Detail-oriented and dependable Claims and Customer Support Specialist with 7+ years of experience in the healthcare and retail industries. Proven ability to analyze, process, and resolve claims efficiently in high-volume, remote environments.
Overview
8
8
years of professional experience
Work History
Claims Processor Specialist
Teleperformance
01.2024 - 09.2025
Process and review 125+ insurance claims daily with 98% accuracy.
Exceed productivity targets and consistently rank in the top 10% of team performance.
Improve claim accuracy by 30% through detailed documentation and process adherence.
Deliver resolution decisions via clear, professional written communication.
Ensure full compliance with HIPAA, audit standards, and turnaround time requirements.
Customer Service Representative
City Furniture
01.2023 - 01.2024
Managed customer service requests through email and CRM tickets related to delivery, billing, and warranties.
Updated and maintained accurate customer records across platforms.
Ensured resolution follow-up and adherence to internal quality standards.
Participated in service audits to enhance team efficiency and customer satisfaction.
Member Services Representative
Welldyne
06.2017 - 01.2023
Provided pharmacy benefit support via non-phone channels, processing mail-order requests and insurance verifications.
Accurately handled prior authorization submissions in line with HIPAA compliance.
Maintained detailed member documentation and escalated urgent issues for timely resolution.
Education
High School Diploma - undefined
Lakeland High School
Lakeland, FL
01.2010
Skills
Microsoft Office Suite (Excel, Word, Outlook, PowerPoint)