Taylor Ford
Bossier City,LA
Summary
Dynamic Claims Representative with extensive experience at Cigna, adept at claims investigation and data analysis. Proven track record of enhancing customer satisfaction through effective communication and streamlined processes. Skilled in time management, successfully reducing claim settlement turnaround time while maintaining compliance and minimizing financial losses.
Overview
8
8
years of professional experience
Work History
Claims Representative
Cigna
Remote
06.2024 - 08.2025
- Worked productively in fast-moving work environment to process large volumes of claims.
- Followed up with customers on unresolved issues.
- Improved customer satisfaction by providing timely and accurate information on claim status and resolution.
- Maintained compliance with industry regulations by adhering to established procedures and guidelines in claims handling.
- Developed strong relationships with clients, facilitating trust and open communication during the claims process.
- Enhanced claim processing efficiency by streamlining workflows and implementing best practices.
- Minimized financial losses by identifying fraudulent claims through thorough analysis and investigation.
Claims Representative
CVS/caremark
Remote
11.2022 - 06.2024
- Collaborated with cross-functional teams to expedite complex claims investigations and resolutions.
- Negotiated favorable settlements with claimants, resulting in cost savings for the company.
- Conducted detailed assessments of claims documents, ensuring accuracy and completeness before submission for approval.
- Reduced turnaround time for claim settlements by prioritizing tasks and managing deadlines effectively.
- Collaborated with internal departments and external vendors to resolve claims.
Customer Service Representative
BroadPath Healthcare
Remote
01.2020 - 11.2022
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Responded to customer requests for products, services, and company information.
- Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
Customer Service Representative
Teleperformance USA
Remote
03.2018 - 01.2020
- Developed strong product knowledge to provide informed recommendations based on individual customer needs.
- Developed rapport with customers through active listening skills, leading to higher retention rates and positive feedback from clients.
- Maintained detailed records of customer interactions, ensuring proper follow-up and resolution of issues.
- Assisted customers in navigating company website and placing online orders, improving overall user experience.
Technical Support Representative
Conduent
Remote
02.2017 - 03.2018
- Provided remote assistance to customers experiencing technical difficulties, guiding them through step-by-step resolutions with patience and professionalism.
- Improved customer satisfaction by providing timely and accurate technical support for various software and hardware issues.
- Resolved complex technical problems through effective troubleshooting techniques, enhancing the user experience.
- Maintained a high level of expertise on company products, ensuring accurate information was provided to customers at all times.
- Documented customer interactions in detail within the case management system, ensuring comprehensive records were maintained for future reference.
- Used ticketing systems to manage and process support actions and requests.
Education
Bachelor of Science - Health Administration
University of Phoenix
Tempe, AZ12.2020
Associate of Arts - Health Administration
University of Phoenix
Tempe, AZ12.2016
Skills
- Microsoft office
- Insurance claims review
- Claims investigation
- Time management
- Data analysis
- Team collaboration
- Interpersonal communication
- Coverage determination
Timeline
Claims Representative
Cigna
06.2024 - 08.2025
Claims Representative
CVS/caremark
11.2022 - 06.2024
Customer Service Representative
BroadPath Healthcare
01.2020 - 11.2022
Customer Service Representative
Teleperformance USA
03.2018 - 01.2020
Technical Support Representative
Conduent
02.2017 - 03.2018
Bachelor of Science - Health Administration
University of Phoenix
Associate of Arts - Health Administration
University of Phoenix