Tshaka Jackson
Macon,GA
Summary
Resourceful Insurance Customer Service Representative with expertise in insurance terminology and medical billing systems. Enhanced customer service and streamlined claims processing through effective policy updates and accurate data management. Specializes in policy adjustments, claims processing, and customer relationship management, ensuring high productivity and satisfaction.
Overview
16
16
years of professional experience
Work History
Customer Service Supervisor
Government Employees Insurance Company GEICO
Macon, USA
12.2019 - 01.2026
- Supervised customer service team to ensure quality support and compliance.
- Assisted in developing and implementing customer service policies and procedures to enhance service delivery.
- Managed high-volume inbound and outbound calls to address customer inquiries and claims.
- Responded promptly to emails and phone calls from customers seeking assistance.
- Resolved billing disputes while processing payments and refunds, maintaining customer satisfaction.
- Coordinated investigations of claims to confirm compensability and coverage, ensuring accurate processing.
- Monitored insurance claims process, ensuring compliance with policy terms and conditions.
- Assisted customers with ing and tracking of insurance claims, ensuring timely resolution.
- Ensured compliance with company guidelines and regulatory standards when dealing with customers' accounts or policies.
- Collaborated with fellow team members to manage large volume of claims.
- Trained new employees on policies and procedures for effective service delivery.
- Assisted in developing training materials for ongoing employee development programs.
- Actively participated in training sessions to stay up-to-date on changes in regulations related to insurance policies.
- Navigated computer system to look up customer information and update policies.
Medical Billing Supervisor
Omni Health Solutions
Macon, USA
06.2014 - 11.2019
- Supervised medical billing team to ensure accurate claims processing.
- Reviewed and approved complex claims before submission to insurers.
- Implemented security measures to protect medical records from unauthorized access. to maintain patient confidentiality.
- Analyzed patient charts and records to extract relevant coding information.
- Organized and submitted insurance claims to streamline reimbursement processes. insurance claims.
- Submitted claims to insurance companies electronically or by mail.
- Expertly assigned charges and payments for medical procedures.
- Analyzed billing discrepancies and resolved issues promptly.
- Coordinated communication between healthcare providers and insurance companies.
- Maintained updated knowledge of healthcare regulations and coding practices.
- Kept abreast of updates and changes in coding guidelines and reporting requirements.
- Maintained positive working relationship with fellow staff and management.
- Led regular meetings to discuss team performance and address challenges.
- Created monthly financial reports summarizing revenue cycle performance metrics such as denials, payment lag time.
Assistant Store Manager
Hardee’s
Forsyth, Georgia
07.2010 - 06.2014
- Supervised daily operations and ensured compliance with company standards.
- Trained and mentored staff to enhance service quality and teamwork.
- Resolved customer complaints promptly to maintain satisfaction and loyalty.
- Managed inventory levels and ordered supplies for optimal stock availability.
- Conducted performance evaluations to assess staff development needs.
Education
Associate of Science -
Central Georgia Technical College
Macon, GAHigh School Diploma -
Westside High School
Macon, GASkills
- Claim processing
- Claims adjustment
- Insurance regulations
- Insurance terminology
- Information verification
- Complaint handling
- Client education
- Appointment scheduling
- Organizing and prioritizing work
- Work organization
- Time management abilities
- Multitasking
- Forms preparation
- Organization
- Staff training
- Employee mentoring
- Customer relations
- Workforce management
- Conflict resolution
- Training development
- Effective communication
- Problem solving
Timeline
Customer Service Supervisor
Government Employees Insurance Company GEICO
12.2019 - 01.2026
Medical Billing Supervisor
Omni Health Solutions
06.2014 - 11.2019
Assistant Store Manager
Hardee’s
07.2010 - 06.2014
Associate of Science -
Central Georgia Technical College
High School Diploma -
Westside High School