TAYLOR MOORE
Ennis,United States
Summary
Enthusiastic and compassionate nursing student pursuing a Bachelor of Science in Nursing (BSN) at Western Governors University, equipped with foundational clinical experience and a steadfast commitment to patient care. Extensive background in customer service within high-volume call center environments demonstrates strong communication, problem-solving, and interpersonal skills. Recognized for empathy, professionalism, and dedication to enhancing patient and client experiences, with a proven ability to excel in both team-based and independent roles. Eager to leverage medical training, service excellence, and compassionate support in a medical specialist or data entry position to positively impact individuals in need.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Benefits Specialist
WTW
Richardson, TX
08.2025 - 01.2026
- Administered employee benefits programs, ensuring compliance with regulations and policies.
- Analyzed benefit plan data to identify trends and recommend improvements for efficiency.
- Collaborated with cross-functional teams to enhance communication regarding benefits eligibility and options.
- Facilitated training sessions for employees on benefits enrollment and utilization processes.
- Managed inquiries related to benefits, providing timely and accurate information to employees.
- Supported annual open enrollment processes, enhancing user experience through effective communication strategies.
- Explained benefits to plan participants in easy to understand terms in order to educate each on available options.
CUSTOMER ENGAGEMENT SPECIALIST
Chico's FAS
Dallas, Tx
01.2024 - 02.2025
- Assisted customers with shopping, online orders, and product selections.
- Processed refunds based on specific promotions and eligibility.
- Reviewed receipts to match products with applicable discounts and promo codes.
- Verified purchases by confirming last four digits of credit card used.
- Accurately computed refund amounts and issued gift cards when applicable.
- Ensured accuracy in math, product selection, and refund policies.
- Maintained excellent customer service while resolving order-related issues.
- Helped customers by phone, email, and chat.
- Explained products and services clearly.
- Suggested other helpful products when possible.
- Handled payments and followed company rules (PCI).
- Escalated issues to managers when needed.
- Found the cause of customer problems and fixed them.
- Used software to track customer requests and feedback.
- Answered questions about orders and transactions.
- Fixed errors in financial records quickly and accurately.
CLAIMS/DATA SPECIALIST
Sedgwick Claims Management
Euless, TX
01.2023 - 08.2023
- Created, posted, and attached information to claim files.
- Validated new claims upon receipt for accuracy.
- Reviewed files to ensure proper reimbursement.
- Verified invoices, bank statements, and repair orders for claimant approval.
- Confirmed vehicle details (VIN, mileage, invoice number, service date) using VINquest.
- Conducted full claim investigations and reported updates, including legal actions.
- Performed administrative tasks: client communication, mail distribution, and document scanning.
- Analyzed client information and existing evidence for verification.
- Checked documentation accuracy and validity in updated systems.
- Reviewed insurance and claim documents to secure missing information for settlements.
- Maintained confidentiality of patient finances, records, and health data.
- Processed and recorded new policies and claims.
- Managed workload and priorities to meet claim processing deadlines.
REORDER SPECIALIST
Advanced Diabetes Supply
Carlsbad, CA
03.2021 - 01.2023
- Handled inbound and outbound calls with patients, doctors, and insurance companies.
- Verified patient orders and insurance eligibility based on physician instructions.
- Maintained patient files and entered initial orders into the database.
- Reviewed documentation for exporting patient information accurately.
- Updated patient records promptly after each call.
- Assisted diabetic patients with reordering testing supplies.
- Met productivity goals by managing 80+ calls daily.
- Ensured timely shipment of patient supplies meeting monthly targets.
- Kept detailed and accurate records of patient interactions.
- Coordinated with other departments via email, chat, or phone to obtain missing information for order processing.
- Processed patient orders and corrected item details to ensure accurate delivery supply.
- Verified prescriptions for validity (signature, date, supply description).
- Requested patient medical records as needed.
- Quickly adapted to new procedures and updates.
Education
High School Diploma -
Penn Foster High School
Scranton, PA05-2012
Bachelor of Science - Nursing
Western Governors University
06-2026
Skills
- Data Entry
- Health Terminology
- Credit card processing
- Productivity Driven
- Claim Handling
- Attention to Detail
- Customer account
- Communication
- Medical Terminology
- Insurance Verification
- HIPAA Compliance
- Strong Interpersonal Skills
- Order Processing
- Data Analysis
- Computer Proficiency (MS Office, Databases)
- Building Rapport
- Verbal and written communication
- Healthcare benefits
- Benefits explanation
- Excellent communication
- Analytical thinking
Accomplishments
- Actively pursuing Bachelor of Science in Nursing (BSN)
- Licensed Texas Claims Adjuster with expertise in claims investigation
- Accurately processed reorders and eligibility checks for diabetic patients remotely.
- Worked independently in a remote setting, managing priorities and deadlines efficiently.
- Managed confidential client data while meeting HIPAA compliance standards
Certification
- USAA Certification
- State Farm Auto/ Property Cert.
Timeline
Benefits Specialist
WTW
08.2025 - 01.2026
CUSTOMER ENGAGEMENT SPECIALIST
Chico's FAS
01.2024 - 02.2025
CLAIMS/DATA SPECIALIST
Sedgwick Claims Management
01.2023 - 08.2023
REORDER SPECIALIST
Advanced Diabetes Supply
03.2021 - 01.2023
High School Diploma -
Penn Foster High School
Bachelor of Science - Nursing
Western Governors University