SHARESSE WINSTON
Broadview,IL
Summary
Utilize and expanding skill sets to assist in the continued success and improvement within the role while obtaining and generating higher revenue and greater productivity for the company.
Overview
16
16
years of professional experience
Work History
Medical Claims Adjuster
Gallagher Bassett Services Inc.
Chicago, IL
12.2021 - Current
- Managed over 100 medical claims on daily basis.
- Evaluated original investigation reports and documents to resolve secondary concerns.
- Collected and tracked evidence in support of legal processes.
- Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
- Reviewed new files to determine current status of injury claim and to develop plan of action.
Finance Auditor
Comcast
Chicago , IL
09.2014 - 07.2020
- Liaison between contracting team and management.
- Check auditing and field work done by contractors and in-house technicians for quality and completion.
- Complete work orders, managed accounts for escalation resolution trouble tickets in timely manner.
- Audit work orders for inaccuracies in contractor invoicing system.
- Managing invoices totaling over 50 million dollars.
- Performed quality inspections and document findings to promote accountability and identify potential efficiency opportunities.
- Assessed risks and internal controls by identifying areas of non-compliance and evaluating manual and automated financial processes.
Field Traffic Controller Lead
Comcast
Chicago, IL
01.2008 - 09.2014
- Managed over 50 accounts for escalation resolutions.
- Manage workflow to minimize missed appointments and increase field productivity.
- Monitored driver locations in field and solved discrepancies to keep team on-track.
- Coordinated schedules for optimal coverage of daily workload and adjusted quickly to changing demands.
- Facilitated communications between customers and field personnel to answer questions or resolve concerns.
- Responded to daily caller requests with information about assistance and timeframes.
- Served as mediator when appropriate to settle conflicts and discrepancies between field personnel and management.
- Modernized communications systems to improve productivity, reliability and efficiency.
- Learned new skills and applied to daily tasks to improve efficiency and productivity
- Participated in continuous improvement by generating suggestions, engaging in problem-solving activities to support teamwork
- Worked with customers to understand needs and provide excellent service
- Delivered services to customer locations within specific timeframes
- Created spreadsheets using Microsoft Excel for daily, weekly and monthly reporting
- Led projects and analyzed data to identify opportunities for improvement
Dispatcher
• Comcast
Chicago, IL
06.2006 - 01.2008
- Coordinated schedules for optimal coverage of daily workload and adjusted quickly to changing demands.
- Resolved unique customer issues and troubleshooting.
- Check work order accuracy.
- Inputs changes and upgrades authorized by customers.
- Sent out drivers to assist 200 plus hourly callers based on locations, needs and worker availability.
- Evaluated and adjusted over 20-25 routes based on daily needs, available workers, traffic hazards and weather conditions.
- Closely monitored dispatch board to triage and prioritize daily calls.
- Directed dispatching, routing and tracking of 30 fleet vehicles.
- Responded to daily caller requests with information about assistance and timeframes.
- Facilitated communications between customers and field personnel to answer questions or resolve concerns.
Customer Account Executive
Comcast
Schaumburg, IL
09.2004 - 06.2006
- Assisted in over 100 inbound calls Providing excellent customer service.
- Providing resolution for billing, installation as well as customer concerns.
- Meeting and exceeding departmental metrics.
- Providing excellent customer experience.
- Attended networking events to build relationships and identify sales opportunities.
- Evaluated customers' potential needs to make appropriate recommendations.
- Created sales objectives and strategies to help struggling teams increase productivity and meet sales metrics.
- Attained deep and thorough knowledge of company's products and solutions to help accomplish mutual success and partnership between buyer and seller
- Built rapport with customers and maintained loyalty by providing fast, knowledgeable service
Education
High School Diploma -
Oak Park High School
Oak Park, CA05.2001
Skills
- Relationship Building
- Payroll Management
- Problem Solving
- Verbal and Written Communication
- Payroll Auditing
- Attention to Detail
- Team Building and Leadership
- Conflict Resolution
- Critical thinking
- Traffic Monitoring
- Call Center Software
Timeline
Medical Claims Adjuster
Gallagher Bassett Services Inc.
12.2021 - Current
Finance Auditor
Comcast
09.2014 - 07.2020
Field Traffic Controller Lead
Comcast
01.2008 - 09.2014
Dispatcher
• Comcast
06.2006 - 01.2008
Customer Account Executive
Comcast
09.2004 - 06.2006
High School Diploma -
Oak Park High School