Missey R. Moore
Shreveport,LA
Summary
Case management and client support professional with 10+ years of experience in healthcare, insurance, and benefits operations. Skilled in managing complex cases, coordinating cross-functional solutions, resolving claims and account issues, and guiding members through benefits and disability-related processes. Proven track record of delivering empathetic, solutions-focused support while maintaining compliance and documentation standards in high-volume environments. Experienced with Salesforce CRM, case tracking systems, member advocacy, and benefits administration.
Overview
8
8
years of professional experience
Work History
Group Benefits Implementation Specialist
The Hartford
01.2023 - 01.2025
- Coordinated high-volume client onboarding, policy activations, and benefit transitions within a fast-paced group benefits environment.
- Reviewed plan changes, underwriting documentation, and implementation requests to support accurate benefit administration.
- Partnered with underwriting, implementation, and service teams to resolve transition issues and ensure positive client outcomes.
- Managed multiple cases simultaneously while maintaining documentation accuracy and meeting service expectations.
Health Advocate Concierge
Blue Cross Blue Shield of Texas
01.2019 - 01.2023
- Assisted members with claims, billing concerns, and benefit questions while ensuring HIPAA-compliant handling of confidential information.
- Guided members through complex healthcare and insurance processes using empathy and problem-solving skills.
- Collaborated with internal departments to coordinate services and resolve escalated member concerns.
- Developed individualized action plans to improve member experiences and support issue resolution.
Automotive Claims Adjuster
Pilot Catastrophe Services Inc
01.2018 - 01.2019
- Managed property and liability claims by reviewing documentation, conducting investigations, and facilitating claim resolution.
- Coordinated with claimants, vendors, and internal stakeholders to support timely claim outcomes.
- Maintained detailed records and ensured compliance with organizational policies and procedures.
- Prioritized competing responsibilities in a high-volume claims environment while maintaining quality standards.
Liability Adjuster
MetLife
01.2018 - 01.2018
- Evaluated liability claims by reviewing coverage information, supporting documentation, and settlement recommendations.
- Coordinated investigations with claimants, medical providers, and third-party representatives.
- Maintained accurate documentation to support timely and informed claims decisions.
- Worked collaboratively with internal partners to ensure efficient claims processing.
Auto Claims Representative
Liberty Mutual Insurance
01.2017 - 01.2018
- Served as the primary point of contact for customers reporting automobile claims and explaining policy provisions.
- Coordinated communication among customers, adjusters, and repair facilities to facilitate efficient claim handling.
- Documented claim activity accurately while meeting productivity and quality expectations.
- Delivered exceptional customer service while supporting individuals during stressful situations.
Education
Bachelor of General Studies - Concentration: Applied & Social Sciences
Louisiana State University
Shreveport, LA05-2027
Skills
- Software
- Salesforce CRM
- Microsoft Office Suite
- Microsoft Outlook
- Microsoft Teams
- Case Management Systems
- Benefits Administration Platforms Healthcare & Insurance
- Claims Resolution
- Benefits Administration
- Insurance Verification
- HIPAA Compliance
- Documentation Review
- Member Advocacy Case Management
- Case Tracking and Documentation
- Cross-Functional Coordination
- Escalation Management
- Problem Resolution
- Quality Assurance
- Data Accuracy and Record Management
Timeline
Group Benefits Implementation Specialist
The Hartford
01.2023 - 01.2025
Health Advocate Concierge
Blue Cross Blue Shield of Texas
01.2019 - 01.2023
Automotive Claims Adjuster
Pilot Catastrophe Services Inc
01.2018 - 01.2019
Liability Adjuster
MetLife
01.2018 - 01.2018
Auto Claims Representative
Liberty Mutual Insurance
01.2017 - 01.2018
Bachelor of General Studies - Concentration: Applied & Social Sciences
Louisiana State University
AWARDS & RECOGNITION
BlueCorps Honor Roll, The Hartford “Thank You” Award, Do the Right Thing Award, Helping Hand Award, Courageous Customer Advocate Award, Member First Award