TAYLOR NORTH

• Maintained proficiency across multiple internal systems while managing concurrent workflows in a fast-paced, remote environment
• Managed and reviewed high-volume leave and disability claims for major enterprise clients (Primary client: Walmart), interpreting complex medical documentation and claims determinations in alignment with policy and regulatory guidelines
• Communicated detailed claims decisions and medical rationales clearly and empathetically to associates and management, ensuring understanding of outcomes and next steps
• Applied analytical and interpretive skills to assess claim eligibility, documentation sufficiency, and decision accuracy
• Selected to support new hire onboarding, including supervising live training chats and providing real-time guidance to ensure procedural accuracy
• Delivered structured coaching to new hires, reinforcing quality standards, documentation practices, and system navigation

Special Projects & Advanced Responsibilities

• Assigned claims adjuster support tasks, assisting with advanced case handling and process alignment
• Participated in AI training initiatives designed to support future onboarding and automation-assisted workflows, contributing real-world case insight to improve system accuracy and usability
• Served as the observed claims representative during Walmart’s annual audit process, supporting compliance validation, documentation review, and operational transparency

• Supported opening of a new store location, assisting with front-end setup, associate onboarding, and operational readiness
• Trained and supervised associates on customer service standards, register operations, and front-end procedures
• Managed scheduling, break coverage, and daily workflow delegation to ensure smooth operations
• Oversaw closing procedures, including cash handling and money drops, ensuring accuracy and compliance
• Monitored compliance with safety standards and company policies, fostering a safe work environment.