TIFFANY MOORE
Augusta,GA
Summary
Experienced with evaluating claims for accuracy and compliance. Utilizes strong organizational skills and attention to detail to process claims efficiently. Track record of effectively communicating with clients and stakeholders to resolve claims disputes.
Data management professional prepared to excel in data accuracy and organization. Proven track record of maintaining high standards in data entry and information management. Known for collaboration and adaptability, ensuring seamless team operations and goal achievement. Skills include fast typing, attention to detail, and proficiency with office software.
Knowledgeable Desired Position with solid background in customer service and problem resolution. Proven ability to handle high call volumes efficiently while maintaining friendly demeanor. Demonstrated expertise in effective communication and conflict resolution.
Overview
6
6
years of professional experience
Work History
Call Center Representative
Department of Family & Children Services-
01.2023 - Current
- Maintained records of customer interactions, transactions, comments and complaints.
- Increased customer satisfaction ratings by effectively answering questions, suggesting effective solutions, and resolving issues quickly.
- Improved product knowledge on continuous basis to provide optimal service and achieve sales quotas.
- Answered, screened and processed high volume of calls daily with call management system and web-based communications.
- Processed orders, forms, applications, and requests accurately and efficiently.
- Engaged actively with callers, confirming or clarifying information and diffusing anger.
- Provided top quality control and eliminated downtime to maximize revenue.
Claims Intake Specialist
Carters
08.2021 - 01.2023
- Prepared and evaluated CRM reports to identify problems and areas for improvement.
- Engaged in conversation with customers to understand needs, resolve issues and answer product questions.
- Offered one-on-one coaching and development for each team member consistently.
- Determined accurate prices for customer services, consistently searching for deals and best prices.
- Exceeded established service goals while leveraging customer service, sales and employee management best practices.
- Collaborated closely with underwriters to ensure accurate risk analysis during policyholder assessments for filed claims.
- Continually sought opportunities for personal and professional growth, staying informed of industry trends and participating in relevant training sessions.
- Managed a high volume of incoming calls from policyholders, demonstrating excellent communication skills and empathy during stressful situations.
- Developed strong working relationships with adjusters, contributing to an effective team environment and timely claim resolutions.
Claims Representative
Department of Juvenile Justice
01.2019 - 08.2021
- Presented existing and prospective customers with valuable service or product information to aid in decision-making.
- Provided top quality control and eliminated downtime to maximize revenue.
- Gathered customer feedback through surveys and used the data to improve customer service.
- Worked productively in fast-moving work environment to process large volumes of claims.
- Followed up with customers on unresolved issues.
- Improved customer satisfaction by providing timely and accurate information on claim status and resolution.
- Developed strong relationships with clients, facilitating trust and open communication during the claims process.
- Collaborated with cross-functional teams to expedite complex claims investigations and resolutions.
- Minimized financial losses by identifying fraudulent claims through thorough analysis and investigation.
- Enhanced claim processing efficiency by streamlining workflows and implementing best practices.
Education
High School Diploma -
High School
Skills
- Call Center Operations
- Typing 65 WPM
- Customer service
- Customer Relationship Management
- Inbound Phone Call Management
- Verbal and written communication
- Providing customer support
- Prospecting skills
- Communicating With Clients
- Technical Troubleshooting
- Product knowledge
- Quality Assurance Controls
- Call documentation skills
- Customer support
- Professional phone voice
- Interpersonal Skills
- Resolving Issues
- Performance Monitoring
- Call controlling
- Sales Expertise
- Cash handling
- Analytical abilities
- Customer Communications
- Technical Support
- Sales Closing
- Customer service
- Customer relationship management (CRM)
- Data entry
- Conflict resolution
- Sales support
- Attention to detail
- Analytical thinking
- Performance coaching
- Microsoft office
- Claims investigation
- Insurance claims review
- Claims trend analysis
- Claims adjustment
- Claims processing
- Issue resolution
- CRM management
- Data analysis
Accomplishments
Consistently maintained high customer satisfaction ratings.
Education and Training
other
Timeline
Call Center Representative
Department of Family & Children Services-
01.2023 - Current
Claims Intake Specialist
Carters
08.2021 - 01.2023
Claims Representative
Department of Juvenile Justice
01.2019 - 08.2021
High School Diploma -
High School