Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
6
6
years of professional experience
Work History
Cruise Specialist
Norwegian Cruise Line
03.2022 - 04.2023
Arranged travel accommodations for groups, couples, executives, and special needs clients.
Assisted clients with flight changes and cancellations to minimize travel disruptions.
Provided customers with best deals and well-researched travel options, successfully negotiating rates while improving customer satisfaction ratings.
Provided exemplary customer service to new and existing clients, which helped build lasting relationships and secure new travel assignments.
Maintained up-to-date knowledge of travel industry trends, regulations and best practices to better serve customers.
Maintained operational proficiency in coordinating both international and domestic travel accommodations for customers, arranging for airfare as well as hotel and rental car reservations.
Developed loyal clientele base due to excellent listening and research skills and keen understanding of travel budgets.
Recommended travel insurance plans to customers to reduce uncertainty and risk of financial loss.
Promoted dedicated customer service and support by promptly resolving customer complaints.
Asked open-ended questions to better ascertain client needs and determine best international travel offerings.
Generated travel-related reports for clients to facilitate decision-making.
Communicated benefits and information regarding international travel insurance with clients and obtained best rates.
Monitored currency exchange rates and advised customers on best time to purchase foreign currency.
Administered customer surveys to measure satisfaction with services and better understand desires and expectations.
Claims Intake Specialist
Blue Cross And Blue Shield Of South Carolina
11.2021 - 03.2022
Utilized specialized software to process incoming claims, enter data and generate reports.
Managed workload and priorities to meet claims processing meet deadlines.
Complied with regulations and guidelines related to claims processing to maintain quality and adherence to standards.
Reviewed applications and supporting documents to verify claims eligibility and accuracy.
Collaborated with claims department and industry anti-fraud organizations to resolve claims.
Identified and reported potential fraud or abuse related to claims to protect system's integrity.
Assisted in onboarding of new claims processors to familiarize with company procedures, policies and processes.
Responded to customer inquiries, providing detailed explanations of insurance policies and claims processes.
Followed up with customers on unresolved issues.
Prepared insurance claim forms or related documents and reviewed for completeness.
Made contact with insurance carriers to discuss policies and individual patient benefits.
Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
Processed and recorded new policies and claims.
Calculated adjustments, premiums and refunds.
Collected premiums and issued accurate receipts.
Communicated verification and authorization status updates with claims department to facilitate decision-making for patient admissions and insurance coverage.
WFH Claims Adjudicator
Unemployment Office Of Az
07.2021 - 11.2021
Evaluated, investigated and negotiated settlements on new and pending claims to determine liability.
Applied fundamental liability concepts, practices and procedures of state or federal laws and requirements.
Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
Conducted day-to-day administrative tasks to maintain information files and process paperwork.
Researched claims and incident information to deliver solutions and resolve problems.
Reviewed and analyzed suspicious and potentially fraudulent unemployment claims.
Analyzed information gathered by investigation and reported findings and recommendations.
WFH Claims Specialist
Unemployment Office Of Sc
10.2020 - 07.2021
Reviewed unemployed claims documents to verify required information and secure any missing data for settlements.
Collaborated with legal counsel to make organizational claims decisions aligning with governing laws.
Checked documentation for accuracy and validity on updated systems.
Maintained confidentiality of patient finances, records, and health statuses.
Followed up with customers on unresolved issues.
Monitored compliance with regulations and industry best practices to promote fair and proper treatment for insured customers.
Performed administrative duties by verifying documentation, researching facts and contacting other parties involved to determine fault percentages and minimize potential losses.
Understood requirements for disputes, gathered evidence to support claims and prepared customer cases to handle appeals.
Conducted full claim investigations and reported updates and legal actions.
Escalated files with significant indemnity exposure to supervisor for further investigation.
Provided advice to customers regarding claims, rights and unemployment processes to prevent disputes.
Program Assistant/Transport Driver
Active DaySenior Care
07.2020 - 10.2020
Assisted with planning and coordinating day-to-day and special program activities.
Managed both digital and physical filing systems and retrieved documents as required.
Prepared clearly written and formatted documents and reports.
Created and updated records and files to maintain document compliance.
Conducted research to assist with routine tasks and special projects.
Coordinated and communicated with external stakeholders to support program objectives.
Managed effective program outreach plans with strategic use of speakers and tours to enhance community engagement and increase participant numbers.
Offered technical support and troubleshot issues to enhance office productivity.
Enforced compliance with regulatory standards to safeguard company assets.
Completed daily logs for management review.
Assisted clients with daily living needs to maintain self-esteem and general wellness.
Trained and supervised employees on office policies and procedures.
Ordered and distributed office supplies while adhering to fixed office budget.
Proofread and edited documents for accuracy and grammar.
Banking Customer Service Representative
SYKES
12.2018 - 05.2020
Processed various transactions with accuracy and according to bank standards and legal requirements.
Assisted customers with navigating bank systems, completing transactions and opening or closing accounts.
Strengthened customer relationships by upholding strict standards and delivering fast, friendly customer service.
Educated customers about available services, products and bank resources.
Offered advice and assistance to customers, paying attention to special needs or wants.
Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
Updated account information to maintain customer records.
Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
Answered customer telephone calls promptly to avoid on-hold wait times.
Developed customer service policies and procedures to meet and exceed industry service standards.
Analyzed customer service trends to discover areas of opportunity and provide feedback to management.
Utilized customer service software to manage interactions and track customer satisfaction.
Responded to customer requests, offering excellent support and tailored recommendations to address needs.
Investigated and resolved customer inquiries and complaints quickly.
Exhibited high energy and professionalism when dealing with clients and staff.
Educated customers about billing, payment processing and support policies and procedures.
Collaborated with staff members to enhance customer service experience and exceed team goals through effective client satisfaction rates.
Investigated and resolved accounting, service and delivery concerns.
Cross-trained and backed up other customer service managers.
Trained new personnel regarding company operations, policies and services.
Technology Sales Specialist
Staples
04.2018 - 11.2018
Collaborated with customers and asked questions to assess needs and budgets.
Recommended technical services and explained features and costs to help customers make educated buying decisions.
Drove team revenue totals by bringing in top sales numbers.
Generated and executed sales plans in existing customer base to meet profit increase goals.
Cultivated and maintained strong relationships with customers to ensure a positive customer experience.
Worked closely with sales team on understanding customer requirements, promoting products and delivering sales support.
Presented technical presentations to clients to explain product features and benefits.
Assisted customers in troubleshooting product issues and provided timely technical support.
Attended product-related technical shows and other activities to represent company products and services.
Developed robust pipeline of sales opportunities by maintaining accurate information in CRM.
Lead Floor Associate
Goodwill Inc
07.2017 - 04.2018
Greeted customers, helped locate merchandise, and suggested suitable options.
Displayed merchandise by arranging in appealing ways to boost sales.
Answered questions about store policies and addressed customer concerns.
Checked pricing, scanned items, applied discounts, and printed receipts to ring up customers.
Coordinated restocking of sales floor with current merchandise and accurate signage for current promotions.
Located merchandise across various stores to address customer needs.
Maintained excellent communication, cleanliness, and safety standards on work sites and projects, boosting customer satisfaction ratings 100%