Shameka Ware
Rome,GA
Summary
Seeking Claims CSR role with over 5 years of experience in claims processing and customer service. Knowledgeable and dedicated customer service professional with various skill sets! Adept in managing insurance claims, ensuring accuracy and delivering exceptional customer service skills! Skilled in analytical thinking, conflict resolution and maintaining detailed records, with special expertise in Salesforce, EPIC, and other claims processing software. Proven skills with taking inbound calls and controlling the floor during high call volume instances and also building long-lasting, loyal customer relationships. I feel that I could be a great asset to your team!
Overview
4
4
years of professional experience
Work History
Call Center Representative
Invacare
03.2024 - 08.2025
- Promptly responded to inquiries and requests from prospective customers.
- Handled high volume of inbound calls per shift to offer callers product and service information and generate quotes.
- Asked fact-finding questions to determine customer needs and expectations and recommended specific products and solutions.
- Resolved complaints to satisfy customers and encourage future transactions.
- Utilized basic troubleshooting techniques to diagnose and resolve customer inquiries.
- Recorded customer interactions, inquiries and comments in the customer service database.
- Followed standard operating procedures when handling customer problems and complaints.
Claims Assistant
Mannington Mills Inc.
08.2023 - 06.2024
- Logged, allocated and managed claims.
- Prepared files, letters and notices.
- Transmitted case files between offices.
- 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.
- Complied with regulations and guidelines related to claims processing to maintain quality and adherence to standards.
- Managed workload and priorities to meet claims processing meet deadlines.
Order Entry Coordinator
Lowes Distribution Center
07.2022 - 07.2023
- Input order information into system and updated customer accounts to document and track customer orders.
- Updated company tracking system with latest information.
- Communicated with customers to address order inquiries, changes and cancellations.
- Processed customer orders in line with established policies and procedures.
- Adhered to legal regulations to run compliant operations.
Claims Representative (Seasonal)
F&P
01.2022 - 07.2022
- Developed in-depth understanding of insurance policies and procedures.
- Collaborated with internal departments and external vendors to resolve claims.
- Calculated adjustments, premiums and refunds.
- Notified insurance agents and accounting departments of policy cancellations and changes.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Collected premiums and issued accurate receipts.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
Education
Associate of Science - Business Administration
South University
Savannah02-2021
Certification - Cosmetology
Georgia Northwestern Technical College
Rome, GA01-2019
Skills
- Complaint resolution
- Sales closing
- Documentation and reporting
- 70 WPM typing speed
- Computer skills
- Written communication
- First Aid/CPR
- PPE use
- Organizational skills
- Scheduling
- International sales support
Timeline
Call Center Representative
Invacare
03.2024 - 08.2025
Claims Assistant
Mannington Mills Inc.
08.2023 - 06.2024
Order Entry Coordinator
Lowes Distribution Center
07.2022 - 07.2023
Claims Representative (Seasonal)
F&P
01.2022 - 07.2022
Associate of Science - Business Administration
South University
Certification - Cosmetology
Georgia Northwestern Technical College
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