Natalie Jones
Louisville,MS
Summary
Results-driven claims professional with strong analytical skills and a keen eye for detail. Adept in processing claims efficiently while ensuring accuracy and compliance with regulations. Known for fostering team collaboration and adapting to changing requirements seamlessly. Dependable, focused, and skilled in conflict resolution and customer service.
Overview
8
8
years of professional experience
Work History
Claims Associate
Taylor Sudden Service
Philadelphia, MS
10.2025 - Current
- Reviewed and processed claims to ensure accuracy and compliance with company policies, contributing to overall operational integrity.
- Evaluated claims by investigating details and assessing coverage eligibility.
- Maintained comprehensive records of claim processing activities, supporting adherence to company policies and procedures.
- Maintained detailed records of claims activities in the company database.
- Gathered necessary documentation and information from clients through effective communication, facilitating timely claim resolution.
- Interacted with clients via telephone, email, or in person to discuss claim status and provide updates.
- Verified details with policyholders and requested additional information.
- Conducted research on claim issues, utilizing available resources such as databases and other documentation.
- Collaborated with team members to streamline claims processing workflows.
- Analyzed claim documentation for accuracy, identifying discrepancies and recommending corrective actions.
- Trained new associates on claims procedures and best practices, fostering a knowledgeable team environment.
- Served as a point of contact for escalated claims issues, providing expert guidance to resolve complex cases efficiently.
- Worked productively in a fast-moving work environment to process large volumes of claims.
- Maintained up-to-date knowledge of industry regulations, ensuring compliance in all aspects of claims handling.
- Managed high-volume claim caseloads, ensuring accurate documentation and adherence to company policies.
- Provided exceptional customer service by addressing inquiries promptly and resolving issues professionally.
- Developed positive relationships with clients, fostering trust and open communication during the claims process.
- Supported risk management efforts by analyzing trends in claim data to identify potential areas of concern or opportunity for improvement.
- Collaborated with team members to develop strategies for efficient claims processing and improved customer experiences.
- Reduced claim resolution time by improving communication between departments and prioritizing urgent cases.
- Followed up with customers on unresolved issues.
- Posted payments to accounts and maintained records.
- Verified client information by analyzing existing evidence on file.
- Checked documentation for accuracy and validity on updated systems.
- Generated, posted and attached information to claim files.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
Assistant Manager
TAYLOR TOOL AND SUPPLY
Louisville, MS
10.2022 - 10.2025
- Managed inventory and shelf life, handled store deposits and transactions, executed sales and marketing tasks, and oversaw employee scheduling and stock ordering to support store operations.
- Oversaw daily operations in the tool supply department to ensure efficient workflow.
- Coordinated inventory management to maintain optimal stock levels and minimize shortages.
- Coordinated inventory management to ensure optimal stock levels and reduce shortages.
- Led daily operations to ensure efficient workflow and high-quality service delivery.
- Mentored junior staff, enhancing team performance and knowledge retention.
- Developed training materials to improve onboarding processes for new hires.
- Implemented inventory management systems, reducing stock discrepancies by streamlining procedures.
- Managed scheduling and staffing to optimize resource allocation and meet business demands effectively.
- Supervised day-to-day operations to meet performance, quality and service expectations.
- Maintained a clean, safe, and organized store environment to enhance the customer experience.
- Developed strong working relationships with staff, fostering a positive work environment.
- Monitored cash intake and deposit records, increasing accuracy, and reducing discrepancies.
- Oversaw daily cash reconciliations, ensuring accurate financial reporting and minimizing discrepancies.
- Improved customer satisfaction by addressing and resolving complaints promptly.
- Offered hands-on assistance to customers, assessing needs, and maintaining current knowledge of consumer preferences.
- Completed regular inventory counts to verify stock levels, address discrepancies, and forecast future needs.
- Assisted in recruiting, interviewing, hiring, and onboarding of new employees to maintain adequate staffing levels.
- Collaborated with the management team to develop strategic plans for business growth and improvement.
- Promoted teamwork within the workplace by encouraging collaboration among staff members on various project tasks.
- Coordinated with vendors to ensure timely delivery of products and resolve any supply chain issues.
- Conducted performance evaluations, identifying areas for development and rewarding strong performance.
