Zhikeria Green
FL
Summary
Accomplished Claims Representative with a proven track record, adept in claims and customer service.. Excelled in conflict resolution, enhancing customer loyalty by 30%. Skilled in critical thinking and customer service, consistently delivering results beyond client expectations.
Overview
5
5
years of professional experience
Work History
Claims Representative
Sedgwick
Remote
04.2023 - 01.2025
- Analyzes FMLA and other unpaid claims to determine eligibility and certification in compliance with client plans, state and federal regulations.
- Communicates decisions and on-going expectations clearly and professionally with claimants and clients by phone, written correspondence and/or claims system.
- Reviews claim information received to identify action plan, determine benefits due, and make timely case decisions based on plan descriptions and service expectations as established by the client.
Customer Service Representative
Spectrum
08.2021 - 02.2023
- Answering inbound phone calls from customers related to billing inquiries
- Empathizing with customers while accurately addressing their billing needs and meeting our high customer service standards
- Actively and consistently support all efforts to simplify and enhance the customer experience.
- Establish and maintain a high level of customer satisfaction, professionalism, and courtesy in all retention transactions
Customer Service Representative
Chase
Remote
06.2020 - 05.2021
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Responded to customer requests for products, services, and company information.
Education
Edgewater High School
05.2019
Skills
- Claims investigation
- Settlement negotiation
- Conflict resolution
- Claims processing
- Customer service
- Attention to detail
- Active listening
- Critical thinking
Timeline
Claims Representative
Sedgwick
04.2023 - 01.2025
Customer Service Representative
Spectrum
08.2021 - 02.2023
Customer Service Representative
Chase
06.2020 - 05.2021
Edgewater High School