing process lags
- Trained and regularly mentored associates on performance-oriented strategies and customer service techniques
- Achieved high satisfaction rating through proactive one-call resolutions of customer issues.
- Took payment information and other pertinent information such as addresses and phone numbers to place orders.
Corporate Events Manager
Elise Events And Planning
04.2008 - 12.2011
- Recommended workflow and budget improvements, resulting in 20% savings per event.
- Managed administrative logistics of events planning, event booking and event promotions.
- Oversaw preparation and management of event budgets to deliver at or below projected costs.
- Coordinated catering services and planned menus to compliment event theme and selected musical or guest speaker entertainment.
- Hired and cross-trained staff members for various event-specific functions and assessed employees' understanding of associated processes and procedures.
- Coordinated with participating vendors during event planning.
- Performed event coordination for larger parties and gatherings.
- Performed face-to-face meetings to finalize contract for services and event details.
- Monitored cash intake and deposit records, increasing accuracy and reducing discrepancies.
- Helped with planning schedules and delegating assignments to meet coverage and service demands.
- Offered hands-on assistance to customers, assessing needs and maintaining current knowledge of consumer preferences.
- Receives documents from both electronic and hard copy forms for processing
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns
Personal Care Support Manager
Juanema Armstrong
11.2005 - 04.2008
- Maintained appropriate filing of personal and professional documentation
- Maintained entire family's schedule and organized events
- Handled incoming mail, bills and invoices and completed appropriate actions
- Transported children to and from school, activities and appointments
- Entrusted to handle confidential and sensitive situations in professional matter
- Picked up and dropped off clients at airport
- Answered high volume of phone calls and email inquiries.
- Displayed absolute discretion at handling confidential information.
- Oversaw personal and professional calendars and coordinated appointments for future events.
- Maintained appropriate filing of personal and professional documentation.
- Responded to emails and other correspondence to facilitate communication and enhance business processes.
- Resolved conflicts and negotiated mutually beneficial agreements between parties.
- Worked within applicable standards, policies and regulatory guidelines to promote safe working environment.
- Participated in continuous improvement by generating suggestions, engaging in problem-solving activities to support teamwork.
- Adaptable and proficient in learning new concepts quickly and efficiently
Education
BBA - Business Management
Strayer University
Jackson, MS03.2024
Associate of Arts - Business Ethics
University of Phoenix-Online Campus
Phoenix, AZ02.2011
Associate's degree - Cosmetology
Creations College of Cosmetology
Tupelo, MS2010
High School Diploma -
Tupelo High School
Tupelo, MS05.2003
Skills
Customer Experience
Knowledge Base
- Claims/EOB
- Sourcing
- Resume screening
- Candidate assessment
- Risk Management
- Medical Consultation
- Processing Medical Claims
- Safety Standards
- Verbal and Written Communication
- Coaching Proficiency
- Coaching Clients
- Emotional Support
- Client Service
Additional Information
- Master Life Coach
- Spiritual Coach
- Awards, Presidents List July 2022
- Award for academic achievement and maintaining a 4.0 GPA.
- Cosmetology License
- Driver's License
Timeline
Disability Examiner
Sedgwick
05.2023 - Current
Supervisor
C & L EXPRESS TRUCKING LLC
02.2020 - 01.2023
Remote Travel Agent
Power 2 Exhale Group
03.2019 - 02.2021
Customer Service Specialist/ Cosmetologist
Uniquely Twisted By Tisha LLC
08.2012 - 01.2021
Corporate Events Manager
Elise Events And Planning
04.2008 - 12.2011
Personal Care Support Manager
Juanema Armstrong
11.2005 - 04.2008
BBA - Business Management
Strayer University
Associate of Arts - Business Ethics
University of Phoenix-Online Campus
Associate's degree - Cosmetology
Creations College of Cosmetology
High School Diploma -
Tupelo High School
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