Professional Summary
Dedicated and detail-oriented professional with 5+ years of customer service, administrative support, and claims processing experience in both healthcare and financial settings. Proficient in handling high-volume environments, managing insurance verification, documentation, and problem-solving tasks. Skilled in analyzing data, resolving customer inquiries, and maintaining compliance with regulatory standards, including HIPAA. Seeking to leverage these skills in a Claims Adjuster Trainee role.
Experience
Care Access Associate
USA Health Medical Center — Mobile, AL 2024
Present
• Manage patient appointments, insurance verification, medical records, and account registration with a focus on accuracy and compliance.
• Conduct insurance claims verification to ensure proper coverage and resolve discrepancies.
• Create and implement front-office policies, improving workflow efficiency.
• Handle high-volume inbound calls, advising patients on insurance, scheduling, and medical documentation in line with HIPAA regulations.
• Responsible for front-office tasks, including check-in/out, balance collection, and medical record updates.
Loan Processor Freedom Mortgage — Houston, TX 04/2020 – 07/2021
• Processed FHA, Conventional, and VA mortgage applications, ensuring all documentation was accurate and complete.
• Verified third-party documents, reviewed credit reports, and conducted fraud checks to maintain regulatory compliance.
• Prepared loan packages and submitted them for underwriting (DU & LP systems), achieving timely approval and funding.
• Analyzed customer financial data, ensuring accurate calculations for mortgage eligibility.
Customer Service Representative Verizon Wireless — Mobile, AL 06/2019 – 03/2020
• Provided high-level customer support by addressing service inquiries, technical issues, and account concerns.
• Managed high-volume call traffic, resolving customer complaints efficiently and improving satisfaction ratings.
• Supported in-store sales, troubleshooting technical issues, and offering product recommendations.
Skills
Insurance & Claims Handling: Insurance verification, claims processing, compliance
Customer Service & Communication: 5 years of customer support and conflict resolution experience
Technical Proficiency: Microsoft Office Suite, Kronos, NextGen, Cerner, DU & LP systems
Regulatory Knowledge: HIPAA compliance, loan processing guidelines, medical terminology
Problem-Solving & Analytical Thinking: Fraud detection, income calculation, customer issue resolution
Time Management & Organization: Efficient multitasking in high-pressure environments, handling complex documentation
Soft Skills
Attention to Detail
Strong Verbal & Written Communication
Time Management & Multitasking
Analytical Thinking
Adaptability & Flexibility
Team Collaboration
Empathy & Active Listening
Decision-Making Under Pressure
Certifications
• Certificate of Completion: Introduction to Cybersecurity
• Certified in NextGen & Cerner Systems