Tearra Sims
Douglasville,GA
Summary
Dynamic Healthcare Customer Service Representative with a proven track record at Verida, excelling in claims processing and ensuring HIPAA compliance. Known for empathy and patience, I effectively resolved customer concerns, enhancing satisfaction and maintaining high-quality standards. Adept at utilizing Microsoft Office to manage data efficiently while working independently in a remote environment.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Healthcare Customer Service Representative
Verida
09.2023 - 04.2026
- Evaluated claim information using medical data and policy guidelines to determine benefit eligibility
- Ensured accuracy and compliance with company procedures, maintaining high standards for quality and timeliness
- Communicated with customers and internal teams via phone, email, and written correspondence to gather and verify claim details
- Handled inbound and outbound calls while delivering professional, customer-focused service
- Resolved customer concerns using problem-solving and service recovery techniques to create positive outcomes
- Analyzed information to make informed decisions and select appropriate solutions based on policy and customer needs
- Maintained detailed and accurate records while meeting productivity and performance expectations
- Utilized computer systems, data entry tools, and Microsoft Office to manage claims efficiently
- Demonstrated strong time management, organization, and ability to work independently in a remote environment
- Adapted communication style to meet customer needs while maintaining professionalism and compliance
Remote Support Speclisist
Modive Care
05.2019 - 01.2022
- Handled high volumes of inbound and outbound customer calls, providing timely and accurate support
- Assisted customers with account inquiries, service issues, and general questions
- Entered and updated customer information in company systems with strong attention to detail
- Resolved complaints using problem-solving and de-escalation techniques
- Communicated clearly through phone, email, and chat to ensure customer satisfaction
- Managed time effectively while meeting performance and quality goals
- Worked independently in a remote environment while maintaining productivity
Data Entry Administrator Remote
FocusVision
09.2017 - 05.2019
- Entered, reviewed, and maintained accurate data across multiple systems
- Verified information for accuracy and corrected discrepancies
- Organized digital files and maintained proper documentation procedures
- Used Microsoft Excel, Word, and email systems to complete daily tasks
- Supported team operations by handling administrative tasks and reporting
- Maintained confidentiality and followed company compliance guidelines
- Completed tasks efficiently while meeting deadlines and quality standards
Education
High School Diploma -
Creekside High School
Fairburn, GA05-2017
Skills
- Empathy and patience
- Patient confidentiality
- HIPAA compliance
- Claims processing
Accomplishments
- Maintained a high level of accuracy while processing and reviewing data, reducing errors and improving overall quality
- Successfully handled a high volume of inbound and outbound calls while meeting performance and time standards
- Resolved customer issues efficiently, leading to improved customer satisfaction and positive feedback
- Consistently met or exceeded daily productivity and performance goals
- Demonstrated strong attention to detail by identifying and correcting discrepancies in data and records
- Improved response times by effectively managing workload and prioritizing tasks
- Adapted quickly to new systems and procedures during training, demonstrating a strong ability to learn and apply knowledge
- Provided clear and professional communication, helping customers understand processes and solutions Worked independently in a remote environment while maintaining reliability and consistent performance
- Collaborated with team members and supervisors to improve workflow and service quality
Certification
- Customer Service Certification
- Call Center Representative Certification
- Remote Work Professional Certification
- Business Communication Certification
Timeline
Healthcare Customer Service Representative
Verida
09.2023 - 04.2026
Remote Support Speclisist
Modive Care
05.2019 - 01.2022
Data Entry Administrator Remote
FocusVision
09.2017 - 05.2019
High School Diploma -
Creekside High School