Talena Harris
New Canton,VA
Summary
Passionate about promoting lasting customer satisfaction by delivering quality service and unparalleled support. Proficient in customer service best practices and related options.
Adept in claims investigation. Expertise in policy interpretation and insurance regulations, achieving high customer satisfaction levels. Skilled in fostering strong stakeholder relationships and ensuring compliance with state regulations. Demonstrates technical knowledge and empathetic support, enhancing team efficiency and reducing claim errors.
Overview
24
24
years of professional experience
Work History
Auto Claim Specialist
State Farm
Charlottesville, VA
03.2006 - 06.2024
- Obtain accident facts of loss, damages, and injuries.
- Leveraged strong analytical skills to accurately assess liability.
- Review and input damages to determine if the vehicle is a total loss.
- Review claim estimates for payment.
- Built strong working relationships with insurance adjusters, attorneys, repair facilities, and other stakeholders involved in the claims process.
- Reduced claim handling errors by thoroughly reviewing policy coverages and applying accurate loss evaluations.
- Achieved high levels of customer satisfaction by consistently providing clear explanations of policy coverages and claim processes.
- Ensured compliance with state regulations by staying informed.
- Maintained high levels of accuracy in data entry, ensuring proper documentation for each claim processed.
- Provided empathetic support to customers during difficult situations while maintaining professional boundaries as an Auto Claim Specialist representative.
Patient Access Representative
Uva Medical Center
Charlottesville, VA
06.2000 - 03.2006
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Provided excellent customer service through active listening skills, understanding patient needs, and offering tailored solutions where applicable.
- Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Contributed to a positive work environment by fostering strong relationships among colleagues, promoting teamwork, and sharing best practices.
- Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
Education
No Degree - Computer Information Systems
Piedmont Virginia Community College
Charlottesville, VAMaster of Science - Medical Billing And Coding
Penn Foster College
Scottsdale, AZ2024
High School Diploma -
Buckingham County High School
Buckingham, VA1994
Skills
- Claims Investigation
- Policy Interpretation
- Insurance regulations knowledge
- Technical knowledge
- Multi-line phone system
- Claims Handling
- Claims process explanation
- Inspection documentation
- Appointment Scheduling
- Appointment Coordination
- Customer Service
- Active Listening
- Call center experience
- Computer Proficiency
- Data Entry
- Money handling abilities
- Payment Processing
- Call Center Operations
- Microsoft Outlook
- Scheduling
- Follow-up skills
- Call Management
- Documentation
- Office equipment proficiency
- Medical terminology knowledge
Timeline
Auto Claim Specialist
State Farm
03.2006 - 06.2024
Patient Access Representative
Uva Medical Center
06.2000 - 03.2006
No Degree - Computer Information Systems
Piedmont Virginia Community College
Master of Science - Medical Billing And Coding
Penn Foster College
High School Diploma -
Buckingham County High School