Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
Generic

Shemika Moore

Jackson,MS

Summary

Collaborative individual with expertise in providing exemplary service regarding benefits support. Multitasking Benefits Specialist knowledgeable in state and federal regulations and maintaining employee confidentiality. Analytical problem-solver with excellent communication skills. Effective at interviewing claimants, compiling records and documenting findings. Well-versed in insurance policies, practices and standards. Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation. An established Insurance Verification Specialist known for handling various office tasks with undeniable ease.

Overview

11
11
years of professional experience

Work History

Benefit Verification Specialist

Senture
08.2023 - Current
  • Improved patient satisfaction by accurately verifying benefits and providing timely responses to inquiries.
  • Enhanced workflow efficiency by implementing a streamlined benefit verification process for the team.
  • Reduced claim denials with thorough insurance eligibility assessments prior to service provision.
  • Collaborated with cross-functional teams to address discrepancies in patient information, ensuring accurate billing and reimbursement.
  • Maintained up-to-date knowledge of insurance regulations, enabling accurate benefit verifications for various plans.
  • Expedited claim approvals by promptly submitting necessary documentation to insurance providers.
  • Provided exceptional customer service by addressing patient concerns regarding coverage and out-of-pocket expenses.

Data Entry Clerk

Avantive Solutions
11.2021 - 07.2023
  • Expedited data entry tasks through the use of keyboard shortcuts and customized software tools.
  • Improved data accuracy by diligently entering account information and verifying input.
  • Adhered to strict confidentiality guidelines when handling sensitive client and company information.
  • Supported the accounts receivable department by accurately recording incoming payments from clients.

Customer Service Representative

First Cash Pawn
12.2019 - 03.2023
  • Maintained high levels of customer retention with proactive relationship-building strategies.
  • Implemented upselling techniques to increase average transaction value and drive additional revenue growth.
  • Contributed to positive team culture, driving motivation and productivity among peers.
  • Informed customers of sales and promotions to build customer base, boost traffic and increase customer loyalty.
  • Greeted customers and offered assistance with selecting merchandise, finding accessories and completing purchases.

Customer Care Representative

Minute Loan Center
08.2018 - 05.2020
  • Developed strong relationships with clients, resulting in increased repeat business and referrals.
  • Assisted customers in understanding loan terms and conditions to make informed decisions.
  • Originated, reviewed, processed, closed, and administered customer loan proposals.
  • Assisted customers with completing loan applications and other paperwork.
  • Obtained copies of applicants' credit histories and reviewed paperwork to determine feasibility of granting loans.
  • Created strategies to develop and expand existing customer sales, resulting in increase in annual sales.
  • Examined customer loan applications for loan approvals and denials.
  • Exceeded monthly targets consistently as a result of strong negotiation skills combined with effective account management strategies.
  • Recognized as a top performer within the team for consistently surpassing goals and maintaining high levels of client satisfaction.
  • Achieved performance goals on consistent basis.
  • Delivered exceptional customer service on collection calls and maintained calm and professional demeanor.

Store Manager

Family Dollar
06.2013 - 01.2018
  • Increased store profitability by implementing cost-saving measures and efficient inventory management strategies.
  • Improved customer satisfaction through staff training in customer service and product knowledge.
  • Maximized sales by creating innovative visual merchandising displays and store layouts.
  • Developed a successful employee retention plan, reducing staff turnover rates significantly.
  • Conducted regular performance reviews for staff members, providing constructive feedback and opportunities for growth.
  • Collaborated with other managers to develop company-wide initiatives aimed at improving overall performance across all locations.
  • Oversaw loss prevention efforts, minimizing shrinkage by implementing effective security measures and training staff on proper procedures.
  • Maintained open lines of communication with corporate headquarters, sharing pertinent information about store performance and requesting support when needed.
  • Managed financial aspects of store operations, including budget planning, expense tracking, and accurate record-keeping to maintain fiscal responsibility.
  • Completed point of sale opening and closing procedures.
  • Trained and guided team members to maintain high productivity and performance metrics.
  • Handled problematic customers and clients to assist lower-level employees and maintain excellent customer service.
  • Upheld and communicated store programs and standards to employees for optimal quality, freshness, safety and cleanliness.
  • Maintained proper product levels and inventory controls for merchandise and organized backroom to facilitate effective ordering and stock rotation.

Education

High School Diploma -

Provine High School
Jackson, MS

Skills

  • Document Processing
  • Professional and Mature
  • Data Accuracy
  • File Management
  • Maintains Confidentiality
  • Word Processing
  • Quality Assurance
  • Call Center Experience
  • Strong Problem Solver
  • Administrative Support
  • Billing Procedures
  • Goals and Performance
  • Microsoft Office
  • Claims Processing
  • Written and oral communication

Accomplishments

  • Maintained an average typing speed of 40 WPM on all assignments.
  • Collaborated with team of 4 in the development of implementing a new loan type to reach a new customer base.
  • Customer Service Loan Underwriter. Achieved highest Number of new credit accounts opened within one-month period.
  • Conflict Resolution - Responsible for handling customer account inquiries, accurately providing information to ensure resolution of product/service complaints and customer satisfaction.
  • Telephone Service - Professionally processed 80+ calls per day, providing information and service to ensure customer satisfaction.
  • Achieved offers for promotions through effectively helping with company growth and increased profits.
  • Supervised team of 12 staff members.

Timeline

Benefit Verification Specialist

Senture
08.2023 - Current

Data Entry Clerk

Avantive Solutions
11.2021 - 07.2023

Customer Service Representative

First Cash Pawn
12.2019 - 03.2023

Customer Care Representative

Minute Loan Center
08.2018 - 05.2020

Store Manager

Family Dollar
06.2013 - 01.2018

High School Diploma -

Provine High School

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Shemika Moore