Summary
Overview
Work History
Education
Skills
Professional Development
Personal Information
Timeline
Generic

Shalaia Owensbysmith

Dallas,TX

Summary

Tactful Claims Specialist with expertise in settlement preparation, claims processing and appeal filing with a robust background in handling insurance verification and accident scene management. Diplomatic and personable professional accustomed to handling sensitive, confidential information and investigating complex liability claims. Proven track record of providing exceptional customer service and efficiently managing claims from initial investigation to settlement. Seeking to leverage expertise to contribute to the success of a Claims and Investigation team while committed to maintaining customer satisfaction and contributing to company success.

Overview

9
9
years of professional experience

Work History

Roadside Assistance Technician

Agero
03.2023 - Current
  • Provided compassionate support for distressed callers, calming their nerves while obtaining essential information for proper assistance coordination.
  • Managed 75-100 incoming calls a day
  • Reduced wait times for customers by implementing effective communication strategies between dispatchers and service providers.
  • Utilized GPS technology to accurately locate stranded motorists, expediting the assistance process.
  • Maintained accurate records of all roadside assistance calls, aiding in data analysis and service improvements.
  • Coordinated with tow truck drivers and service providers, ensuring efficient and timely assistance to stranded motorists.

INSURANCE VERIFICATION REP

CVS Caremark
02.2018 - 11.2022
  • Maintained up-to-date knowledge of insurance policies, regulations, and industry trends to provide accurate information to clients.
  • Contributed to company growth by consistently meeting performance metrics for speed, accuracy, and client satisfaction in the insurance verification process.
  • Ensured regulatory compliance by maintaining confidentiality of sensitive patient information during the verification process.
  • Reduced claim denials by thoroughly reviewing patient eligibility and coverage details.
  • Processed 125-175 claims successfully on a weekly basis
  • Expedited service delivery by promptly addressing questions from patients, providers, and insurers regarding coverage details or policy changes.

COLLECTIONS REPRESENTATIVE

Army & Air Force Exchange
09.2015 - 01.2018
  • Worked in call center environment handling manual and automatically dialed outbound calls.
  • Processed payments and applied to customer balances.
  • Maintained high volume of calls anywhere between 100-125 calls a day and met demands of busy and productive group.
  • Delivered exceptional customer service on collection calls and maintained calm and professional demeanor.
  • Counseled debtors on payment options and arranged installment agreements.

Education

BS DEGREE -

University of North Texas At Dallas
Dallas, TX
05.2021

Skills

  • Claims Investigation
  • Microsoft Office
  • Claims Processing
  • Documentation Review
  • Teamwork and Collaboration
  • Problem-solving abilities
  • Multitasking
  • Excellent Communication
  • Attention to Detail
  • Adaptability and Flexibility
  • Decision-Making
  • Critical Thinking

Professional Development

  • Completed training programs in claims handling and insurance regulations
  • Participated in workshops on customer service excellence and effective negotiation strategies

Personal Information

Title: CLAIM SPECIALIST

Timeline

Roadside Assistance Technician

Agero
03.2023 - Current

INSURANCE VERIFICATION REP

CVS Caremark
02.2018 - 11.2022

COLLECTIONS REPRESENTATIVE

Army & Air Force Exchange
09.2015 - 01.2018

BS DEGREE -

University of North Texas At Dallas

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Shalaia Owensbysmith