Trinika Tolbert
Millington,TN
Summary
Results-driven professional with a proven track record in claims processing and customer service. Highly skilled in managing complex cases, maintaining client relationships, and adhering to strict regulatory guidelines. Dedicated and organized with expertise in workers' compensation, data entry, policy evaluation, and client communication. Known for a strong ability to prioritize tasks, resolve claims efficiently, and provide superior customer service while fostering positive client relationships.
Overview
15
15
years of professional experience
Work History
Claims Associate - Workers Compensation
Sedgwick
08.2023 - Current
- Adjusted medical-only claims and minor lost-time workers' compensation claims under close supervision
- Supported senior claims representatives and examiners on complex claims
- Determined compensability and benefits due while ensuring reserve accuracy and timely state agency filings
- Communicated claim actions and updates with claimants, clients, and medical professionals
- Ensured accurate documentation and proper claims coding for all cases
- Processed routine payments, prescriptions, and status reports for lifetime medical claims
- Maintained professional and effective relationships with clients
Claims Representative
Baptist Hospital
04.2021 - 08.2023
- Maintained confidentiality with sensitive information related to employee health and personal circumstances
- Improved data accuracy through meticulous verification and correction processes
- Accelerated invoice processing by accurately entering financial data into systems
- Trained new employees in data entry methods and database management
- Enhanced team productivity through effective communication and collaboration
- Resolved inquiries promptly, achieving high levels of customer satisfaction
Customer Support Specialist
Google Operations Center
09.2015 - 04.2021
- Delivered exceptional customer service through active listening and empathetic responses
- Assisted a high volume of customers daily, ensuring satisfaction and problem resolution
- Responded to inquiries via email and phone with professionalism and expertise
- Implemented troubleshooting techniques to resolve customer issues efficiently
- Maintained comprehensive knowledge of product offerings to provide expert advice
Customer Service Representative
Best Buy
02.2010 - 09.2015
- Provided courteous and professional customer service to resolve inquiries and disputes
- Maintained professionalism under pressure to de-escalate conflicts effectively
- Enhanced customer loyalty through empathetic complaint resolution
- Developed strategies to address customer needs and foster repeat business
Education
Associate in Science (A.S.) - General Psychology
Southwest Tennessee Community College
Memphis, TN12.2023
Skills
- Claims Processing & Management
- Analytical Thinking & Decision-Making
- Data Entry Accuracy
- Verbal & Written Communication
- Microsoft Office Suite Expertise
- Planning & Prioritization
- Customer Service Excellence
- Claims Adjustment & Coverage Determination
- Regulatory Compliance
References
References available upon request.
Timeline
Claims Associate - Workers Compensation
Sedgwick
08.2023 - Current
Claims Representative
Baptist Hospital
04.2021 - 08.2023
Customer Support Specialist
Google Operations Center
09.2015 - 04.2021
Customer Service Representative
Best Buy
02.2010 - 09.2015
Associate in Science (A.S.) - General Psychology
Southwest Tennessee Community College