Titian Griffin
Birmingham,AL
Summary
Dynamic Workers' Compensation Claims Representative with a proven track record at American Family Care, Inc. Skilled in claims investigation and resolution, adept at navigating complex workers' compensation laws. Recognized for delivering exceptional customer service and effectively managing high-stress situations, ensuring client satisfaction and loyalty.
Overview
11
11
years of professional experience
Work History
Workers' Compensation Claims Representative
American Family Care, Inc
Birmingham, AL
05.2021 - Current
- Examined claims forms and other records to determine insurance coverage.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Researched claims and incident information to deliver solutions and resolve problems.
- Analyzed information gathered by investigation and reported findings and recommendations.
Insurance Customer Service Representative
American Family Care, Inc
05.2021 - Current
- Processed policy updates and changes accurately, ensuring client needs were met in a timely manner.
- Reduced processing time for claims, aiding in quicker customer resolutions.
- Processed and recorded new policies and claims.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Answered incoming phone calls to articulate product value to prospective customers and support current policyholders.
- Conducted comprehensive policy reviews for clients, identifying gaps in coverage and recommending appropriate solutions.
- Participated in ongoing training sessions to remain current on industry developments and improve overall job performance.
Customer Service Representative
Envision Pharmaceutical Services LLC
10.2018 - 05.2021
- 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.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Responded to customer requests for products, services, and company information.
- Assisted customers in navigating company website and placing online orders, improving overall user experience.
- Trained new Customer Service Representatives on company policies, procedures, and best practices.
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Babers Leasing
06.2014 - 10.2018
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
- Paid attention to detail while completing assignments.
- Organized and detail-oriented with a strong work ethic.
- Managed time efficiently in order to complete all tasks within deadlines.
- Demonstrated strong organizational and time management skills while managing multiple projects.
Education
Some College (No Degree) - Marketing
Coahoma Community College
Clarksdale, MSSkills
- Claims investigation
- Assertiveness
- Workers' compensation laws
- Claims resolution
- Claims management
- Teamwork
- Teamwork and collaboration
- Customer service
- Case coordination
Timeline
Workers' Compensation Claims Representative
American Family Care, Inc
05.2021 - Current
Insurance Customer Service Representative
American Family Care, Inc
05.2021 - Current
Customer Service Representative
Envision Pharmaceutical Services LLC
10.2018 - 05.2021
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Babers Leasing
06.2014 - 10.2018
Some College (No Degree) - Marketing
Coahoma Community College
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