Nevaeh Judge
Jacksonville,FL
Summary
Professional with significant expertise in customer service within insurance industry. Proven ability to handle complex inquiries, resolve issues efficiently, and provide clear, accurate information. Strong focus on collaboration and achieving results, adapting seamlessly to changing demands. Skilled in policy management, claims processing, and maintaining high levels of customer satisfaction. Reliable team player with excellent communication and problem-solving abilities.
Overview
3
3
years of professional experience
Work History
Insurance Customer Service Representative
Everise
04.2025 - Current
- Answered questions regarding a members claim status, question regarding their account or about their benefits.
- Worked with Doctors and billing departments to ensure members and insurance were billed correctly while analyzing medical claims.
- Assisted clients in filing claims, coordinating with adjusters to expedite the process and secure fair settlements.
- Complied with HIPAA and made sure accounts were authenticated correctly before entering sensitive account information.
- Updated members account and also helped members set up their account if they were unable too.
- Effectively read plan benefit information to members when they inquired.
- Developed strong relationships with clients through excellent customer service and regular followups.
- Assisted call-in customers with questions and orders.
- Provided superior service to customers by quickly and courteously responding to requests, inquiries, suggestions and concerns.
- Boosted referral rates by cultivating positive relationships with satisfied customers who were eager to recommend our products/services to others.
- Identified new areas of opportunity within existing accounts by offering additional products or services based on their needs analysis results.
Student Loan Representative
Maximus
08.2024 - 02.2025
- Worked closely with the collections department to establish repayment plans for delinquent borrowers, resulting in increased account recovery rates.
- Developed strong relationships with school representatives, facilitating better communication regarding borrower issues and concerns.
- Helped students efficiently enroll in payment plans to pay off their student debt, pay towards amount due and other school fees.
- Ensured proper documentation was obtained and recorded in borrower files, maintaining strict adherence to data privacy regulations.
- Delivered exceptional customer service during inbound calls from borrowers seeking assistance with account questions or concerns.
- Improved borrower satisfaction by providing accurate and timely information on student loan programs, processes, and requirements.
Healthcare Customer Service Representative
Foundever
06.2023 - 04.2024
- Ensured compliance with HIPAA regulations when handling sensitive patient information, protecting client privacy at all times.
- Enhanced customer satisfaction by efficiently helping them get their medication delivered directly to their home.
- Increased first-call resolution rates by carefully listening to customers'' needs and providing accurate information based on their inquiries.
- Expanded knowledge on medical terminology and insurance policies through continuous learning initiatives, enhancing accuracy in communication with clients.
- Developed strong relationships with clients by providing empathetic support and understanding during challenging health situations.
- Delivered exceptional support during high call volume periods by maintaining composure and professionalism under pressure.
Claims Representative
Solera Holdings Inc.
03.2022 - 05.2023
- Coordinated with repair shops and rental agencies for prompt vehicle assistance to clients during the claim process.
- Collaborated with multiple departments for seamless claim processing, leading to improved customer experience.
- Scheduled appointments for members with State Farm insurance to get their glass fixed on their car while facilitating effective communication between customers and Lynx services.
Education
William M Raines
06-2020
Skills
- Salesforce Experienced
- Zendesk, JIRA, Mac systems, CRM software, Online chat support
- Computer literacy
- Dispute/Chargeback resolution
- Data Entry/ Data Analytical skills
- Patience and Empathy
- EHR management
- HIPAA compliance
- Troubleshooting
- Remote support and research
- Medical billing
- Networking
Personal Information
Timeline
Insurance Customer Service Representative
Everise
04.2025 - Current
Student Loan Representative
Maximus
08.2024 - 02.2025
Healthcare Customer Service Representative
Foundever
06.2023 - 04.2024
Claims Representative
Solera Holdings Inc.
03.2022 - 05.2023
William M Raines