Post Job Free


Sign in

Customer Service

Cheverly, MD
January 30, 2024

Contact this candidate





Address: **** ******** ****, ******** ********


Phone: 1-240-***-****




Personal Information

Gender: Female

Status: Married

Nationality: Nigerian

Areas of Competencies

• Customer Service

• Oral and Written Communication Skills

• Time Management

• Organizational Skills

• Labor Enrollment Procedure

• Commercial Carrier Enrollment Procedure

• Electronic Case Management System

• Effective Email Handling

• Microsoft Office Suite (Outlook, Word, Excel)

• CRM Database

• Zendesk Customer Service Software


• Quickbook


High School Diploma Certificate.

Stadium High School, Lagos State, Nigeria.


First School Leaving Certificate.

Helmar Private School, Lagos State, Nigeria.



• Evelyn Kpaluku

Supervisor, Florida Unemployment


Florida, United States.


• Ayo Komolafe

Team Lead, Quest Diagnostics Laboratory,

Chantilly, Virginia.


Career Objective

A highly dedicated, focused and result-driven customer service professional with strong dedication to helping customers resolve issues, while portraying a positive image of the company. Possess practical interactive skills and seeking a challenging, yet, rewarding role to optimally contribute to a well-structured organization while pursuing personal growth and development.

Additional Skills

• Empathy

• Analytical skills

• Critical Thinking

• Computer skills

• Detail-Oriented

• Time management

• Team Collaborations

• Investigative skills

• Problem-Solving skills

• Troubleshooting Abilities


Eligibility Specialist Quest Diagnostics Laboratory – Chantilly Virginia. February 2022 – Till Date.

Key responsibilities delivered.

• Reviewing applications for eligibility to ensure they meet all program requirements.

• Processing applications and ensuring accurate data entry into computer systems.

• Serving as the primary point of contact for clients seeking to determine their eligibility for benefits.

• Educating clients on the application process and required documentation.

• Utilizing online databases and resources to verify client information.

• Calculating income and asset levels to determine program eligibility.

• Keeping up-to-date on changes to benefits and eligibility.

• Maintaining detailed record of client interactions and determination.

• Referring clients to other departments, units or superiors when necessary.

• Coordinating with other departments to ensure that applications are processed in a timely manner.

• Providing information about eligibility requirements and program rules and regulations to clients.

• Assisting clients in completing applications for program eligibility with attention to detail and accuracy.

• Interacting with clients to provide information about program requirements and application procedures.

• Organizing files accurately and communicate with other units for fact-checking.

• Following-up with the applicants for missing requirements.

• Responding to applicants' inquiries and concerns, and recommending alternatives, when necessary.

Work Experience Continued

Claim Representative Florida Unemployment Department (DEO) – Florida, United States. January 2020 – January 2022.

Key responsibilities delivered:

• Provide all administrative support to the business and its employees.

• Coordinate investigative efforts ensuring appropriateness of claims through use of physical evidence, testimony of relevant parties and examining reports.

• Provide thorough review of contested claims.

• Research problem claims accounts by interpreting customer policies and coverages, so as to process claim as necessary.

• Summarize claims in excess of authority and submit to manager for approval.

• Promptly investigate all assigned claims with minimal supervision, including those of a more complex nature.

• Ensure that claims payments are issued in a timely and accurate manner.

• Mentor and provide leadership to less experienced claims associates.

• Assist with file reviews and file audits as needed.

• Inspect damages and prepare written estimates of repair or replacement.

• Under limited supervision, responsible for making accurate decisions on specialty claim settlements.

• Partner with special investigation unit and subrogation to identify fraud and subrogation opportunities.

• Apply appropriate interventions and follow up on claims.

• Stay informed of changes in policies as well as statutory and regulatory changes as they relate to claims, and communicate these changes to other claims personnel and clients.

• Assist with the preparation of operating reports.

• Meet and communicate with claimants, legal counsel, and third-parties so as to process claims.

• Timely and accurate filing and billing of all client transactions (billing, invoices, and insurance claims).

• Quickly and effectively investigate claims, negotiate equitable settlements and authorize prompt payments to policyholders.

• Review forms for accuracy and completeness.

• Review file and policy to determine coverage.

• Transmit routine claims for payment and inform claim supervisor of those claims needing further investigation.

• Promptly Negotiate settlements, making sure that the settlement reflects the actual claimant losses while also being certain that the insurer is protected from invalid claims.

• Investigate claims for personal, casualty, or property loss or damages; determine the extent of the liability; and try to negotiate an out-of-court settlement with the client.

• Interview claimants to obtain information and assess claims

• Review and investigate claims to determine validity, by analysing claimants' documents to verify accuracy of claims.

• Negotiate settlements with claimants and advise claimants on eligibility for claims.

• Managing the process of filing, investigating and settling insurance claims to determine the appropriate compensation or resolution to be offered.

• Collaborate with legal teams and other internal departments to ensure timely and accurate claim processing.

• Identifying potential fraud or abuse and taking appropriate action to prevent it.

Contact this candidate