Sharon Meadows
Tallulah,LA
Summary
My objective is to expand my successful, lengthy, and professional customer service. I'm an experienced claims representative with a lengthy background in healthcare and customer service. My strengths include the ability to handle multiple tasks efficiently.
Overview
22
22
years of professional experience
Work History
Operations Manager
I & L Transportation
11.2022 - Current
- Recruit, select, train, assign, schedule, coach, counsel and discipline employees
- Communicate job expectations; planning, monitoring, appraising and reviewing job contributions
- Plan and review compensation actions; enforcing policies and procedures
- Contribute operations information and recommendations to strategic plans and reviews; prepare and complete action plans; implement production, productivity, quality and customer-service standards; resolve problems; complete audits; identify trends
- Develop operations systems by determining product handling and storage requirements; develop, implement, enforce and evaluate policies and procedures; develop processes for receiving product, equipment utilization, inventory management and shipping
- Maintain safe and healthy work environment by establishing, following and enforcing standards and procedures; complying with legal regulations.
- Identified and qualified customer needs and negotiated and closed profitable projects with high success rate.
Claims Representative
Blue Cross and Blue Shield
12.2022 - 01.2024
- Developed rapport with customers through active listening skills, leading to higher retention rates and positive feedback from clients.
- Contributed to sales growth by upselling products and services based on individual customer requirements.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Responded proactively and positively to rapid change.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
- File appeals on behalf of customers when necessary after denial of a claim due to insufficient evidence.
- Adhere to strict guidelines pertaining to confidentially while handling sensitive personal information.
- Processed and recorded new policies and claims.
Customer Service Specialist
ATT&T Call Center
09.2009 - 12.2022
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
- Adhered to company policies and scripts to consistently achieve call-time and quality standards.
- Handled complex billing inquiries with accuracy and professionalism, reducing errors that could lead to negative customer experiences or lost revenue.
- Addressed customer account discrepancies and concerns.
- Improved first-call resolution rates by actively listening to customer needs, offering appropriate solutions based on their unique situations.
- Resolved customer complaints and addressed emergency requests and needs.
- Recommended products to customers and suggested other options if preferred product was unavailable.
- Adhered to strict privacy guidelines when handling sensitive personal data, protecting both clients'' information as well as company's reputation.
- Reduced call wait times by efficiently managing high volume of inbound calls and providing timely solutions to customer concerns.
- Educated customers about billing, payment processing and support policies and procedures.
- Exhibited high energy and professionalism when dealing with clients and staff.
- Maintained up-to-date knowledge of product and service changes.
- Followed-through on all critical inter-departmental escalations to increase customer retention rates.
- Enhanced customer satisfaction by efficiently addressing and resolving inquiries in a timely manner.
- Passionate about learning and committed to continual improvement.
Patient Access Representative
HealthPartners
05.2003 - 07.2009
- Assisted in resolving patient complaints related to account balances,
- Provided customer service to patients regarding billing inquires and account information.
- Maintained high standards of confidentiality and privacy, strictly adhering to HIPAA regulations.
- Used excellent verbal skills to engage customers in conversation and effectively determine needs and requirements.
- Updated existing patient files with relevant information such as changes in address or contact information.
- Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
Education
High School Diploma -
McCall Senior High
800 Fish Street 05.1990
Skills
- Microsoft office
- Insurance claims review
- Claims investigation
- Time management
- Data analysis
- Decision-making
- Accident investigations
- Documentation review
- Flexible schedule
- Conflict resolution
- Insurance regulations
- Customer service
- Claims processing
- Critical thinking
Eligibility determination
Timeline
Claims Representative
Blue Cross and Blue Shield
12.2022 - 01.2024
Operations Manager
I & L Transportation
11.2022 - Current
Customer Service Specialist
ATT&T Call Center
09.2009 - 12.2022
Patient Access Representative
HealthPartners
05.2003 - 07.2009
High School Diploma -
McCall Senior High
Similar Profiles
Harrison FryHarrison Fry
Corporate Analyst - Office of the CEO at Transportation Insight/Nolan Transportation GroupCorporate Analyst - Office of the CEO at Transportation Insight/Nolan Transportation Group
Martin FinkMartin Fink
President at Crest Transportation Abba Local Transportation IncPresident at Crest Transportation Abba Local Transportation Inc
Jack McClureJack McClure
Transportation Data Analyst at RYDER TRANSPORTATION, Transportation ServicesTransportation Data Analyst at RYDER TRANSPORTATION, Transportation Services
Cha'Blique SulukiCha'Blique Suluki
Packer at Tyson FoodsPacker at Tyson Foods
Thompson FortenberryThompson Fortenberry
Sales Representative at Bradley ConstructionSales Representative at Bradley Construction