Summary
Overview
Work History
Education
Skills
Additional Information
Timeline
Generic

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
ROBMESHA J. PRATT