Gwendolyn Jackson
Lancaster,TX
Summary
An individual who delivers the highest level of service to my employers and clients. I excel at building productive relationships, resolving complex issues, and winning customer loyalty. I am also well-trained in quality control, with a strong attention to detail. I aim to leverage all my soft skills and prior experience to achieve mutually beneficial outcomes.
Overview
5
5
years of professional experience
Work History
Insurance Verification Specialist
RemX Staffing
Dallas, TX
08.2024 - 02.2025
- Conducted outbound calls to verify insurance coverage (Medicare, Commercial, Medicaid, HMO, PPO, and Dual Plans)
- Verified medication coverage per individual plans
- Located pharmacy vendors according to individual plans
- Verified co-pays and coinsurance details
- Submitted prior authorizations for approval
- Reviewed insurance applications and documents for compliance with underwriting guidelines
- Conducted policy reviews and renewals to ensure clients' coverage remained current
Package Inspector
Dart Container Corporation
Waxahachie, TX
10.2022 - 04.2024
- Conducted detailed inspections of packaging materials and finished products to ensure compliance with company quality standards and customer specifications
- Identified and documented product defects, labeling inconsistencies, and packaging anomalies; communicated findings to production and quality assurance teams.
- Ensured proper documentation of inspection results in internal quality control systems, maintaining accurate and organized records.
- Adhered strictly to safety guidelines and maintained cleanliness of the inspection area in accordance with company and OSHA standards.
Customer Service Representative
Proctor Loan Protector
Cleveland, OH
05.2023 - 07.2023
- Reviewed loan details to verify if they were escrowed
- Managed inbound and outbound calls regarding insurance and payment details
- Updated insurance information and set up payments for homeowners' policies
- Verified lender-placed policies and coverage details
- Determined flood zone levels and ensured compliance with regulations
- Accessed carrier websites to retrieve declarations of policies
- Verified mortgage clauses and contacted agents for verbal policy proof when necessary
- Sent deficiency letters to borrowers to ensure compliance
Customer Service Representative
Careington International
Dallas, TX
08.2021 - 04.2023
- Managed inbound and outbound calls regarding dental claims and provider status
- Verified patient eligibility and insurance coverage for dental procedures
- Provided dental insurance cards for various insurance plans
- Determined network status of dental providers
- Resolved member and provider complaints efficiently
- Processed claims denials and handled appeals
- Updated patient records and ensured HIPAA compliance
- Verified pre-authorizations and handled payments for MetLife and VSP accounts
Customer Service Representative
Kforce
Dallas, TX
02.2021 - 07.2021
- Answered calls regarding economic impact payments and guided customers through the 'Get My Payment' portal
- Followed scripts verbatim for consistency and accuracy
- Transferred calls to the IRS when required and traced payments for undelivered checks
- Ensured customer satisfaction and resolved issues promptly
Account Resolution Specialist
CMI Group
Dallas, TX
11.2019 - 08.2020
- Managed inbound and outbound calls for collections, updating payment statuses
- Accepted payments via credit/checking accounts and provided confirmation numbers
- Offered payment extensions when applicable and transferred calls to appropriate departments
- Documented customer interactions and made necessary account changes
- Restored services when appropriate
Education
Diploma -
Lancaster Hight School
Lancaster, TXSkills
- Critical thinking
- Effective communication
- Leadership and supervision
- Planning and scheduling
- Well-developed listening skills
- Goal setting and accomplishments
- Personnel supervision
Timeline
Insurance Verification Specialist
RemX Staffing
08.2024 - 02.2025
Customer Service Representative
Proctor Loan Protector
05.2023 - 07.2023
Package Inspector
Dart Container Corporation
10.2022 - 04.2024
Customer Service Representative
Careington International
08.2021 - 04.2023
Customer Service Representative
Kforce
02.2021 - 07.2021
Account Resolution Specialist
CMI Group
11.2019 - 08.2020
Diploma -
Lancaster Hight School
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