Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Tomara George

Mobile,AL

Summary

Analytical problem-solver with excellent communication skills. Effective at interviewing claimants, compiling records and documenting findings. Well-versed in insurance policies, practices and standards.

Overview

9
9
years of professional experience
1
1
Certification

Work History

Enrollment Specialist

Monogram Health
12.2022 - 06.2024
  • Contacted insurance carriers to obtain information regarding denials.
  • Communicated effectively via telephone, email, and in person with prospective customers.
  • Resolved billing inquiries and disputes in timely fashion.
  • Answered incoming calls, scheduled appointments and filed medical records.
  • Verified insurance eligibility and coverage for patients.
  • Filed and maintained patient records in accordance with HIPAA regulations.
  • Facilitated communication between patients and various departments and staff.
  • Entered patient demographic and insurance data into electronic medical record system.

Customer Service Representative

Asurion
05.2015 - 10.2022
  • Demonstrated excellent multitasking abilities by simultaneously handling multiple tasks such as navigating systems, taking notes on calls, and answering inquiries from clients.
  • Ensured accurate documentation and record-keeping, adhering to company policies and industry regulations.
  • Adhered to company policies and scripts to consistently achieve call-time and quality standards.
  • Responded to customer calls and emails to answer questions about products and services.

Catastrophe Claim Representative

Pilot Catastrophe
10.2019 - 10.2022
  • Interviewed agents and claimants to correct errors or omissions and investigate questionable claims.
  • Clarified coverage of losses to policyholders and provided assistance in itemizing damages and finding alternative living arrangements.
  • Prepared summaries of damage, payments, and policy coverage.
  • Reviewed questionable claims by conducting agent and claimant interviews to correct omissions and errors.
  • Examined claims forms and other records to determine insurance coverage.

CUSTOMER SERVICE REPRESENTATIVE

Verizon Wireless, Citi Bank
03.2016 - 10.2019
  • Updated account information to maintain customer records.
  • Participated in team meetings and training sessions to stay informed about product updates and changes.
  • Educated customers about billing, payment processing and support policies and procedures.
  • Analyzed customer service trends to discover areas of opportunity and provide feedback to management.
  • Utilized customer service software to manage interactions and track customer satisfaction.

Education

High School Diploma -

Mary G. Montgomery High School
Semmes, AL
05.2014

Skills

  • HIPAA compliance awareness
  • Strong Communication Skills
  • Microsoft Office
  • Claims Investigation
  • Time Management
  • Data entry skills
  • Medical terminology knowledge
  • Customer Service
  • Insurance Coverage Verification
  • Attention to Detail
  • Reconciliation
  • Claims analysis

Certification

  • CNA - Certified Nurse Assistant
  • PT - Phlebotomy Technician

Timeline

Enrollment Specialist

Monogram Health
12.2022 - 06.2024

Catastrophe Claim Representative

Pilot Catastrophe
10.2019 - 10.2022

CUSTOMER SERVICE REPRESENTATIVE

Verizon Wireless, Citi Bank
03.2016 - 10.2019

Customer Service Representative

Asurion
05.2015 - 10.2022

High School Diploma -

Mary G. Montgomery High School

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Tomara George