Customer Service Representative
Resume:
Kim Laughlin
Customer Service Representative
Contact
Worthington, OH 43085
************@*****.***
Objective
Dedicated professional seeking employment that will leverage my excellent management and technical skills, foster continuous learning, and allow me to contribute significantly to my employer's success.
Education
Rockhurst University
2006
University of Phoenix
2006-2007
Columbus State
2003
Utica High School
Utica, Ohio
1974
Key Skills
Customer Service
Claims management
Organization
Detail oriented
Teamwork
Experience
CompManagement Inc. and CompManagement Health Systems
Dublin, OH
Customer Service Representative
2012-Present
Acted as the first point of contact for clients, promptly addressing inquiries, concerns, and requests with professionalism.
Provided clients with accurate information on workers' compensation, healthcare management, and related services.
Effectively resolved client issues, escalating complex cases to appropriate departments when necessary.
Maintained detailed and organized records of client interactions, ensuring accurate documentation.
Stayed informed about company services, policies, and industry regulations to assist clients effectively.
Educated clients on best practices, industry trends, and available resources.
Collaborated with colleagues and departments to provide holistic solutions to client needs.
Strived for excellence in service delivery, adhering to quality standards and seeking opportunities for improvement.
CompManagement Inc. and CompManagement Health Systems
Dublin, OH
Claims Examiner
2008-2012
Conducted thorough reviews of workers' compensation claims, assessing compensability and eligibility for benefits.
Maintained clear and timely communication with injured workers, employers, medical providers, and legal representatives.
Managed organized and comprehensive claims files, systematically recording all pertinent information.
Stayed updated on changes in workers' compensation laws and industry best practices through ongoing training and professional development.
Avatar Comp Inc.
Dublin, OH
Assistant to Vice President of Operations
2004-2008
Managed personnel actions, including hiring and training new employees.
Coordinated supply and equipment orders.
Assisted with spreadsheets and special projects, such as URAC accreditation.
Evaluated and met quality assurance and customer satisfaction standards.
Acted as a company representative for the Bureau of Workers Compensation Council.
CompManagement Inc. and CompManagement Health Systems
Dublin, OH
Claims Examiner
1997-2004
Adjusted medical and lost-time workers' compensation claims.
Assisted claims examiner nurses and supervisors with complex claims.
Processed workers' compensation claims, determining compensability and benefits, and monitored reserve accuracy.
Communicated claim actions and processes to claimants and clients.
Supported the Total Performance Management initiative.
Skills & Training
Leadership, management, and motivational skills.
Strong oral and written communication.
Proficient in Microsoft Office products.
Excellent organizational and interpersonal skills.
Ability to prioritize and meet deadlines.
Teamwork and collaboration.
Consistent achievement of performance competencies.
Completion of various management training courses.
References
Available upon request.
Contact this candidate