ROBMESHA J. PRATT
200 Tillman Dr Monroe,LA
Summary
I have a competitive and gregarious nature that would help me succeed. I desire to secure a responsible career opportunity to fully utilize my training and skills, while making a significant contribution to the success of the company. I am analytical problem-solver with excellent communication skills. Effective at interviewing claimants, compiling records and documenting findings. Well-versed in insurance policies, practices and standards.
Overview
11
11
years of professional experience
Work History
Claims Representative
Sedgwick CMS
10.2021 - Current
- Interviewed policyholders to verify information and obtain additional details.
- Examined reports, accounts and evidence to determine integrity and accuracy of information.
- Worked productively in fast-moving work environment to process large volumes of claims.
- Followed up with customers on unresolved issues.
- Evaluated accuracy and quality of data entered into agency management system.
- Proposed settlements for uncomplicated issues to resolve claims.
- Modeled exceptional customer service skills and appropriate diagnostic sales techniques to team members.
- Checked level and type of coverage and evaluated contracts.
- Oversaw claim recoveries, subrogation and salvage.
- Verified client information by analyzing existing evidence on file.
- Modified, updated and processed existing policies.
Sales Associate Specialist
Walmart
09.2013 - 08.2022
- Customer Service, Money Center, Ensure proper organization of the store
- Educate and enlighten customers on product prices and details
- Address challenges according to policies of Walmart
- Handle issues of return, exchange, and refund
- Help customers with locating items
- Adhere to safety procedures in ensuring the security and safety of customers within the store
- Respond professionally to complaints and complaints from customers
- Channel request and unresolved queries to necessary department
- Processes customers transactions, provides financial products and services
Customer Service Order Resolution Representative
Lumen
08.2020 - 10.2021
- Receive inbound calls from CLEC and Resale customers
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
- Answered customer telephone calls promptly to avoid on-hold wait times.
- Work Toll reports, Calling Card reports and other reports assigned (offline support functions)
- Answer customer inquiries via e-mail, mail, fax or phone
- Post and balance customer adjustments
- Respond to customer needs and concerns in a prompt, courteous, and professional manner
- Resolve customer problems to the customer's satisfaction
- Complete and process customer complaints and communicate and coordinate resolutions to the appropriate customer or department
- Effectively and efficiently resolve billing concerns and provide informational support to customers
- Investigate and write change orders then forward for input where applicable
Payment Resolution Representative
Trubridge
11.2018 - 08.2020
- Ensure payments are received
- Determine root causes of account discrepancies
- Resolving escalated issues
- Reviewing customer account
- Helping customers understand services and results
- Helped address client complaints through timely corrective actions and appropriate referrals.
- Organized patient records and database to facilitate information storage and retrieval.
- Worked with patients to ascertain issues and make referrals to appropriate specialists.
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
Server | Cracker Barrell
01.2013 - 01.2014
- Check with customers to ensure that they are enjoying their meals and act to correct any problems
- Communicate with customers to resolve complaints or ensure satisfaction
- Collect payments from customers
- Process customer bills or payments
- Maintain inventory/orders office supplies
Education
Bachelor’s Degree - Criminal Justice
Grambling State
University
High School Degree -
Wossman High School
Skills
- Excellent organizational skills
- Excellent leadership skills
- Proficient Communication Skills
- Word, Excel, Access and PowerPoint
- Outstanding logical and problem solving ability
- Team Collaboration
- Interpersonal Communication
- In-depth criminal law knowledge
- Knowledge of juvenile justice system
- Underwriting knowledge
- Insurance policy coverage knowledge
Additional Information
Volunteer Experience Or Leadership
Community Service- Desiard Shelter
Timeline
Claims Representative
Sedgwick CMS
10.2021 - Current
Customer Service Order Resolution Representative
Lumen
08.2020 - 10.2021
Payment Resolution Representative
Trubridge
11.2018 - 08.2020
Sales Associate Specialist
Walmart
09.2013 - 08.2022
Server | Cracker Barrell
01.2013 - 01.2014
Bachelor’s Degree - Criminal Justice
Grambling State
University
High School Degree -
Wossman High School
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