Summary
Overview
Work History
Education
Skills
Timeline
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Renata Martin

Garland

Summary

Results-driven professional provides customers with tailored solutions to meet needs. Successfully establishes relationships with customers and delivers quality service. Agile individual with excellent communication and customer service skills.

Overview

8
8
years of professional experience

Work History

Insurance Reimbursement Specialist

Aflac
08.2023 - Current
  • Evaluates complex cases requiring specialized expertise, making informed recommendations to improve outcomes for both clients and insurance carriers alike.
  • Optimizes claim submission procedures by regularly reviewing payer requirements and updating internal documentation accordingly.
  • Supports cross-functional teams in contract negotiations, providing critical insights into reimbursement rates and trends.
  • Reduces outstanding account receivables by proactively identifying and resolving billing discrepancies.
  • Streamlines communication between departments to facilitate accurate information exchange and improve case management efficiency.
  • Follows up on denied and unpaid claims to resolve problems and obtain payments.

Store Supervisor

TOM THUMB (PART TIME)
05.2022 - Current
  • Supervised daily operations by directing customer service, inventory and sales operations.
  • Maintained high standards of store appearance by enforcing cleanliness guidelines, organizing merchandise displays, and scheduling routine maintenance tasks.
  • Educated and trained staff to equip with knowledge about products, customer service and store policies.
  • Handled escalated customer complaints professionally, offering appropriate resolutions to ensure satisfaction and maintain positive brand reputation.
  • Managed cash handling processes accurately to maintain financial integrity within the store''s daily transactions.
  • Managed supply chain by ordering products from suppliers, negotiating prices and requiring on-time delivery.
  • Conducted timely performance evaluations to assess employee strengths, areas for improvement, and growth potential for career development opportunities.

Licensed Insurance Agent

KEMPER INSURANCE
03.2019 - 10.2022
  • Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
  • Responded to inquiries by answering questions, providing information and directing customers to appropriate resources.
  • Provided advice to customers regarding claims, rights and insurance processes to prevent disputes.
  • Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
  • Identified fraudulent claims through diligent investigation and collaboration with law enforcement agencies when
    necessary.
  • Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.

Central Loss Rep

Farmers Insurance Company
06.2016 - 03.2019
  • Assisted with claims that have already been filed
  • Assisted with the initial filing of claims
  • Set up rental and tow services
  • Discussed repair options
  • Provided reassurance that we'll help get them back on the road as soon as possible
  • Answered questions about the claims process and set expectations for what to expect next

Education

DIPLOMA -

DESOTO HIGH SCHOOL
DESOTO, TX

Skills

  • Salesforce
  • Inventory Management
  • Insurance Verification Report
  • Document Preparation
  • Training & Development
  • Microsoft Office Suite: (Word, Excel, PowerPoint, Outlook, OneNote)
  • Banking/Financial Services
  • PeopleSoft
  • SAP (less than 1 year)
  • Microsoft SharePoint
  • Blogging
  • Microsoft Excel
  • Data Entry
  • Outbound Sales

Timeline

Insurance Reimbursement Specialist

Aflac
08.2023 - Current

Store Supervisor

TOM THUMB (PART TIME)
05.2022 - Current

Licensed Insurance Agent

KEMPER INSURANCE
03.2019 - 10.2022

Central Loss Rep

Farmers Insurance Company
06.2016 - 03.2019

DIPLOMA -

DESOTO HIGH SCHOOL

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Renata Martin