Senior EDI Specialist

• Mar 2023 - Present

Electronic Data Interchange Specialist

• Oct 2021 - Mar 2023

Claims Analyst II

• Nov 2019 - Mar 2020

Ensures the accurate, prompt and thorough evaluation of claims by analyzing and determining the appropriate action steps needed while adhering to both internal and external regulations and ensuring an industry leading customer experience. Requires independent decision making on complex claims situations using critical thinking. Claims analysis includes: eligibility determination for benefits based on medical information received, contract analysis, customer service, fraud detection and awareness, financial calculations, interpreting information and adhering to all statutory / governmental regulations. This includes analyzing information received, and determining if additional information is required to make an accurate benefits decision. Embraces the customer-focused strategy and demonstrates our shared values (Customer Focus, Integrity, Innovation, Accountability, and Collaboration) by providing effective customer service resulting in first request resolution and a positive customer experience. Interacts, responds and resolves customer claim requests via multiple channels including phone, email and written correspondence. Performs multiple work roles with expanded knowledge and skill sets such as data entry, processing multifaceted transactions and handling customer requests under minimal supervision. Show less

CSA - Customer Service Associate

• Jun 2019 - Nov 2019

Complete activities, associated paperwork and/or computer entries related to boarding and/or deplaning passengers. Key passenger information into the ticketing reservation system. Assist passengers with reservations, ticketing, and adjustments to itinerary. Greet passengers and provides necessary travel and gate information. Keep passengers informed and makes announcements to ensure important information is communicated about their itineraries, flights and luggage. Coordinate with internal resources to ensure passenger information is processed and flights are dispatched on time. Accept passenger luggage and creates and affixes bag labels to ensure proper delivery. Show less

Benefits Consultant

• Oct 2017 - May 2019

Educating business owners and HR managers about benefit solutions Helping businesses determine which voluntary benefits programs suit their employees best Educating business owners that they can offer Aflac at no direct cost, offer potential tax savings to the employer and employees, and boost employee moral by offering affordable policies to help cover the large gaps that most employees face with their medical coverage Provide service for new and existing policyholders Retain current client relationships Show less

Premier Phone Banker 2/ Coach (Call Center Rep)

• Aug 2013 - Sep 2017

Assisting customers with a friendly and professional approach by telephone regarding their bank accounts, credits and/or loans. Responsible for supporting new hire bankers responding to escalated and non-routine calls Provide peer coaching to multiple bankers to improve their performance in the areas of productivity and sales. Provide exceptional customer service and sales solutions to customer with consumer bank accounts, lines of credit, and loans while maintain federal regulations and bank procedures. Show less

Insurance Representative

• Jul 2010 - Oct 2013

Kept detailed records for insurance claims, responding to customer requests and review policies Kept detailed records for insurance claims, responding to customer requests and review policies