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Customer Service Manager

Location:
Grand Cane, LA, 71032
Posted:
October 10, 2010

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Resume:

LaKisha Robinson

*** *** ******

Grand Cane, LA *1032

*******.**********@*****.***

318-***-**** or 318-***-****

SUMMARY

Managed Workers Compensation Claims Multi-Task Oriented

Typing 60 wpm Team Player

Excellent Communication Skills Organized

Self Motivated Time Management Skills

Payroll Employee Benefits Administrator

Analytical Customer Service Oriented

Comply w/ HIPPA re: WC Claims Lead for Results in Management

PROFESSIONAL EXPERIENCE

Administrative Skills

-Assist managers with memos, correspondence, reports, and other documentation

-Operated multi-line telephone system

-Performed clerical duties such as filing, photocopying, faxing and mailing

-Responsible for timekeeping records

-Compiled and completed reports for management team to present at morning meetings

-Reported to clients on monthly basis regarding status of claims

-Filed necessary forms with the TWCC and Oklahoma WC Court

-Corresponded with claimant/attorney; employer; physician regarding status of claim

HR/Office Manager Experience

-Research, enroll and manage employee benefits

-Coordinate interviews and selection of employees to fill vacant positions

-Plan and coordinate new employee orientation to foster a positive attitude toward

company goals

-Investigate accidents and prepare reports for insurance carrier as well as follow up on

claims

-Send payroll corrections to home office location

-Maintain budget for the managers

-Managed attendance by entering into Optima

-Compiled and sent Human Resource weekly reports to home office

Workers Compensation Experience

-Provided exceptional customer experience to policyholders through professional claims

handling.

-Investigate claims by communicating with customer (employer), injured employee and

medical providers

-Analyze coverage, compensability, and evaluate medical records for potential lost time or

treatments not work related

-Work with claimant and medical physician to successfully return the injured employees

To work as quickly as possible or gather information supporting a return to work

-work with medical management vendors to review medical and billing for treatment

That was reasonable and necessary related to the injury.

-Work with investigation agencies in order to determine possible fraud

Customer Care/Dispute Resolution Experience

-Provide quality customer service to all customers and channels of Hilti, Inc

-Evaluate customer care notices to determine if properly coded, as well as, directed towards

appropriate channel

-Analyze notices determining the best possible solution to resolve

-Coach customer service team members on Customer Care Handling Procedure for various

scenarios

-Champion customers by executing a resolution to complaint in a pro active manner

Account Manager I

-establish and maintain customer relations utilizing consultative sales approach

-inventory management

-cash reconciliations

-merchandising

-train employees utilizing various Situational Leadership styles in field

WORK HISTORY

Hilti, Inc Account Manager I October 2008-present

Hilti, Inc Customer Care Handling Specialist April 2007-October 2008

Athletic World Advert HR/Administrative Assistant Dec 2004-April 2007

Consolidated Benefits WC Claims Representative July 2003-Dec. 2004

Athletic World Advert Acct Rep/Sales Manager/HR March 2003-July 2003

Zurich North America WC Claims Adjuster March 2001-Dec. 2001

Crawford & Company Clerical/WC Claims Adjuster Aug 1995-July 2000

EDUCATION

Texas A& M; Commerce, Texas

Masters of Business Administration, Began Fall 2008

Northwood University; Cedar Hill, Texas

Bachelors of Business Administration, Graduate 5/2008

Mountain View College; Dallas, Texas

Associates of Arts and Science in Business, Graduate 1999

REFERENCES AVAILABLE UPON REQUEST



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