Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

MARQUITA RIDGEWAY

Plano,TX

Summary

With 10 years of Customer Service skills across diverse fields in entrepreneurial, insurance, collection, and Environmental floor tech, in which include a fast pace environment . Success in developing skilled and effective strategies in relation to business needs. I’m licensed by Texas Department Of Insurance with an All Lines Adjuster License. Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation. An established Insurance Verification Specialist known for handling various office tasks with undeniable ease. I'm organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Overview

13
13
years of professional experience
1
1
Certification

Work History

Senior Customer Service Representative Remote

Walmart Associates
03.2020 - 02.2024
  • Enhanced customer satisfaction by promptly addressing and resolving complex inquiries and complaints.
  • Streamlined customer service processes for increased efficiency and improved response times.
  • Mentored junior team members, contributing to their professional development and overall team success.
  • Collaborated with cross-functional teams to develop new strategies for enhancing customer experience.
  • Provided backup support during peak periods or staff shortages to ensure seamless service delivery to clients at all times.
  • Responded to customer calls and emails to answer questions about products and services.

Claims Associate

Department Of Labor- Remote
08.2020 - 01.2023
  • Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
  • Interviewed policyholders to verify information and obtain additional details.
  • Followed up with customers on unresolved issues.
  • Evaluated accuracy and quality of data entered into agency management system.
  • Worked productively in fast-moving work environment to process large volumes of claims.

Insurance Claims Specialist

Statefarm
09.2018 - 03.2021
  • Evaluate all claim and policy information and investigate all details for insured clients for various line of business and ensure applicable coverage of individuals, administer and settle all claims effectively and inform all customers and claimants for any denial on policies.
  • Investigated properties to determine extent of damage and estimate repair costs.
  • Collaborated with claims department and industry anti-fraud organizations to resolve claims.
  • Responded to customer calls swiftly to resolve issues and answer questions.
  • Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
  • Investigated vehicles & homes damages, gathering information from diverse sources and delivering comprehensive reports.

Caregiver

Brookdale Senior Living Facility
01.2018 - 12.2020
  • Monitored client vital signs, administered medications and tracked behaviors to keep healthcare supervisor well-informed.
  • Entertained, conversed and read aloud to keep patients mentally alert.
  • Built strong relationships with clients to deliver emotional support and companionship.
  • Supported clients with mental support and physical activities to accomplish quality of life and sustain needs.
  • Changed dressings, bandages and binders to maintain proper healing and sanitary measures.

SOCIAL MEDIA ANALYST

GENPACT
01.2015 - 09.2018
  • Responsible for planning, implementing and monitoring the company's social media platforms in order to increase brand awareness, Investigate and resolve issues that are reported on clients’ site such as request for account support And reports of potentially abusive content.

RETURN SPECIALIST

STANDARD MOTOR PRODUCTS
03.2011 - 12.2014
  • Managed Customer Service Department incoming calls with a positive attitude and convey a Professional and knowledgeable image at all times.
  • Data Entry of purchase orders, forecasting, &scheduling.
  • Preparation of return and debit/credit documentation.
  • Distributed returned merchandise to appropriate store departments or palletized for liquidation.
  • Collaborated with team members to facilitate returns quickly and provide outstanding customer service.

Education

High School Diploma -

HIGH SCHOOL DIPOLMA, KIRBY HIGH SCHOOL
Memphis, TN
05.2008

Skills

  • Transactions reconciliation
  • Claims review
  • Understanding of medical terms
  • Excel proficiency
  • Excel spreadsheets
  • Report preparation
  • Inbound and Outbound Calling
  • Professional telephone demeanor
  • Good listening skills
  • Warehousing functions
  • Computer proficiency
  • Organization and Time management

Certification

  • Licensed All Lines Adjuster - 2020-2024

Timeline

Claims Associate

Department Of Labor- Remote
08.2020 - 01.2023

Senior Customer Service Representative Remote

Walmart Associates
03.2020 - 02.2024

Insurance Claims Specialist

Statefarm
09.2018 - 03.2021

Caregiver

Brookdale Senior Living Facility
01.2018 - 12.2020

SOCIAL MEDIA ANALYST

GENPACT
01.2015 - 09.2018

RETURN SPECIALIST

STANDARD MOTOR PRODUCTS
03.2011 - 12.2014

High School Diploma -

HIGH SCHOOL DIPOLMA, KIRBY HIGH SCHOOL
MARQUITA RIDGEWAY