Leanne Allen
Winter Haven
Summary
Professional with strong background in claims management, prepared to make significant impact. Skilled in assessing and processing claims accurately, resolving complex issues, and ensuring customer satisfaction. Effective team collaborator with focus on achieving results and adapting to changing needs. Known for analytical thinking, communication skills, and attention to detail.
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
I enjoy working in the field of customer service, it is something I take very high pride in.
Overview
9
9
years of professional experience
Work History
Medicaid Claims Representative
Florida Healthy Kids
Remote
01.2024 - 04.2026
- Processed and reviewed insurance claims to ensure compliance with state regulations.
- Collaborated with healthcare providers to gather necessary documentation for claim approval.
- Resolved discrepancies by communicating effectively with clients and internal teams.
- Analyzed claim trends to identify areas for improvement in processing efficiency.
- Calculated adjustments, premiums and refunds.
- Verified client information by analyzing existing evidence on file.
Unemployment Claims Specialist
Accenture
06.2022 - 10.2023
- Processed unemployment claims efficiently, ensuring compliance with state regulations and guidelines.
- Reviewed claim documentation for accuracy, identifying discrepancies and resolving issues promptly.
- Collaborated with cross-functional teams to streamline claims processing workflows and enhance service delivery.
- Led initiatives to improve customer service response times, resulting in increased claimant satisfaction rates.
- Assisted claimants in navigating the unemployment benefits system, addressing concerns, and answering inquiries promptly.
- Enhanced customer satisfaction by resolving complex claim issues in a timely and professional manner.
- Maintained up-to-date knowledge of federal and state regulations governing unemployment insurance programs, ensuring compliance at all times.
- Collaborated with other departments to develop streamlined processes for sharing information related to unemployment claims.
- Handled escalated claimant issues professionally, working towards satisfactory resolutions without compromising company policies or procedures.
Debt Collector
American Express
12.2019 - 05.2022
- Managed collections process for high-value accounts, ensuring timely resolutions.
- Utilized CRM systems to track account statuses and maintain accurate records.
- Negotiated payment plans with clients, improving debt recovery rates.
- Analyzed customer account data to identify trends and optimize collection strategies.
- Collaborated with legal teams on escalated cases, ensuring compliance with regulations.
- Developed scripts for effective communication, enhancing customer engagement during calls.
Retail Sales Associate
Macys
Fort Lauderdale, FL
10.2017 - 09.2019
- Assisted customers with product selection and inquiries to enhance shopping experience.
- Managed point-of-sale transactions efficiently, ensuring accuracy and customer satisfaction.
- Collaborated with team members to maintain visual merchandising standards and product displays.
- Resolved customer complaints promptly, fostering positive relationships and repeat business.
- Supported inventory management by restocking shelves and monitoring product availability.
- Engaged in promotional activities to increase sales and encourage customer participation.
- Participated in training sessions to enhance product knowledge and sales techniques.
Education
Bachelor of Science - Psychology
Broward College
Davie, FL11-2024
Skills
- Microsoft office
- Insurance claims review
- Claims investigation
- Time management
- Decision-making
- Data analysis
- Team collaboration
- Documentation review
- Settlement negotiation
- File management
- Database management
- Customer service
- Attention to detail
- Active listening
- Claims processing
- Information verification
- Data entry software
- Data entry
- Collaborative relationships
- Problem-solving abilities
- Problem-solving
- Teamwork
- Excellent communication
- Organizational skills
- Effective communication
- Reliability
- Multitasking Abilities
- Adaptability and flexibility
- Verbal and written communication
- Teamwork skills
- Relationship building
- Computer proficiency
- Self motivation
- Team building
- Task prioritization
- Analytical thinking
- Documentation
- Goal setting
- Professionalism
Languages
English
Native or Bilingual
Timeline
Medicaid Claims Representative
Florida Healthy Kids
01.2024 - 04.2026
Unemployment Claims Specialist
Accenture
06.2022 - 10.2023
Debt Collector
American Express
12.2019 - 05.2022
Retail Sales Associate
Macys
10.2017 - 09.2019
Bachelor of Science - Psychology
Broward College