Summary
Overview
Work History
Education
Skills
Timeline
Generic

Tracey Mitchell

Sanford,Fl

Summary

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Overview

22
22
years of professional experience

Work History

Insurance Customer Service Representative

Tokio Marine HCC
Kennesaw, GA
01.2020 - Current

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  • Checked documentation for accuracy and validity on updated systems.
  • Verified client information by analyzing existing evidence on file.
  • Maintained strong knowledge of basic medical terminology to better understand services and procedures.
  • Maintained confidentiality of patient finances, records and health statuses.
  • Prepared insurance claim forms or related documents and reviewed for completeness.
  • Evaluated and settled complex insurance claims in strict timeframes.
  • Answered incoming phone calls to articulate product value to prospective customers and support current policyholders.
  • Initiated outbound customer calls to review policy reviews and late payments to avoid lapse in coverage.
  • Directed incoming calls to internal personnel and departments, routing to best-qualified department.
  • Investigated and resolved customer inquiries and complaints quickly.
  • Responded proactively and positively to rapid change.
  • Exhibited high energy and professionalism when dealing with clients and staff.
  • Delivered prompt service to prioritize customer needs.
  • Met customer call guidelines for service levels, handle time and productivity.
  • Responded to customer requests, offering excellent support and tailored recommendations to address needs.
  • Developed highly empathetic client relationships and earned reputation for exceeding service standard goals.
  • Cross-trained and provided back up for customer service managers.

Case Manager

Childrens Home Society
Sanford, FL
12.2019 - 12.2020
  • Provides comprehensive data updates to Program Manager regarding status of screening/assessment activity.
  • Managed caseload of 25+ children in welfare system to provide comprehensive, community-based care.
  • Partnered with physicians, social workers, activity therapists, nutritionists and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems.
  • Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations and procedural costs.
  • Managed support services and fostered communication among social workers, therapists, hospital staff and patients.
  • Increased referral rates by providing excellent service and building meaningful relationships with patients and caregivers.
  • Collaborated with external agencies to meet educational and transitional needs of students.
  • Educated patients and loved ones about different treatment options and outside care approaches to reduce burden on hospital resources.
  • Developed positive relationships with parents to foster communication and encourage involvement for student growth.
  • Evaluated IEP for compliance with state and federal requirements regulations and rectified non-compliance issues immediately.
  • Monitored student progress and reviewed and revised IEP to meet emerging student needs.

Claims Adjuster

Liberty Mutual
Lake Mary, FL
05.2016 - 12.2019
  • Apply critical thinking and problem-solving skills to research, troubleshoot, and walk clients through system to provide solutions
  • Communicate effectively with clients using phone, text, or email
  • Establish customer relationships and follow up with customers, as needed
  • Schedule appointments for estimates and/or repairs, identify customer needs, and provide options
  • Follow up on pending issues seeking resolution
  • Provide thorough, accurate and ethical customer support to clients
  • Develop and maintain strong relationships with clients and team members
  • Respond to emails in timely manner creating effortless experience for client
  • Serve as Mentor on Liberty Mutual Mentor Team mentoring New Trainees during their “Nesting” period.
  • Liaised between account holders and various departments.
  • Listened attentively to client feedback and worked with product development team to introduce new services.

Case Management Specialist

Aon Hewitt
Orlando, FL
10.2014 - 05.2016
  • Demonstrated “I CAN HELP ATTITUDE”
  • Excellent writing skills, concise and accurately constructed correspondence
  • Detail oriented with ability to manage time effectively as hourly production is measured accordingly
  • Sustain productivity and quality targets
  • Provided one call resolution to each problem that arose
  • Review detailed medical records, itineraries and other documentation
  • Proactive work to resolve claims as expeditiously as possible; decisions are made based on authority levels, policies and documented procedures.
  • Answered questions about eligibility determinations and plan options.
  • Processed enrollment paperwork and benefits forms.

Payment Specialist

Chase Bank
Lake Mary, FL
04.2001 - 10.2014
  • Responded to customer inquiry calls, quickly assessing consumer needs and problems in order to deliver ideal solution
  • Ability to multitask different screens using dual monitors
  • Provided One shop stop addressing all customer concerns
  • Exceeded monthly goals that were required
  • Spoke with business owners to service credit cards and payment issues
  • Engaged customers about their benefits by asking probing questions
  • Drove dispute resolutions using effective problem-solving and by guiding mutual understanding of opposing viewpoints.
  • Performed duties in accordance with applicable standards, policies and regulatory guidelines to promote safe working environment.
  • Maintained energy and enthusiasm in fast-paced environment.
  • Used critical thinking to break down problems, evaluate solutions and make decisions.
  • Offered friendly and efficient service to customers, handled challenging situations with ease.

Education

Bachelor of Applied Science - Health Service Administration, Health Service Information

University of Central Florida
Orlando, FL
08.2014

Associate of Applied Arts - Health Service Administration

Seminole State College of Florida
Sanford, FL
12.2010

Skills

  • Excellent verbal and written communication skills
  • Case Management Tracking
  • Multitasking and Organization
  • MS Office
  • Operational Standards
  • Data Entry and Analysis
  • Conflict Resolution
  • Superb active listening skills
  • Implementation and configuration
  • Issue resolution
  • Able to establish rapport and create positive customer experience
  • Capable of engaging customers easily
  • Medical terminology knowledge
  • Professional telephone demeanor

Timeline

Insurance Customer Service Representative

Tokio Marine HCC
01.2020 - Current

Case Manager

Childrens Home Society
12.2019 - 12.2020

Claims Adjuster

Liberty Mutual
05.2016 - 12.2019

Case Management Specialist

Aon Hewitt
10.2014 - 05.2016

Payment Specialist

Chase Bank
04.2001 - 10.2014

Bachelor of Applied Science - Health Service Administration, Health Service Information

University of Central Florida

Associate of Applied Arts - Health Service Administration

Seminole State College of Florida
Tracey Mitchell