Natasha Price
Tampa,FL
Summary
Results-driven Claims Representative with 8 years of insurance industry experience in conducting investigations, verifying information, and managing settlements. Skilled in interviewing claimants, compiling records, and documenting findings. Experienced in developing retention strategies that enhance customer loyalty and satisfaction. Committed to delivering quality service and building strong client relationships.
Overview
14
14
years of professional experience
Work History
PRE AUTHORIZATION
Wipro
Tampa, Florida
06.2025 - 02.2026
- Conducted pre-authorization assessments for medical procedures and treatments, ensuring compliance with insurance requirements.
- Collaborated with healthcare providers to gather documentation, expediting authorization requests.
- Streamlined communication between patients, providers, and insurance companies to facilitate timely approvals.
- Reviewed and analyzed complex medical records to ensure accuracy in pre-authorization submissions.
- Managed provider inquiries on claims and benefits, ensuring timely resolution of issues.
- Resolved issues related to provider eligibility and enrollment status.
- Streamlined workflow processes, improving service delivery for pre-authorization requests.
- Supported compliance initiatives by ensuring adherence to industry regulations.
Retention Specialist
Spectrum
Tampa, Florida
05.2024 - 05.2025
- Resolved escalated customer complaints, de-escalating situations to reach mutually beneficial resolutions.
- Built constructive customer relationships to improve loyalty and recommendations.
- Handled escalated customer complaints professionally, de-escalating situations while finding mutually beneficial resolutions.
- Cultivated strong customer relationships, enhancing loyalty and driving positive recommendations.
Remote Security
Envera Systems
05.2021 - 11.2023
- Processed gate transactions and alarm events for over 300 communities, ensuring security protocols were followed
- Verified visitors and vendors entering gated communities to maintain safety and security standards
- Monitored armed areas, ensuring prompt removal of intruders from restricted zones
- Documented and sent detailed reports of intruder incidents to ensure proper follow-up.
- Must meet organization's AHT and schedule adherence goals/metrics.
Claims Processor
Capital Staffing Solutions Inc
07.2019 - 05.2021
- Process all insurance claims by reviewing customers' policy in relation to claim being made
- Investigated claims for accuracy and compliance with policy guidelines
- Respond remotely to providers' questions about claims being denied, pending, or partially paid
- High proficiency with a variety of computer software and hardware components
- Documented all work activity in appropriate database.
- High proficiency with variety of computer software and hardware components
- Documented work activity in database to maintain detailed claim records
Retention Specialist
Alorica (American Express Platform)
06.2018 - 06.2019
- Primary responsibilities included maintaining American Express valued customers by utilizing key relationship building skills and effective customer service techniques to save card members
- Identified card members' needs through various probing steps that led to issue resolution
- Provide excellent customer service and ensure customer satisfaction
- Delivered excellent customer service, enhancing overall customer satisfaction
- Conducted job training for new retention specialists
- Assist with new employee's coaching, monitoring calls, going over calls with agent to make sure progress, so that stay with company for longer duration.
Customer Service Specialist
One Touch Direct (AT&T Platform)
08.2017 - 07.2018
- Coordinated and expedited account activity, including sales, customer service, and escalated call handling, while maintaining detailed records.
- Coordinate and expedite all account activity to include sales, customer service, handling escalated calls and providing problem-solving assistance while maintaining detailed records
- Ability to de-escalate opportunities and offer solutions to both customers and retail partners
- Resolve product or service problems by clarifying customers' concerns; determining cause of problem; selecting and explaining best solution to solve problem; expediting correction or adjustment; to include product and service sales to add value to customer's account
- Maintain quality control and production goals while continuously seeking new ways to improve operational process to grow within the organization.
Billing and Enrollment Specialist
Humana
11.2014 - 07.2017
- Provide exemplary service to all potential customers to ensure a seamless experience to build long-lasting relationships and repeat business
- Delivered superior service to clients regarding billing issues, performing problem-solving and administrative functions to resolve inquiries effectively.
- Support outside sales representatives open new accounts and upgrade existing services
- Maintained and improved quality results by adhering to standards and guidelines recommending improved procedures
- Supported supervisor during escalated calls.
Customer Service Specialist
Stream/AOL Internet
01.2012 - 01.2014
- Provide exemplary service to all current and potential AOL clients, to ensure seamless online marketing experience
- Delivered exemplary service to all current and potential AOL clients, ensuring seamless online marketing experiences
- Assisted new and existing members of AOL with billing, cancellations, and sales inquiries
- Added value to overall customer experience through cost-saving recommendations.
- Enhanced overall customer experience through cost-saving recommendations.
Education
General Education Development -
Hillsborough County School Board
Tampa, FLSkills
- Customer Service
- Pre-authorization assessment
- Claims processing
- Customer relationship management
- Insurance verification
Timeline
PRE AUTHORIZATION
Wipro
06.2025 - 02.2026
Retention Specialist
Spectrum
05.2024 - 05.2025
Remote Security
Envera Systems
05.2021 - 11.2023
Claims Processor
Capital Staffing Solutions Inc
07.2019 - 05.2021
Retention Specialist
Alorica (American Express Platform)
06.2018 - 06.2019
Customer Service Specialist
One Touch Direct (AT&T Platform)
08.2017 - 07.2018
Billing and Enrollment Specialist
Humana
11.2014 - 07.2017
Customer Service Specialist
Stream/AOL Internet
01.2012 - 01.2014
General Education Development -
Hillsborough County School Board