Temeka Worship
Rosharon,TX
Summary
Experienced leader with strong background in guiding teams, managing complex projects, and achieving strategic objectives. Excels in developing efficient processes, ensuring high standards, and aligning efforts with organizational goals. Known for collaborative approach and commitment to excellence.
Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.
Overview
16
16
years of professional experience
Work History
Disability Representative
Sedgwick Claims Management Services
Remote, TX
02.2025 - Current
- Maintained comprehensive knowledge of federal regulations and policies governing disability benefits programs, ensuring compliance at all times.
- Provided compassionate support to clients during difficult life transitions due to illness or injury, fostering positive relationships with claimants and their families.
- Evaluated disability claims for eligibility, ensuring accurate and timely processing of applications.
- Negotiated reasonable accommodations with employers on behalf of disabled employees, promoting workplace inclusivity and equal access opportunities.
- Demonstrated strong organizational skills by efficiently managing high volume of cases concurrently while maintaining meticulous attention to detail and accuracy in documentation processes.
- Conducted thorough case reviews, maintaining detailed records for each claimant's application process.
Utilization Review Coordinator
Sedgwick Claims Management Services
Telecommuter
11.2015 - 02.2025
- Managed complex cases involving multiple medical conditions, coordinating care among various specialists while adhering to strict timelines for decision-making.
- Streamlined workflows within department by developing tools and resources aimed at improving consistency in utilization review practices.
- Evaluated medical necessity criteria using evidence-based guidelines to ensure that services provided were both clinically appropriate and cost-effective.
- Served as a trusted resource for clinical staff seeking guidance on appropriate levels of care, alternate treatment options, or clarification on insurance coverage requirements.
- Increased efficiency of the utilization review process through regular communication with insurance companies for timely authorizations.
Customer Service Representative
Sedgwick Claims Management
Memphis, TN
12.2014 - 11.2015
- 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.
- Responded to customer requests for products, services, and company information.
- Exceeded performance metrics consistently, earning recognition as top performer within team.
- Resolved escalated customer issues, restoring confidence in company's commitment to service excellence.
- Developed rapport with customers through active listening skills, leading to higher retention rates and positive feedback from clients.
- Maintained detailed records of customer interactions and transactions, ensuring accurate documentation and follow-up.
Customer Support Specialist
American Home Shield Corporation
01.2010 - 11.2014
- Developed strong relationships with clients, resulting in repeat business and positive feedback.
- Delivered exceptional customer service experiences by maintaining positive attitude, active listening skills, and empathetic responses to customer concerns.
- Managed a high volume of inbound calls while maintaining excellent call quality standards and adhering to established procedures.
- Enhanced customer satisfaction by addressing and resolving complex issues promptly and professionally.
- Handled escalated support cases with diplomacy and tact, successfully defusing tense situations between the company and its customers.
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
Education
Associate of Arts -
Strayer University
Houston, TX12-2025
Skills
- Client advocacy
- Disability assessment
- Problem-solving
- Time management
- Self-care and resilience
- Legal compliance
- Adaptive technology
- Active listening
- Adaptability and flexibility
- Verbal and written communication
Accomplishments
- Increased customer retention by 19%, from 72% to 91%.
- Reactivated numerous accounts, utilizing persuasion/mediation skills.
- Proactive planning led to notable increase in morale in all departments.
- Created customer satisfaction survey, drastically reducing potential problems.
Timeline
Disability Representative
Sedgwick Claims Management Services
02.2025 - Current
Utilization Review Coordinator
Sedgwick Claims Management Services
11.2015 - 02.2025
Customer Service Representative
Sedgwick Claims Management
12.2014 - 11.2015
Customer Support Specialist
American Home Shield Corporation
01.2010 - 11.2014
Associate of Arts -
Strayer University