Summary
Overview
Work History
Education
Skills
Certification
Personal Information
Timeline
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Monique George

Monique George

Houston,TX

Summary

Claims examiner with over10+years of experience in a variety of customer service positions including call center, and patient support. Looking to take the next step in my career by obtaining a position at a reputable company where I can grow and advance in the future.

Overview

8
8
years of professional experience
1
1
Certification

Work History

Life Claims Examiner

Manhattan Life insurance
03.2022 - Current
  • Analyze claims based on all claim documentation received and provide timely follow-ups for claims being adjudicated
  • Process and resolve insurance claims in accordance to claim procedures, policy provisions and limitations, policy application, underwriting guidelines, medical conditions, company philosophy and state insurance laws
  • Make decisions and ensure the successful resolution of inquiries and complaints by preparing accurate and timely activity reports
  • Correspond with beneficiaries, funeral homes, funding companies, and other third parties to collect data
  • Process payments
  • Explain decisions to customers through appropriate communication channels
  • Communicate via written correspondence or e-mail to claimants
  • Confirm the validity of the contract between the company and Policy-owner on Agency issued contracts, process policy amendments or rescissions when necessary

Data Entry

iQor
08.2021 - 03.2022
  • Accurately entering data into a company's databases and systems
  • This may include transcribing data from audio or video files
  • Updating existing records with accurate and current data
  • Verifying the accuracy of entered data through proofreading and cross-referencing with source documents
  • Creating and maintaining spreadsheets to organize large amounts of data efficiently
  • Working collaboratively to maintain the overall integrity and consistency of data sets

Call Center Representative

Fosdick Fulfillment
11.2019 - 08.2021
  • Take customer calls and provide accurate, satisfactory answers to their queries and concerns
  • Call clients and customers to inform them about the company's new products, services and policies
  • Guide callers through troubleshooting, navigating the company site or using the products or services
  • Exceptional interpersonal and rapport building skills
  • Review customer or client accounts, providing updates and information about billing, shipping, warranties and other account items

Lead Customer Service Representative/ Team Trainer

Spirit Airlines
09.2016 - 11.2019
  • Checked in passengers for domestic and international travel using computerized systems; verified documentation for international and domestic flight
  • Processed tickets, checked baggage, and monitored carry-on baggage for size and quantity, collected checked baggage fees at gate, and assigned seats
  • Address and resolve escalated customer concerns, and assist agents in resolving complex issues
  • Communicate changes in company rules and procedures, and mentor staff to improve performance and efficiency

CNA - Certified Nursing Assistant

Masonicare
04.2016 - 09.2018
  • Personal care: Assisting patients with bathing, grooming, dressing, and oral hygiene
  • Documentation: Charting care provided to patients, including activities of daily living (ADLs), observations, and changes in condition
  • Vital signs: Taking and recording blood pressure, heart rate, and other vital signs

Education

Claims Adjuster

20201 All Lines Adjuter Course
Houston, TX

High school diploma -

Hamden High School
Hamden, CT
06.2008

Skills

Microsoft Windows

Certification

  • CPR Certification
  • State Tested Nursing Assistant

Personal Information

Work Permit: Authorized to work in the US for any employer

Timeline

Life Claims Examiner

Manhattan Life insurance
03.2022 - Current

Data Entry

iQor
08.2021 - 03.2022

Call Center Representative

Fosdick Fulfillment
11.2019 - 08.2021

Lead Customer Service Representative/ Team Trainer

Spirit Airlines
09.2016 - 11.2019

CNA - Certified Nursing Assistant

Masonicare
04.2016 - 09.2018

Claims Adjuster

20201 All Lines Adjuter Course

High school diploma -

Hamden High School

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Monique George