Customer Service Rep
Resume:
Tamara T. Malone
*********@*****.***
Summary of Qualifications **License Adjuster
Professional with 4-6 years of progressive work experience in customer service,
claims, healthcare and web based troubleshooting. Proficient in processing orders
for customers and analyzing health/auto claims. Excellent customer service skills;
exceptional written and oral communication skills. Capable of building and
maintaining a team, time management, and problem resolution. Knowledgeable in
sales and upselling. Comfortable with leading and supervising. Well versed on MS
Office and the Internet.
Professional Experience
Claims Adjuster
Safe-Guard Products International Atlanta, GA July 2014-April 2015
• Mastered understanding of clients, agents, and contract terms and conditions.
• Corresponded with underwriters to address any concerns or questions related to
claims handling.
• Understand Exceptions based upon dealership, agent, or client as noted in system.
• Analyzed and process claims; approve and/or deny claim based on warranty
coverage and specifications for Tire & Wheel.
• Calculated and pay out benefits due.
Member Services Rep (Contract) January 2014-July 2014
Morneau Shepell Atlanta, Georgia
• Assisted with telephone inquiries pertaining to health insurance benefits;
PPO/HMO, premium billing and payment reconciliation in a high volume fast
paced inbound/outbound call center environment.
• Performed independent research as required to resolve errors and customer
concerns with logging in and setting up online accounts.
• Accurately documented call details, member information updates and actions
taken; ensure that all data entry is accurate and complete.
Claims Adjuster 2012-2014
State Farm Atlanta, Georgia
• Analyzed and managed property damage and casualty claims by investigating and
gathering information to determine the exposure of the claim.
• Assessed liability and resolve claims within evaluation.
• Calculated and pays benefits due, approves and make timely claim payments and
adjustments; and settles claims within designated authority level.
• Communicated claim activity and processing with the claimant and the client;
maintains professional client relationships.
Claims & Benefits Specialist 2010-2012
WIPRO United Healthcare Atlanta, Georgia
• Processed claim benefits for patients.
Verified insurance coverage for providers.
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Knowledgeable of billing and coding.
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Operated on healthcare software such as UNET, ISET, LifeWorks & SalesForce.
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Customer Service Rep
2010-2011
Convergent Inc. Atlanta, Georgia
Processed bill payments and resolve technical web support issues.
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Answered inbound calls in a high volume call center.
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Negotiated payment options and packages on behave of customer.
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Troubleshoot system errors for customers using the online app.
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Customer Service Rep 2009-2010
Donnelly Communications Inc. Atlanta, Georgia
Answered inbound calls in a high volume call center.
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Placed orders for customers utilizing mail catalogs and client web sites.
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Worked in 35 multiple queues and skill sets over various customer contact
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channels.
Troubleshoot online account errors for customers when purchasing online.
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Education
Michigan State University, East Lansing, Michigan May 2008
Bachelor of Arts, Telecommunications, Information Studies, and Media
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