Mahogany Matthews
Dallas
Summary
Skilled claims processing professional with extensive experience in reviewing and validating insurance claims. Strong focus on accuracy, problem-solving, and effective communication. Known for a collaborative approach and adaptability to changing needs. Proficient in claims software, data entry, and customer service. Recognized for reliability and achieving results in team environments.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Claims processor
Deluxe
01.2025 - Current
- Processed claims by scanning checks and relevant documents to ensure accurate and timely handling.
- Updated customer information, including addresses, phone numbers, and email addresses, to maintain up-to-date records.
- Facilitated customer payment processing related to subscription services, enhancing accuracy and efficiency.
- Evaluated records accurately to determine appropriate coverage and payment for claims, leading to increased customer satisfaction.
- Negotiated fair settlements with policyholders using excellent communication skills while adhering to company guidelines.
Senior Advisor
Teleperformance
07.2020 - 07.2024
- Delivered expert-level technical support by resolving complex issues, ensuring high levels of customer satisfaction through adept problem-solving.
- Partnered with support teams to refine escalation procedures, resulting in improved service delivery and support efficiency.
- Managed escalated cases with diplomacy, maintaining professionalism at all times.
- Analyzed key performance metrics to identify trends and drive improvements in service delivery.
- Conducted regular performance evaluations of team members, providing constructive feedback and coaching as needed.
Team Leader
Walmart
03.2018 - 06.2020
- Maintained accurate inventory management through diligent organization and updating of merchandise pricing, facilitating proper shelf allocation.
- Monitored inventory levels and ensured accurate stock replenishment, optimizing product availability for customers.
- Trained new team members on store policies and procedures, fostering a smooth onboarding process and team cohesion.
- Conducted performance evaluations to identify strengths and areas for improvement, aligning team goals with store objectives.
Tech Support
Comcast Cable - Arise Virtual Call Center
07.2019 - 06.2020
- Provided comprehensive technical support to customers, addressing a wide range of service-related issues to ensure satisfactory resolution.
- Trained customers on equipment usage and troubleshooting techniques, enhancing their understanding and confidence in using services.
- Documented customer interactions and technical solutions in the ticketing system, ensuring accurate record-keeping for future reference.
- Assisted customers in navigating online accounts, promoting self-service options and improving overall customer satisfaction.
- Conducted follow-up calls to ensure customer issues were resolved to their satisfaction, reinforcing a commitment to service excellence.
Caregiver
Home Healthcare
05.2015 - 06.2019
- Enhanced patient quality of life through diligent medication administration, meal preparation, and maintenance of household cleanliness and organization.
- Monitored client health by tracking vital signs, reporting changes to healthcare professionals when necessary.
- Communicated effectively with family members to update them on client progress and address any concerns.
- Promoted emotional well-being by offering companionship, engaging in conversations, and encouraging social interaction.
- Maintained accurate records of client care activities, ensuring compliance with healthcare regulations and standards.
Education
High School Diploma -
Penn Foster High School Diploma Program
Pennsylvania12.2017
Skills
- Claims review
- Accuracy and precision
- Transactions reconciliation
- Claims
- Data entry proficiency
- Critical evaluation
- Insurance regulations
- Records management
- Critical thinking
- Collaborative relationships
Certification
- Insurance Adjuster | The adjuster school training | 2025
- TABC | June 2017 to August
- 2019 Driver's License
Timeline
Claims processor
Deluxe
01.2025 - Current
Senior Advisor
Teleperformance
07.2020 - 07.2024
Tech Support
Comcast Cable - Arise Virtual Call Center
07.2019 - 06.2020
Team Leader
Walmart
03.2018 - 06.2020
Caregiver
Home Healthcare
05.2015 - 06.2019
High School Diploma -
Penn Foster High School Diploma Program