Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Shari Chapman

Las Vegas

Summary

Experienced Customer Service, Claims Special, Health environment With 25 years in customer service, including 6 years as a Claims Specialist and 5 years as a Fraud Investigator, I excel in managing high-volume claims, medical billing inquiries, and complex fraud investigations. Proficient in VISA chargeback systems, Salesforce, Microsoft Office, and EPIC systems. Seeking to leverage my expertise in a dynamic role that offers opportunities for continued growth in fraud prevention and claims management.

Overview

8
8
years of professional experience
1
1
Certification

Work History

Fraud Investigator

Paysign Inc.
04.2024 - 08.2025
  • Conduct in-depth investigations into suspicious account activities and potential fraud/dispute cases; identifying trends and discrepancies to prevent financial losses.
  • Utilize data analysis tools and internal systems to review transactions, verify customer identities, and assess risk factors.
  • File and review disputes regarding fraud accounts. Prepared appeals and submitted to the appeal department
  • Collaborate with compliance and legal teams to ensure adherence to regulatory standards and company policies.
  • Inbound/outbound calls with cardholders to support account-related inquiries.
  • Process credit and debit adjustments to customer accounts.
  • Scanned, Fax, and Mail out confidential documents card holders

Lead Cashier/Retail Sales Associate

DD’s DISCOUNTS Store
03.2023 - 04.2024
  • Cashier and Customer service; greeting patrons, addressing inquiries, and guiding them to desired products to enhance shopping experience.
  • Inventory control, restocking and organizing merchandise.
  • Oversee daily operations for a team of cashiers, cash handling, manage cash deposits, allocate register funds, and resolve customer issues to maintain store efficiency and customer satisfaction.

Customer Service Representative

NYU Langone Health
01.2023 - 09.2023
  • High-volume call center environment; addressing and resolving an average of 200-300 inbound customer inquiries daily.
  • Provided comprehensive support for patients and providers, including clarification on benefits, deductibles, co-pays, and CPT code applications, while adhering to HIPAA guidelines.
  • Processing credit card payments, coordinating payment plans, and verifying eligibility for financial assistance programs.
  • Utilizing CRM software to manage customers interactions, documentation of customer inquiries, maintain and update members records.
  • Faxed, scanned or emailed medical records to patients as requested.

Technical Support Specialist (Remote)

Elevance Heath-Anthem
08.2022 - 01.2023
  • Technical support and troubleshoot provider to brokers and agents, facilitating account access. Guidance through license entry and state addition on the Broker Toolbox platform.
  • Resolved an average of 20-30 inquiries per day through phone and Salesforce-assigned chat emails.
  • Delivered system training and account troubleshooting; commission payment setup, managing client account lists for enhanced user experience.

Customer Service Representative/Claims Specialist (Remote)

United Healthcare Group
10.2020 - 08.2022
  • Inbound calls, assisting customer inquiries related to insurance coverage, billing, and policy information for both members and providers.
  • Processing and submitting medical insurance claims and liaising with insurance carriers for claim resolution.
  • Conducted thorough reviews of medical plans and generated detailed correspondence regarding provider information, leveraging expertise in CPT and ICD-10 coding systems.
  • Remote customer service support; including phone, email, and live
  • Maintaining high service standards in a metrics-driven healthcare environment.
  • Faxed, scanned or emailed medical records to patients as requested.

Customer Service/Collections Representative

Barclays
08.2017 - 03.2020
  • Managing delinquent credit card accounts, securing past-due payments and negotiating payment plans.
  • Delivered customer support for credit card inquiries through high-volume inbound communication, ensuring customer satisfaction and retention.
  • Adhered to strict monthly targets, employing effective strategies to meet performance goals.

Education

High School -

Vincent High School
Milwaukee, WI
06.1987

Skills

  • Financial Services: Loan processing, mortgage banking, collections, accounts payable/receivable, payroll, insurance verification, claims processing, medical billing, ICD-10 coding
  • Administrative & Technical Proficiency: Property management, clerical support, personal assistance, data entry, typing speed of 50 WPM, Microsoft Excel, Windows OS, Microsoft Outlook, and general computer skills
  • Customer Service & Communication: Guest services, live chat support, customer support, effective communication, teamwork, leadership, self-motivation
  • Time management and Organizational skills
  • Health care environment
  • 2 years In the office face to face patient contact scheduling patient appointments and working 2 years working remotely scheduling patient appointments over the phone using the patient scheduling software for scheduling appointments and EPIC use to input notes

Certification

  • HIPAA Compliance Training
  • Notary Public

Timeline

Fraud Investigator

Paysign Inc.
04.2024 - 08.2025

Lead Cashier/Retail Sales Associate

DD’s DISCOUNTS Store
03.2023 - 04.2024

Customer Service Representative

NYU Langone Health
01.2023 - 09.2023

Technical Support Specialist (Remote)

Elevance Heath-Anthem
08.2022 - 01.2023

Customer Service Representative/Claims Specialist (Remote)

United Healthcare Group
10.2020 - 08.2022

Customer Service/Collections Representative

Barclays
08.2017 - 03.2020

High School -

Vincent High School

Similar Profiles

CREATE PROFILE