Latrice Harvey
Somerville,TN
Summary
Dedicated team player adept at managing customer service and claims processing for policyholders. Looking for a long-term position with a growth-oriented company. Efficient professional in insurance claims and policy processing, known for high productivity and the ability to complete tasks with precision. Specialized in analyzing claim details, navigating policy databases, and managing customer communications. Excel in problem-solving, adaptability, and teamwork, leveraging these soft skills to navigate complex situations and achieve positive outcomes.
Overview
8
8
years of professional experience
Work History
Claims Representative
Amerisource Bergen -Lash Group
Louisville , KY
01.2023 - Current
- Conducted research into medical terminology related to healthcare claims processing activities.
- Documented changes in claim statuses using specialized software systems.
- Developed strategies to reduce the number of denied or delayed claims within assigned portfolio.
- Analyzed trends in claim denials or delays to identify areas for improvement within the organization.
- Ensured timely submission of required documentation from claimants prior to approval of payment.
- Adhered to strict guidelines pertaining to confidentiality while handling sensitive personal information.
- Filed appeals on behalf of customers when necessary after denial of a claim due to insufficient evidence.
- Reviewed and verified claim information to ensure accuracy of data and compliance with established policies.
- Maintained detailed records of all communication with customers, claimants, providers, and internal departments.
- Identified potential fraud indicators during the review process and reported suspicious activity accordingly.
Customer Service Coordinator
Sitel Call Center
Missouri City, St.louis
02.2020 - 12.2022
- Provided customer service assistance to customers via phone and email.
- Assisted in the development of quality assurance standards for customer service operations.
- Coordinated customer service activities, including responding to inquiries, resolving complaints, and providing product information.
- Identified potential opportunities for improvement within the customer service department.
- Ensured that all customer inquiries were responded to in a timely manner.
Customer Service Representative
MCI Communications
Memphis, TN
06.2016 - 05.2020
- Contacted customers about potential service upgrades, new services and account changes.
- Updated system with order specifics and customer details, preferences, and billing information.
- Led on- and off-site customer support teams across multiple time zones.
- Prevented key account losses by researching discrepancies and correcting problems.
Education
High School Diploma -
Fayette Ware
Somerville, TN06-2006
Skills
- Complaint resolution
- Paperwork Processing
- Product Knowledge
- Scheduling
- Call Management
- Account updating
- Data Entry
- Customer queries
- Claims Investigation
- Insurance Claims Review
- Policy Knowledge
- Workers Compensation
- Microsoft Office
- Documentation Review
- Allocating claims
Timeline
Claims Representative
Amerisource Bergen -Lash Group
01.2023 - Current
Customer Service Coordinator
Sitel Call Center
02.2020 - 12.2022
Customer Service Representative
MCI Communications
06.2016 - 05.2020
High School Diploma -
Fayette Ware
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