Manager
ACKERMAN NUTRITION
Ackerman, MS
01.2021 - 01.2022
- Delivered customer service, managed money handling, ordered inventory, and executed social media sales and marketing, facilitating successful business sale.
- Coordinated training programs to enhance staff knowledge of nutritional products, improving product support capabilities.
- Coordinated training programs to improve staff knowledge of nutritional products, ensuring effective product support.
- Coordinated training programs to improve staff knowledge of nutritional products, supporting effective customer engagement.
Sales Associate
DOLLAR GENERAL
Philadelphia, MS
01.2020 - 01.2021
- Managed front register operations, performed cash reconciliation, stocked shelves and coolers, ensured cleanliness and organization to create a welcoming shopping environment.
- Managed front register operations, performed cash reconciliation, stocked shelves and coolers, ensured cleanliness and organization to enhance customer experience.
- Managed front register operations, performed cash reconciliation, stocked shelves and coolers, ensured cleanliness and organization to maintain efficient daily operations.
- Processed customer transactions efficiently at the point of sale accurately, contributing to efficient checkout experience.
Dog Boarding Attendent
Shaggy Hound
Starkville, MS
09.2019 - 01.2020
- Ensured cleanliness and organization of the facility to maintain high standards of hygiene.
- Ensured cleanliness and organization of the facility to maintain high standards of hygiene.
- Observed pet interactions to ensure safety during visits. to ensure safety and well-being during visits.
- Facilitated customer interactions, enhancing overall guest experience through attentive service.
- Trained new staff on protocols and best practices for animal care and facility operations.
- Implemented process improvements to streamline daily operations and reduce wait times.
- Kept facilities clean, neat, and organized to give areas professional and fresh appeal.
- Responded to customer requests efficiently and with knowledgeable assistance.
- Assisted with inventory management to ensure adequate stock levels were maintained for smooth operations.
Dog Bather
Dawghouse Playground and Salon
Starkville, MS
02.2019 - 09.2019
- Bathed and groomed dogs, ensuring cleanliness and comfort for all breeds.
- Ensured compliance with health regulations and safety standards during grooming procedures.
- Maintained grooming tools and equipment, promoting safety and efficiency in operations.
- Assisted in the training of junior staff on bathing techniques and pet handling.
- Mentored new employees on best practices for animal care and grooming techniques.
- Developed streamlined processes for bathing routines, increasing workflow efficiency.
- Safely handled various breeds of dogs, ensuring their comfort throughout the bathing process.
- Carefully clipped nails and trimmed hair around pads and paws, using gentle approach for anxious pets.
- Assisted groomers with prepping dogs for haircuts, resulting in streamlined appointments.
- Observed animal behavior during bathing sessions, reporting any concerns or issues to management promptly.
- Delivered continuous focus and attention to lodged animals, promoting high level of care and oversight.
- Maintained a clean and organized workspace for efficient grooming operations.
Education
No Degree - Pharmacy
East Central Community College
Decatur, MSHigh School Diploma -
Louisville High School
Louisville, MS05-2019
Skills
- Claims processing
- Data entry
- Claim evaluation
- Claims preparation
- Claims investigation
- Claims adjustment
- Claims database management
- Fraud detection
- Data evaluation
- Documentation review
- Documentation management
- Document analysis
- Documentation research
- Document processing
- Paperwork processing
- Record keeping
- Active listening
- Record organization
- Data entry
- Claims
- Application review
- Client interviews
- Customer service
- Client interaction
- Client relationship management
- Team collaboration
- Attention to detail
- Critical thinking
- Research methods
- Process adherence
- Work organization
- Team collaboration
- Organizational skills
- Microsoft office
- Financial transactions
- Account management
- Document processing
- Paperwork processing
- Information verification
- Organizational skills
Timeline
Claims Associate
Taylor Sudden Service
10.2025 - Current
Assistant Manager
TAYLOR TOOL AND SUPPLY
10.2022 - 10.2025
Manager
ACKERMAN NUTRITION
01.2021 - 01.2022
Sales Associate
DOLLAR GENERAL
01.2020 - 01.2021
Dog Boarding Attendent
Shaggy Hound
09.2019 - 01.2020
Dog Bather
Dawghouse Playground and Salon
02.2019 - 09.2019
No Degree - Pharmacy
East Central Community College
High School Diploma -
Louisville High School