Summary
Overview
Work History
Education
Skills
Timeline
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SEAIRA ELLISON

PFLUGERVILLE,TX

Summary

Proven Claims Specialist with a track record of fostering collaboration between departments at The Children’s People to streamline documentation, enhancing organizational efficiency. Skilled in Policy Interpretation and demonstrating exceptional financial acumen, consistently achieving performance targets. Known for reducing customer escalations by 40% at Teleperformance through effective communication and problem-solving abilities.

Overview

14
14
years of professional experience

Work History

Claim Specialist(remote)

TMHP
06.2022 - 05.2024
  • Collaborated closely with adjusters to ensure accurate, fair, and timely claims settlements for all involved parties.

Medical Auditor

The Children’s People
06.2018 - 10.2021
  • Fostered collaboration between clinical staff and administrative personnel to align documentation practices with organizational needs.

Claims Specialist

Tech TeamGlobal
10.2015 - 10.2018
  • Followed up with customers on unresolved issues.
  • Achieved performance targets consistently through attention to detail, effective time management, and strong decision-making abilities.

Chat Support Representative (remote)

Teleperformance
04.2010 - 10.2014
  • Demonstrated flexibility in adjusting work hours or assisting with additional tasks during peak periods, contributing to overall team success.
  • Reduced escalations to higher-level support teams by successfully addressing customers'' issues at the first point of contact.
  • Enhanced customer satisfaction by providing timely and accurate responses to inquiries through chat support.
  • Boosted customer retention, maintaining a professional and empathetic tone throughout all interactions.

Education

Diploma

Austin Can Academy
Austin, TX
06.2007

Skills

  • Policy Interpretation
  • Legal Compliance
  • Financial Acumen
  • Claims Investigation
  • 5 years in a inbound/outbound call center
  • Live chat
  • Network support
  • Desktop support
  • Remote Access Software
  • Insurance verification
  • Knowledge of HIPPA rights
  • Proficient in Microsoft office

Timeline

Claim Specialist(remote)

TMHP
06.2022 - 05.2024

Medical Auditor

The Children’s People
06.2018 - 10.2021

Claims Specialist

Tech TeamGlobal
10.2015 - 10.2018

Chat Support Representative (remote)

Teleperformance
04.2010 - 10.2014

Diploma

Austin Can Academy

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SEAIRA ELLISON