Summary
Overview
Work History
Education
Skills
Timeline
Generic

Miriam Jean-Charles

Orlando,FL

Summary

Adept at license management and fostering client relationships, I significantly enhanced client satisfaction at The Hartford. My expertise in legal research and strong problem-solving abilities have driven successful project outcomes. Skilled in Microsoft Office and teamwork, I excel in high-pressure environments, consistently delivering beyond expectations. Offering solid foundation in regulatory practices and data management, eager to learn and develop within licensing environment. Brings ability to quickly acquire industry-specific regulations and apply advanced analytical skills to ensure compliance. Ready to use and develop analytical thinking and regulatory comprehension in Auto Damage Trainee role.

Overview

7
7
years of professional experience

Work History

Licensing Analyst

The Hartford
05.2024 - Current
  • Managed 3 projects concurrently, prioritizing tasks effectively to meet critical deadlines.
  • Monitored statuses of multiple licenses, ensuring timely renewals and updates for clients.
  • Strengthened client relationships by providing clear communication throughout the licensing process, ensuring all parties were well-informed of progress and outcomes.
  • Participated in industry events and conferences, staying current on best practices in licensing management while expanding professional network connections.
  • Conducted extensive due diligence investigations on prospective licensees, ensuring alignment with organizational standards and values before granting approval.
  • Provided exceptional customer service to applicants, addressing inquiries and offering guidance on licensing requirements.
  • Developed training materials for new Licensing Analysts, fostering a culture of continuous learning within the team.

Claim Technician

The Hartford
07.2022 - 05.2024
  • Implemented innovative solutions for tracking claim progress, enabling better oversight of ongoing cases and quicker identification of potential bottlenecks or delays.
  • Managed high caseloads while maintaining attention to detail and strict adherence to deadlines, resulting in reduced turnaround times for claims resolutions.
  • Improved claim processing efficiency by streamlining workflow and implementing time-saving strategies.
  • Handled escalated customer concerns with professionalism and empathy, working diligently to resolve issues while maintaining positive client relationships.
  • Reviews disability claim forms and related documents for completeness and calls or writes insured or other involved persons for missing information and posts or attaches information to claim file.
  • Communicated effectively with both internal staff members and external customers via phone, email, mail or other methods.
  • Composed business correspondence for supervisors, managers and professionals.

Member Service Representative

Oscar Health Insurance
10.2021 - 05.2022
  • Filed appeals on denied claims when necessary using existing appeal processes.
  • Interpreted complex documents including regulations, statutes, legal documents, investigative reports, medical records, medical bills and claims notes to relay to members.
  • Educated members on their rights under their health care plans as well as any applicable state or federal laws governing those plans.
  • Conducted research to provide accurate information on plan options, benefits, eligibility requirements, and claim status updates.
  • Utilized various computer systems for data entry and retrieval of health insurance records.
  • Answered approximately 70+ inbound calls from existing and future policyholders to answer inquiries and discuss insurance options.

Customer Care Associate

Travelers
05.2021 - 10.2021
  • Resolves coverage and deductible questions to provide best possible claim outcomes for clients.
  • Built strong working relationships with insurance adjusters, attorneys, medical providers, and other stakeholders involved in claims process.
  • Utilized advanced software programs to streamline claim data entry and document management, resulting in increased efficiency.
  • Provided support to case managers as needed, assisting with research or documentation requests for ongoing claims investigations.
  • Maintained high level of accuracy in data entry, ensured seamless flow of information between systems and teams.
  • Handled sensitive client information with discretion, adhering to strict privacy policies and confidentiality standards at all times.
  • Established rapport with clients through active listening, helping them feel heard and supported throughout claims process.

Account Manager

Enablecomp
07.2019 - 02.2021
    • Increased client satisfaction by building strong relationships and addressing their needs promptly.
    • Maintained high client retention rate by providing exceptional customer service and anticipating client needs.
    • Managed worker compensation accounts, ensuring timely communication and effective problem resolution.
    • Implemented strategies to increase revenue from existing accounts through upselling and cross-selling initiatives.
    • Successfully resolved escalated issues, preventing potential loss of valuable clients while maintaining positive relationships with all parties involved.
    • Served as contact between client and employer for claims related issues.
    • Negotiated contract terms with clients, securing favorable agreements for both parties.

Student Concierge

Kaplan Test Prep
11.2017 - 07.2019
  • Resolved escalated customer complaints promptly and professionally.
  • Trained and mentored team members on best practices in customer service skills.
  • Identified areas of process improvement within call center environment.
  • Managed difficult situations calmly and effectively while maintaining positive attitude towards customers.
  • Proficiently handled high call volumes while maintaining quality service standards.
  • Enhanced customer satisfaction by providing timely and accurate responses to inquiries through chat, email, and phone support.

Education

Bachelor of Science - Cybersecurity And Information Assurance

Western Governors University
Salt Lake City, UT
12-2025

Skills

  • Microsoft office
  • Legal research
  • License management
  • Teamwork and collaboration
  • Problem-solving
  • Multitasking Abilities
  • Excellent communication
  • Critical thinking
  • Adaptability and flexibility
  • Decision-making
  • Relationship building
  • Written communication

Timeline

Licensing Analyst

The Hartford
05.2024 - Current

Claim Technician

The Hartford
07.2022 - 05.2024

Member Service Representative

Oscar Health Insurance
10.2021 - 05.2022

Customer Care Associate

Travelers
05.2021 - 10.2021

Account Manager

Enablecomp
07.2019 - 02.2021

Student Concierge

Kaplan Test Prep
11.2017 - 07.2019

Bachelor of Science - Cybersecurity And Information Assurance

Western Governors University
Miriam Jean-Charles