Summary
Overview
Work History
Education
Skills
Timeline
Generic

Tezra Palmer

Florence,SC

Summary

Rational Claims Processor with 10 years of experience enhancing operations for organizations through information systems solutions. Proven track record of transforming specific business goals related to growth and efficiency improvements into new system designs. Knowledgeable innovator known for recommending new technologies to enhance existing systems and introduce new systems.

Overview

11
11
years of professional experience

Work History

Claim Processor

Broadpath
06.2024 - 03.2025
  • Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.
  • Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
  • Reviewed applications and supporting documents to verify claims eligibility and accuracy.
  • Managed workload and priorities to meet claims processing meet deadlines.

Customer Service Representative

Wayfair
08.2023 - 12.2024
  • Handled customer inquiries and suggestions courteously and professionally.
  • Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
  • Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
  • Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.

Short Term Disability Analysts

Cielo
02.2022 - 01.2023
  • Communicates with claimants, employers, and various medical professionals to gather information regarding the application for, payment of, and ongoing management of STD benefits.
  • Conducts investigations to determine whether or not to accept liability and to what degree. Approves or denies benefits accordingly.
  • Managed Approximately 30-50 STD claims per day
  • Prioritized claim by The Dates and

Senior Claims Associate

Leadpoint
08.2019 - 12.2021
  • As Senior Claim Processor Ireviewed and Processed insurance claims. Those duties include verifying insurance policy coverage and making sure client information is accurate, Obtaining EOB from Primary Insurance company.
  • After determining coverage document information and makes sure all required paperwork is complete. Process claim according to allowed.
  • Trained newly intern claim associates

Claims Processor Specialist

Travel Center Of America
01.2014 - 08.2019
  • Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.
  • Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
  • Reviewed applications and supporting documents to verify claims eligibility and responding to customer inquiries, providing detailed explanations of insurance policies and claims processes.

Education

High School Diploma -

Latta High School
Latta, SC
05.2004

Skills

  • CPA
  • Cosmos
  • Epic
  • SalesForce
  • Ring Central
  • Five 9
  • Various Microsoft Applications
  • Various CRM software
  • Tableau Software
  • Claims Processing
  • Evidence-Based Decision Making
  • Explanations of Benefits
  • ICD Codes

Timeline

Claim Processor

Broadpath
06.2024 - 03.2025

Customer Service Representative

Wayfair
08.2023 - 12.2024

Short Term Disability Analysts

Cielo
02.2022 - 01.2023

Senior Claims Associate

Leadpoint
08.2019 - 12.2021

Claims Processor Specialist

Travel Center Of America
01.2014 - 08.2019

High School Diploma -

Latta High School

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