Open To Work
SHARON DAVIS
Las Vegas,Nevada
Work Preference
Summary
Accomplished claims processing specialist with a strong background in regulatory compliance and customer service
excellence. Skilled in resolving complex issues and streamlining workflows to enhance customer satisfaction. Proven
track record of effective communication and problem-solving in fast-paced environments. Detail-oriented Billing/Medical Claims Specialist with a proven track record in claims processing, conflict resolution, and regulatory compliance. Expertise in optimizing workflows and effectively communicating with stakeholders to resolve complex issues.
Overview
9
9
years of professional experience
Work History
Billing /Medical Claims Specialist
County Of Los Angeles
Los Angeles, California
12.2020 - 12.2025
Processed and verified medical claims, ensuring compliance with regulations and improving accuracy.
Reviewed and confirmed patient eligibility and coverage, resolving disputes with healthcare providers.
Implemented workflow updates in response to regulatory changes, collaborating with departments for seamless
integration.
Responded to customer inquiries promptly, maintaining high levels of satisfaction and timely claim status updates.
Insurance Customer Service Representative
USAA Insurance
Las Vegas, Nevada
01.2018 - 12.2020
- Provided exceptional customer service to policyholders and prospective clients.
- Responded to inquiries via phone, email, and chat promptly and professionally.
- Educated customers on insurance products and coverage options available.
- Advised customers on available coverage options that best fit their individual needs.
- Provided quotes on various types of insurance policies.
- Processed claims efficiently using company-specific software systems.
- Handled escalated concerns with empathy and effective problem-solving skills.
- Maintained accurate records of customer interactions and transactions consistently.
- Conducted follow-up calls to ensure satisfactory resolution of customer issues.
Customer Service Specialist II
Los Angeles County Bar Association
Los Angeles, California
12.2016 - 01.2018
- Resolved customer inquiries, questions and concerns to consistently offer quality service and meet performance benchmarks.
- Resolved client complaints by identifying issues and proposing solutions promptly.
- Coordinated communication between clients and legal professionals for effective service delivery.
- Assisted clients with legal inquiries and directed them to appropriate resources.
- Managed case files and maintained accurate records for legal assistance programs.
- Educated clients on available services and resources through outreach initiatives.
- Collaborated with team members to enhance customer service procedures and workflows.
Education
Bachelor of Science - Business Administration
University College of Belize
Belize City Belize12-1995
High School Diploma -
Belmopan Comprehensive
Belmopan, Belize Central America05-1990
Skills
- Claims processing
- Regulatory compliance
- Data entry accuracy
- Workflow optimization
- Attention to detail
- Time management
- Effective communication
- Team collaboration
- Problem solving
- Conflict resolution
- Client communication
- Claims Software
Timeline
Billing /Medical Claims Specialist
County Of Los Angeles
12.2020 - 12.2025
Insurance Customer Service Representative
USAA Insurance
01.2018 - 12.2020
Customer Service Specialist II
Los Angeles County Bar Association
12.2016 - 01.2018
Bachelor of Science - Business Administration
University College of Belize
High School Diploma -
Belmopan Comprehensive