Summary
Overview
Work History
Education
Skills
Timeline
Generic

TIFFANY WALL

Atlanta,GA

Summary

Detail-oriented insurance professional with a solid foundation in auto claims and health insurance customer service. Demonstrates expertise in claims management, ensuring timely resolutions while navigating high-volume inquiries with precision and professionalism.

Overview

10
10
years of professional experience

Work History

Senior Customer Service Representative

CVS Health / Meritain Health
03.2026 - Current
  • Delivered high-volume customer service and support for health insurance members, resolving inquiries about benefits, plan documents, and cost-sharing elements.
  • Research and interpret plan information to provide accurate benefit explanations and resolve complex member inquiries.
  • Navigate multiple systems while maintaining accuracy, professionalism, and efficient call handling in a fast-paced remote environment.
  • Documented customer interactions and resolutions accurately, ensuring compliance with established procedures and service standards.

Claims Specialist / Auto Claims Adjuster

State Farm Insurance Inc
Atlanta, USA
09.2021 - 12.2025
  • Managed auto claims from investigation through resolution, applying coverage, liability, and claim-handling guidelines to support fair and timely outcomes.
  • Investigated claims by reviewing accident reports, statements, photos, liability information, policy documentation, and damage estimates.
  • Managed high volume of claims, ensuring accurate documentation, timely follow-up, and effective communication with customers and involved parties.
  • Assessed vehicle facts, title information, and damage estimates to determine repairability and total-loss status, facilitating prompt claims resolution.
  • Addressed customer concerns and disputes through clear communication and analytical review, implementing appropriate claim-resolution strategies.

Childcare Substitute Teacher

Childcare Careers
Atlanta, USA
08.2018 - 09.2021
  • Collaborated with classroom teachers to enhance lesson plans and foster a structured learning environment.
  • Communicated with parents and guardians to provide updates on student progress and daily activities.
  • Adapted quickly to different classrooms, routines, and instructional needs in short-term substitute assignments.
  • Adapted quickly to diverse classrooms, routines, and instructional needs, ensuring continuity of learning during short-term assignments.

JUVENILE CORRECTIONAL OFFICER

Department of Juvenile Justice
Atlanta, USA
03.2016 - 09.2018
  • Established and enforced facility rules and regulations to promote a safe and respectful environment.
  • Supervised juveniles and maintained order while documenting observations to inform facility management decisions.
  • Built positive relationships with juveniles through consistent communication and conflict management, fostering trust and cooperation.

Education

Bachelor's - Psychological Sociology

University of West Georgia
Carrollton, GA

Skills

  • Efficient Communication
  • Customer Service
  • Liability evaluation
  • Settlement Negotiation
  • Dispute Resolution
  • Benefits information
  • Documentation integrity
  • Record Keeping
  • Analytical Skills
  • Efficient Communication
  • Customer Service
  • Liability evaluation
  • Documentation integrity

Timeline

Senior Customer Service Representative

CVS Health / Meritain Health
03.2026 - Current

Claims Specialist / Auto Claims Adjuster

State Farm Insurance Inc
09.2021 - 12.2025

Childcare Substitute Teacher

Childcare Careers
08.2018 - 09.2021

JUVENILE CORRECTIONAL OFFICER

Department of Juvenile Justice
03.2016 - 09.2018

Bachelor's - Psychological Sociology

University of West Georgia
TIFFANY WALL