TaeShawn Smith
Adecco
Canal Winchester,OH
7
years of professional experience
Experienced customer service professional with a strong background in benefits, collections, and account support. Known for problem-solving, attention to detail, and clear communication while resolving complex account and coverage issues.
Work History
Collections/Customer Service Representative
1 Year 2 Months- Managed inbound and outbound collection calls to discuss delinquent accounts and payment options.
- Negotiated payment arrangements while maintaining compliance with company policies and collection guidelines.
- Reviewed account histories to identify balances, billing issues, and resolution paths.
- Documented customer interactions accurately in CRM systems and collection records.
Patient Benefits Coordinator
7 Months- Verified patient benefits, eligibility, and coverage details for medical services and prescriptions.
- Coordinated with health plans, providers, and members to resolve benefit and authorization questions.
- Documented case updates, coverage findings, and member interactions in care coordination systems.
- Guided patients through claims issues, referral requirements, and out-of-network benefit questions.
Pharmacy Benefits Manager
1 Year 1 Month- Resolved claim rejections using PBM systems and plan-specific coverage rules
- Reviewed pharmacy claims for prior authorization, formulary, and benefit eligibility accuracy
- Interpreted medication policies to support appropriate prescription adjudication decisions
- Coordinated with pharmacists and providers on coverage determinations and escalated exceptions
Background Screening Analyst
1 Year 1 Month- Verified employment, education, and criminal records using screening databases and case management systems.
- Reviewed background screening cases for accuracy, compliance, and timely client delivery.
- Interpreted adverse information and documented findings according to FCRA and client guidelines.
- Communicated with candidates, employers, and vendors to resolve discrepancies and collect missing information.
Financial Customer Service Representative
11 Months- Resolved inbound customer inquiries regarding account activity, card services, and transaction discrepancies.
- Processed payment adjustments, refunds, and fee disputes while maintaining service accuracy.
- Investigated account issues using banking systems and transaction records to deliver timely resolutions.
- Documented customer interactions in CRM platforms with clear, compliant case notes.
- Investigated card disputes, chargebacks, and fraud claims using case management systems and transaction records.
- Analyzed account activity to identify suspicious patterns, unauthorized access, and high-risk behavior.
- Reviewed supporting documentation for regulatory compliance and dispute resolution accuracy.
- Coordinated with customers, merchants, and internal teams to resolve fraud-related escalations.
Education
High School Diploma
Skills
Results-driven
Customer relationship building
Problem-solving
Payment negotiation
Attention to detail
Multitasking
Negotiation skills
Goal oriented
Organizational skills
Teamwork
Time management
Analytical skills
Timeline
Collections/Customer Service Representative
Adecco
09.2025 - CurrentRead More
Patient Benefits Coordinator
Quantum Health
10.2024 - 05.2025Read More
Pharmacy Benefits Manager
Express Scripts Inc
08.2023 - 09.2024Read More
Background Screening Analyst
FIRST ADVANTAGE
02.2022 - 03.2023Read More
Financial Customer Service Representative
Fiserv
07.2019 - 06.2020Read More
ST FRANCIS DESALES HIGHSCOOL
High School Diploma
Read More