Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Sylvia Emeya

613 Kelsie Cir

Summary

Astute Call Center professional offering polished communication skills. Brings excellent organizational skills and talent for overcoming customer objections. Self-motivated and true team player,multitasking abilities.

Overview

23
23
years of professional experience
1
1
Certification

Work History

Property Claims Adjuster

One Call Claims
09.2021 - 02.2022
  • Investigated claims by reviewing policy contracts to determine claim coverage based on cause and facts of loss.
  • Carefully reviewed claim information to verify accuracy and avert fraudulent claims.
  • Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
  • Followed up with insured individuals regarding premium and deductibles payments.
  • Conducted thorough property investigations to identify and classify damages for customer claims.
  • Prepared comprehensive reports to negotiate purchase price and repair of properties.
  • Developed and maintained working relationships with independent adjusters and contractors to assist in prompt claims handling.
  • Conducted day-to-day administrative tasks to maintain information files and process paperwork.
  • Examined claims forms and other records to determine insurance coverage.

Customer Service Representative

AT&T
05.2000 - 08.2021
  • Provided primary customer support to internal and external customers.
  • Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
  • Used company troubleshooting resolution tree to evaluate technical problems and find appropriate solutions.
  • Effective liaison between customers and internal departments.
  • Followed-through on all critical inter-departmental escalations to increase customer retention rates.
  • Promoted superior experience by addressing customer concerns, demonstrating empathy and resolving problems swiftly.
  • Quickly and accurately answered customer questions, suggested effective solutions and resolved issues to increase customer satisfaction
  • Demonstrated respect, friendliness and willingness to help wherever needed.
  • Worked within applicable standards, policies and regulatory guidelines to promote safe working environment.

Platinum Provider Group

United Healthcare Group, RFL
03.1999 - 01.2021
  • Mentored and coached staff to improve performance and interactions with residents.
  • Assisted staff with maintaining residents' health by scheduling medical appointments and arranging transportation.
  • Kept accounts, resident files and regulatory paperwork current and accurate with diligent attention to administrative requirements.
  • Monitored direct care activities for optimal patient protections and infection control standards.
  • Collaborated with other professionals to plan and coordinate care for clients.

Education

High School Diploma -

Duncanville High School
Duncanville, TX
05.1985

Skills

  • Sales expertise
  • Complaint resolution
  • Report preparation
  • Order Fulfillment
  • Inbound and Outbound Calling
  • Creative problem solving
  • Professional telephone demeanor
  • Technical Support
  • Claims Assessments
  • Human Relations Skills
  • Property Adjusting
  • Outstanding Customer Service Skills
  • Healthcare Common Procedure Coding System (HCPCS)
  • Property Claims
  • Bodily Injury Settlements Proficiency

Certification

  • Licensed Insurance Adjuster Licensed
  • State Farm Certifications

Timeline

Property Claims Adjuster

One Call Claims
09.2021 - 02.2022

Customer Service Representative

AT&T
05.2000 - 08.2021

Platinum Provider Group

United Healthcare Group, RFL
03.1999 - 01.2021

High School Diploma -

Duncanville High School

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Sylvia Emeya