JADE HOLMES

S U MMARY

Skilled in interviewing, records searching and documentation. Excellent critical thinking and organizational abilities. Proficient in insurance policy coverage levels, industry practices and compliance requirements. Dedicated to patient safety, wellness and happiness. Customer service professional motivated to maintain customer satisfaction and contribute to company success. E X P E R I E N C E

Claims Representative

UnitedHealth Care, UnitedHealth Group August 2020 - Current Customer Service Representative Supervisor

Valor Global December 2018 - March 2020

Customer Care Representative

Alight Solutions July 2014 - November 2018

Direct Support Professional

WesCare Professional Services July 2010 - May 2014 Provided quality customer service to assigned, insured and claimants throughout claims process to deliver timely service to customers. Negotiated settlements for uncomplicated claims in accordance with actual company liability.

Managed asset recoveries for claims, including salvage and subrogation. Researched and reviewed information to determine validity of insurance claims and contacted companies and customers about decisions. Promoted clean, safe, friendly work environment for employees and guests. Trained staff to provide excellent customer service to challenging customers. Led department and supported team leads with process and personnel needs. Completed leaves of absence, time off requests and department transfers. Measured and tracked KPIs to enhance customer experience and improve customer retention.

Delivered fast, friendly and knowledgeable service for routine questions and service complaints.

Kept customer and system account information accurate and current to support timely resolutions for concerns.

Interacted with customers to provide and process information in response to inquiries, concerns and requests about services and products. Provided feedback on customer service efficiency to deliver better support options.

Maintained clean and well-organized environment for client happiness and safety. Transported clients to doctor's appointments and errands. Tracked and reported clients' progress based on observations and conversations. Followed care plan and directions to administer medications. Developed strong and trusting rapport with patients to facilitate smooth, quality care.

S K I L L S

Policy knowledge

Documentation research

Medical terminology

Regulatory compliance

understanding

Database management

Insurance plan verification

Client safety and first aid

Healthcare

Health Services

Inbound and Outbound Calling

Microsoft Office expertise

Technologically savvy

C O N T A C T

336-***-****

ad04c0@r.postjobfree.com

Greensboro, NC 27410

E D U C A T I O N A N D

T R A I N I N G

Associate of Science

Kaplan College, Beaumont, TX

August 2012

High School Diploma

Goldsboro High School, Goldsboro, NC

C E R T I F I C A T I O N S

CPR Certification

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