Leshaunta Ragland
Henderson,NC
Summary
Proactive Claims Representative and Customer Service Advocate with extensive experience in claims processing, data entry, and benefits verification. Improved customer satisfaction and ensured compliance with industry regulations. Skilled in time management, decision-making, and Microsoft Office, bringing a collaborative and detail-oriented approach to enhancing team performance.
Overview
15
15
years of professional experience
Work History
Claims Representative
Blue Cross and Blue Shield
09.2021 - 06.2024
- Worked productively in fast-moving work environment to process large volumes of claims.
- Followed up with customers on unresolved issues.
- Improved customer satisfaction by providing timely and accurate information on claim status and resolution.
- Maintained compliance with industry regulations by adhering to established procedures and guidelines in claims handling.
Customer Service Advocate
Aetna Medicaid
06.2017 - 07.2021
- Promoted superior experience by addressing customer concerns, demonstrating empathy, and resolving problems swiftly.
- Managed high call volume during peak hours, prioritizing urgent cases while maintaining attention to detail.
- Maintained a positive work environment, fostering team collaboration and continuous improvement.
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
Data Entry Clerk
Mako Medical Laboratories
03.2015 - 05.2017
- Completed data entry tasks with accuracy and efficiency.
- Followed established procedures to enter and process data correctly.
- Organized, sorted, and checked input data against original documents.
- Scanned documents and saved in database to keep records of essential organizational information.
Benefits Verification Specialist
TrialCard
02.2012 - 10.2014
- Optimized the use of electronic claims submission systems to expedite claim processing times.
- Ensured timely reimbursements by proactively identifying potential issues that could delay claim processing and addressing them before submission.
- Maintained up-to-date knowledge on industry regulations, ensuring compliance throughout all benefit verification processes.
- Conducted regular performance evaluations for junior staff members, offering constructive feedback and opportunities for growth within the role.
Manager
Bojangles
08.2009 - 09.2011
- Accomplished multiple tasks within established timeframes.
- Enhanced customer satisfaction by resolving disputes promptly, maintaining open lines of communication, and ensuring high-quality service delivery.
- Resolved staff member conflicts, actively listening to concerns and finding appropriate middle ground.
- Cross-trained existing employees to maximize team agility and performance.
Education
High School Diploma -
Northern Vance High School
Henderson, NCSkills
- Microsoft Office
- Insurance Claims Review
- Claims Investigation
- Time Management
- Decision-Making
- Documentation Review
Timeline
Claims Representative
Blue Cross and Blue Shield
09.2021 - 06.2024
Customer Service Advocate
Aetna Medicaid
06.2017 - 07.2021
Data Entry Clerk
Mako Medical Laboratories
03.2015 - 05.2017
Benefits Verification Specialist
TrialCard
02.2012 - 10.2014
Manager
Bojangles
08.2009 - 09.2011
High School Diploma -
Northern Vance High School
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