Nai’ya Thomas
RUSKIN,FL
Summary
Detail-oriented insurance professional with experience in policy servicing, claims processing, and insurance verification, seeking to contribute to Slide as a Policy Services Representative. Proven ability to process policy changes, endorsements, and documentation with a high level of accuracy in a fast-paced environment. Experienced in supporting agents and policyholders by resolving inquiries, reviewing policy details, and ensuring compliance with underwriting guidelines. Recognized for strong attention to detail, efficient workflow management, and delivering exceptional customer service while maintaining data integrity and operational efficiency.
Overview
7
7
years of professional experience
Work History
Customer Relations Specialist
Vault
St. Petersburg, Florida
06.2023 - Current
- Serve as first point of contact for agents and high-net-worth clients, delivering exceptional customer support.
- Process policy changes, endorsements, and documentation updates with a high level of accuracy.
- Support agents and policyholders via phone and email by resolving inquiries related to coverage, billing, and policy details.
- File and manage claims for property, auto, collections, and excess liability policies.
- Train new hires on billing systems and protocols.
- Inform customers about billing procedures, process payments, and provide payment option setup assistance.
- Audit various task for other team members to ensure quality and accuracy
Front Office Administrator
Advanced Oral Surgery
Tampa, Florida
03.2021 - 02.2022
- Enhanced patient satisfaction by efficiently coordinating medical care and addressing individual needs.
- Ensured accurate documentation of patient information, maintaining confidentiality and compliance with HIPAA regulations.
- Managed high-volume caseloads, consistently meeting deadlines and maintaining accuracy in claim review.
- Collaborated with medical professionals to obtain accurate information for proper benefit determination.
- Trained new administrative staff on office procedures and software systems.
- Provided administrative support to executive team including typing memos, reports, correspondence and other documents as requested.
- Processed claims using specialized dental software and electronic systems.
- Verified accuracy of dental claims for completeness and compliance with insurance policies and regulations.
- Precisely calculated refunds, premiums, and adjustments.
Data Entry Processor
Ultimate Medical Academy
, Remote
01.2020 - 03.2021
- Enhanced data accuracy by diligently reviewing and correcting errors in the input process.
- Ensured data confidentiality by adhering to strict security protocols and maintaining an organized filing system.
- Collaborated with team members to complete high-volume projects efficiently and within deadlines.
- Developed expertise in various data entry software programs, increasing speed and precision in daily tasks.
Insurance Verification Specialist
Tampa Family Health Centers
Tampa, Florida
02.2019 - 01.2020
- Enhanced claim processing efficiency by verifying insurance coverage and obtaining pre-authorizations for procedures.
- Reduced errors in billing by accurately maintaining patient records with updated insurance information.
- Streamlined workflow for medical providers by obtaining necessary referrals and authorizations for services.
- Expedited patient registration process by efficiently validating eligibility for various insurance plans.
Education
High school Diploma -
Riverview High School
Riverview, FLSkills
- Policy Servicing & Policy Changes
- Claims Processing & Filing
- Insurance Verification & Eligibility
- Documentation Review & Accuracy
- Data Entry & Record Management
- Customer & Agent Account Support
- Microsoft Office (Excel, Word, Outlook)
- Compliance & Confidentiality (HIPAA)
- Problem Solving & Communication
- Time Management & Multitasking
- Team work and Collaboration
- Training and Mentoring
- Attention to detail
References
Available Upon Request
Timeline
Customer Relations Specialist
Vault
06.2023 - Current
Front Office Administrator
Advanced Oral Surgery
03.2021 - 02.2022
Data Entry Processor
Ultimate Medical Academy
01.2020 - 03.2021
Insurance Verification Specialist
Tampa Family Health Centers
02.2019 - 01.2020
High school Diploma -
Riverview High School