SHANTA MILLER
ALBANY,GA
Summary
Proactive and goal-oriented professional with a strong focus on time management and problem-solving. Recognized for reliability and adaptability, with a quick ability to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to the growth of the organization.
Overview
10
10
years of professional experience
Work History
CLAIMS GENERALIST ASSOCIATE
Progressive Insurance
07.2024 - 12.2024
- Assess coverage and liability for accidents, ensuring accurate claims resolution
- Conduct interviews with customers, claimants, and witnesses to determine liability
- Collaborate with repair representatives, appraisers, and estimators to manage vehicle repairs
- Negotiate settlements with customers and other insurance carriers to resolve claims efficiently
- Analyze complex accident scenarios to determine coverage and liability, conducting thorough interviews with involved parties for accurate assessments
- Coordinate seamlessly with repair representatives and appraisers, ensuring efficient management of vehicle repairs and optimal customer satisfaction
- Negotiate strategically with customers and insurance carriers, driving swift claim resolutions and maintaining positive relationships
- Meticulously document and process claims, adhering to company policies and legal requirements to mitigate risks and ensure compliance
- Provide empathetic support to claimants during stressful situations, offering clear explanations and guidance throughout the claims process
- Managed high-volume caseloads while consistently meeting deadlines and maintaining quality standards for claim submissions.
- Minimized financial risks for the company by conducting in-depth investigations of potentially fraudulent claims.
FRONT DESK RECEPTIONIST/CERTIFIED MEDICAL ASSISTANT
Albany Area Primary Health Care
08.2022 - 07.2023
- Managed patient check-ins, updated demographics, and verified insurance, ensuring accurate records
- Collected and filed patient data, securing consent and documentation for seamless medical record keeping
- Confirmed insurance coverage and eligibility, facilitating smooth patient processing and billing
- Handled appointment scheduling, cancellations, and no-shows, maintaining provider schedules efficiently
- Communicated co-pay and deductible information, ensuring timely patient payments
- Streamlined patient registration process, ensuring accurate documentation of demographics, insurance, and consent forms while maintaining strict confidentiality protocols
- Optimized appointment scheduling system, reducing no-shows and improving provider schedule efficiency through proactive patient communication and follow-ups
- Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.
AGENT 3
Division of Child Support Services
09.2020 - 07.2022
- Managed 700+ arrears-only cases in Special Operations Unit, ensuring timely client communication and support
- Informed clients about DCSS Fatherhood Program, enhancing program participation and client engagement
- Responded promptly to emails, calls, faxes, and mail, maintaining high standards of client service
- Executed professional responsibilities assigned by the supervisor, contributing to team efficiency and success
- Maintained accurate records of client communications, transactions, policies, and other relevant documentation for seamless operations within the agency.
- Informed clients of policies and procedures.
- De-escalated and resolved customer complaints with punctual, polite and professional service.
- Delivered exceptional customer service by proactively addressing concerns and fostering a positive experience throughout all interactions.
ECONOMIC SUPPORT SPECIALIST FICM I
Department of Family and Children Services
03.2015 - 09.2020
- Assessed eligibility and managed cases for SNAP and Medicaid, ensuring compliance and timely renewals
- Conducted client interviews, determining benefit continuation with high accuracy and efficiency
- Scheduled and conducted appointments via cold calls, improving client engagement and service delivery
- Collaborated with supervisors to handle additional responsibilities, enhancing team productivity
- Evaluated client eligibility for SNAP and Medicaid, managing caseloads efficiently
- Conducted in-depth interviews, ensuring accurate benefit determinations and compliance
- Looked for signs of fraud and reported cases to fraud coordinator and investigators.
- Ensured compliance with program rules and regulations by conducting thorough audits of client files and benefit determinations.
Education
CERTIFIED MEDICAL ASSISTANT -
Heritage HealthCare Career Center
HIGH SCHOOL DIPLOMA -
Mitchell-Baker High
Camilla, GA05.2003
Skills
- Claims investigation
- Claims processing
- Time management
- Team collaboration
- Microsoft office
- Flexible schedule
- Conflict resolution
- Documentation review
- Multitasking Abilities
Timeline
CLAIMS GENERALIST ASSOCIATE
Progressive Insurance
07.2024 - 12.2024
FRONT DESK RECEPTIONIST/CERTIFIED MEDICAL ASSISTANT
Albany Area Primary Health Care
08.2022 - 07.2023
AGENT 3
Division of Child Support Services
09.2020 - 07.2022
ECONOMIC SUPPORT SPECIALIST FICM I
Department of Family and Children Services
03.2015 - 09.2020
HIGH SCHOOL DIPLOMA -
Mitchell-Baker High
CERTIFIED MEDICAL ASSISTANT -
Heritage HealthCare Career Center
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