ZHIKERIA GREEN
Orlando,USA
Summary
Detail-oriented Claims and Customer Service Professional with 6+ years of experience in customer service, leave of absence and disability claims, data entry & banking support. Proven ability to analyze complex cases, resolve disputes, and ensure regulatory compliance while delivering excellent customer experiences. Strong background in claims processing, data entry, denial resolution, and cross-functional communication. Recognized for efficiency, accuracy, and problem-solving in fast-paced environments.
Overview
5
5
years of professional experience
Work History
CLAIMS REPRESENTATIVE
ELEVANCE Health
10.2025 - 04.2026
- Reviewed and processed medical claims for accuracy, eligibility, and compliance with Medicare guidelines
- Investigated denied claims and successfully resolved disputes, improving claim approval rates
- Communicated with providers and members to clarify billing, coverage, and reimbursement issues
- Maintained strict adherence to CMS regulations and internal compliance standards
- Documented claim updates and maintained accurate records in claims systems
LONG TERM DISABILITY SPECIALIST
Sedgwick
04.2023 - 09.2025
- Evaluate, process, and manage long-term disability claims from initial request to closure, often following short-term disability exhaustion.
- Managed full lifecycle of disability claims from intake through closure
- Analyzed medical, financial, and vocational documentation to determine eligibility
- Applied ERISA regulations to ensure compliant and fair claim decisions
- Communicated complex claim outcomes clearly to claimants, physicians, and employers
Assisted in return-to-work planning and vocational rehabilitation strategies - Work with individuals and employers to explore vocational rehabilitation or return-to-work options.
BANKING CUSTOMER SERVICE REPRESENTATIVE
Chase
08.2021 - 02.2023
- Handled high-volume inbound calls, resolving customer issues efficiently and professionally
- Assisted with account inquiries, transactions, fraud alerts, and disputes
- Maintained security and compliance standards while handling sensitive financial data
- Documented all customer interactions accurately in CRM systems
- Built strong customer relationships through empathy and problem resolution
Education
Western Governors University
Salt Lake City, UT04.2027
High School Diploma - undefined
Edgewater High School
Orlando, FL05.2019
Skills
- Excellent organizational and time management skills
- Active listening
- Critical thinking
- Data entry
- Problem resolution
- Microsoft Excel
- Microsoft outlook
- Customer relationship management (CRM)
- Claims Adjudication & Processing
- Denials, Appeals & Grievances
Technical savvy with the ability to toggle between multiple applications and/or computer monitors simultaneously
Strong written and verbal skills demonstrated in previous work experience
Experience in effectively meeting/exceeding individual professional expectations and team goals
Strong critical thinker
Proficiency with MS Office applications is required (Word, Outlook, Excel)
Proven skills in positive and effective interaction with challenging customers
Proficiency in claim management systems and Microsoft Office
Websites
Timeline
CLAIMS REPRESENTATIVE
ELEVANCE Health
10.2025 - 04.2026
LONG TERM DISABILITY SPECIALIST
Sedgwick
04.2023 - 09.2025
BANKING CUSTOMER SERVICE REPRESENTATIVE
Chase
08.2021 - 02.2023
High School Diploma - undefined
Edgewater High School
Western Governors University