Theresa Cowans
Forney,TX
Summary
Detail-oriented and results-driven customer service professional with extensive experience in claims processing, data management, and administrative support. Adept at streamlining workflows, resolving complex issues, and delivering high-quality service in fast-paced environments. Strong analytical thinker with exceptional communication skills and a proven ability to enhance operational efficiency.
Overview
7
7
years of professional experience
Work History
Operations Customer Expert I
Teleperformance
Remote
10.2024 - Current
- Process and resolve customer claims efficiently, ensuring accuracy and adherence to insurance policies.
- Investigate and analyze claims discrepancies, working closely with customers to provide resolutions.
- Maintain strict compliance with HIPAA regulations and insurance industry standards while handling sensitive patient information.
- Assist customers with claims-related inquiries, system navigation, password resets, and software installations.
- Document and escalate complex claims issues to the appropriate departments for resolution.
Data Entry Operator
DTSV Inc.
Irving, TX
04.2024 - 08.2024
- Ensured high accuracy in data entry tasks, improving data integrity and overall team productivity.
- Prioritized and managed workload while maintaining compliance with confidentiality and security standards.
Process Associate
Genpact
Remote, TX
10.2020 - 03.2023
- Monitored and ensured compliance with company policies while assisting in tech support operations.
- Reviewed and proofread reports for accuracy, providing recommendations for process improvements.
Administrative Assistant
City of Dallas
Dallas, TX
01.2020 - 01.2021
- Managed administrative tasks, including permit processing, record-keeping, and staff coordination.
- Streamlined office procedures to enhance operational efficiency.
Data Entry Operator
QuadraMed
Plano, TX
06.2018 - 08.2019
- Entered and verified patient data with a strong emphasis on accuracy and confidentiality.
- Facilitated communication between healthcare providers and patients to ensure seamless service.
Education
High School Diploma -
Yvonne A. Ewell Townview Magnet Center
Dallas05-2010
Skills
Claims Processing & Resolution
Customer Service & Support
Data Management & Entry
Process Improvement & Optimization
Healthcare & Insurance Compliance
HIPAA Compliance
Microsoft Office Suite & CRM Software
Remote Work & Virtual Collaboration
Analytical & Critical Thinking
Timeline
Operations Customer Expert I
Teleperformance
10.2024 - Current
Data Entry Operator
DTSV Inc.
04.2024 - 08.2024
Process Associate
Genpact
10.2020 - 03.2023
Administrative Assistant
City of Dallas
01.2020 - 01.2021
Data Entry Operator
QuadraMed
06.2018 - 08.2019
High School Diploma -
Yvonne A. Ewell Townview Magnet Center
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