Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Shari Chapman

Las Vegas,NV

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.
Henderson, NV
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.
  • 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 and pre-paid card accounts.
  • Process credit and debit adjustments to customer accounts.
  • Maintain High Performance.
  • Navigated between two monitors to assist with my tasks.

Lead Cashier/Retail Sales Associate

DD’s DISCOUNTS Store
Las Vegas, NV
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
Las Vegas, NV
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. Review EOBs with patients. Contact insurance companies to resolve claims.
  • 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. Navigated between two monitors to assist with my tasks.
  • De-escalated calls with difficult cardholders as needed.

Technical Support Specialist (Remote)

Elevance Heath-Anthem
Las Vegas, NV
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. Navigated between two monitors to assist with my tasks.

Customer Service Representative/Claims Specialist (Remote)

United Healthcare Group
Las Vegas, NV
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. Review EOBS with patients. Contact insurance companies to resolve claims.
  • 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 chat.
  • Maintaining high service standards in a metrics-driven healthcare environment. Navigated between two monitors to assist with my tasks.

Customer Service/Collections Representative

Barclays
Las Vegas, NV
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. Navigated between two monitors to assist with my tasks.
  • De-escalated calls with difficult cardholders as needed.

Education

High School -

Vincent High School
Milwaukee, WI
06.1987

Skills

  • Loan processing
  • Mortgage banking
  • Collections
  • Insurance verification
  • Claims processing
  • Medical billing
  • ICD-10 coding
  • Property management
  • Clerical support
  • Personal assistance
  • Data entry
  • Typing speed of 50 words per minute
  • Microsoft Excel
  • Windows OS
  • Microsoft Outlook
  • General computer skills
  • Guest services
  • Live chat support
  • Customer support
  • Effective communication
  • Teamwork
  • Leadership
  • Self-motivation
  • Time management
  • Organizational skills
  • Health care environment
  • Patient scheduling software

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

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Shari Chapman