Results-driven customer service professional with 6+ years exceeding satisfaction goals, resolving complex issues, and improving client communication.
Overview
6
6
years of professional experience
Work History
Risk 1 Claims Specialist
Navex
01.2023 - Current
Gather and document claim information using standardized questionnaires, ensuring data integrity and compliance.
Maintain 100% accuracy in report generation and timely submission for claims processing, minimizing delays.
Maintain a meticulous approach to claims processing, resulting in 100% accuracy in report generation and timely submission, minimizing delays in claim resolution.
Adher to strict confidentiality protocols, safeguarding sensitive claim information and ensuring regulatory compliance.
Roadside Service Associate
AAA
07.2021 - 01.2023
Dispatched roadside assistance to 100+ AAA members daily, ensuring prompt service and minimizing wait times.
Proactively communicated service updates and ETAs to customers, managing expectations and increasing satisfaction.
Efficiently entered customer/service data into software, facilitating seamless information flow and timely service.
Provided exceptional customer service to high volume of AAA members, exceeding satisfaction targets with empathetic and efficient resolutions.
Health Service Coordinator
OneCall Care Management
03.2019 - 07.2021
Managed 60-patient caseload, maintaining 100% accuracy of weekly medical updates.
Managed relationships with home health agencies to deliver timely and appropriate care to injured workers.
Secured adjuster approvals for home health services, ensuring cost-effective and timely care delivery.
Meticulously logged all records, documents, phone calls, and emails into proprietary software, ensuring comprehensive case documentation and compliance.
Education
High School -
Bella Vista
Skills
Customer service experience (6 years)
Technical troubleshooting and problem-solving
Proficiency in using and explaining technology
Strong computer navigation skills and PC knowledge
Verbal and written communication skills
Ability to work independently in a remote environment
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Timeline
Risk 1 Claims Specialist
Navex
01.2023 - Current
Roadside Service Associate
AAA
07.2021 - 01.2023
Health Service Coordinator
OneCall Care Management
03.2019 - 07.2021
High School -
Bella Vista
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