Customer Service Representative

MONIQUE BAKER

*** ********** **. *-****: ablijm@r.postjobfree.com

Columbus, Georgia 31907 706-***-****(Cell)

CAREER OBJECTIVE

To obtain a profession and pursue a long term career.

WORK HISTORY

Aflac, Columbus, Georgia

Claims Specialist I 2007- Present

Perform multiple duties that range in difficulty in which require comprehensive knowledge of Aflac

products to resolve issues that require the review and analysis of various components of the claim; Under

immediate supervision and in accordance with established policies and procedures, reviews and

processes Wellness, Accident insurance claims based on information submitted by policy holders;

determines the nature and validity of claims by reviewing policy status, patient eligibility, and supporting

medical and other documentation; Process claims that may be complex and/or sensitive, including but not

limited to the paying, denying, and pending of claims based on the information submitted for review; on

rare occasions refer specific situations to others unless clarification or interpretation of company policy is

involved; Research and respond to requests from insured, providers, agents, and attorneys regarding

claim status and policy provisions; Provides back-up coverage for other teams as required, maintains

databases and prepares and extracts information using software systems; performs various clerical duties

as assigned, such as filing, photocopying, typing, maintaining databases and preparing and extracting

information using software systems.

Aflac, Columbus, Georgia

Claims Support Specialist 2005-2007

Supported the claims department by processing wellness claims; Requires knowledge of multiple Aflac

products, Adhere to company guidelines and procedural manuals, Ability of managing one’s own time and

the time of others and actively looking for ways to help people; based on the information submitted make

a precise ability to either pay, deny, or pending the claim; produce a required amount of claims per day;

met quality requirements.

Spectrum, Columbus, Georgia

Customer Service Representative

5/15/0512/31/2005

Provide excellent customer service; rings sales on cash register accurately and in a timely manner.

Accurately handles checks, money orders, and cash when doing transactions; performs multi-tasking of

gasoline console, money order machine, gift card machine and telecom transactions; maintains the store,

inside and out, in a clean, well-stocked, and organized condition at all times; contacts maintenance for

repairs when necessary; receives and verifies deliveries; controls merchandise, cash shortages and

spoilage; assists in stocking and inventory audits; performs all duties as assigned with minimum

supervision; assists customers when needed; performs other duties as assigned by the those appointed

over me.

EDUCATION

Columbus State University, Columbus, Georgia

Business Management, current student

Columbus Technical College, Columbus, Georgia

Certified Life Health Insurance, 2007

REFERENCES AVAILABLE UPON REQUEST

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