Customer Service Human Resources
Resume:
Lisa Tuttle
Ovilla, TX *****
*********@*****.***
Managed Medicals for my three children with thirteen Medical Specialist offices.
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• Communicated with Health Insurance on policies and claims.
• Scheduling multiple appointments weekly in North Dallas.
• Care of children with many medicals.
• Collaborated with Schools on 504 Plans
Served as a Family Resource to Medical City Dallas to help assist other families in navigating complicated Doctor and Hospital Appointments.
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Mentored multiple families on organizations, scheduling, documenting Medical Appointments and Insurance Claims.
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• Customer Service
• Attention to Detail
Recordkeeping and File
Management
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• Office Administration
• Decision-Making
• Office Management
• Personable and Approachable
• Relationship Development
02.2023 - 03.2024 Co-op Administrator
DasCHE Homeschool - Arlington, TX
Handled sensitive information discreetly, maintaining strict confidentiality at all times as required by company policy or legal regulations.
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Maintained personnel records and updated internal databases to support document management.
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Organized workflow and delegated tasks effectively to ensure timely project completion without compromising quality.
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Managed office inventory levels, ensuring adequate supplies were available while minimizing waste and unnecessary spending.
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Managed human resources functions, including hiring, onboarding, and employee evaluations for optimal team performance.
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Assisted in the development of strategic plans aligned with organizational goals by providing valuable input during planning sessions.
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10.1998 - 06.2004 Senior Claim Representative
Accomplishments
Skills
Work History
State Farm Insurance - Baton Rouge, LA
Improved team productivity by providing ongoing training and support to junior claims representatives.
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Reduced backlog of pending claims by introducing an effective triage system based on priority levels.
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Analyzed complex claims data, identifying trends, and recommending improvements to reduce future risks.
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Collaborated with legal and medical professionals to gather necessary information for claim assessments.
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Enhanced customer satisfaction with timely and accurate resolution of claims disputes.
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Increased company profits by minimizing fraudulent activities through diligent research and validation of claim details.
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Developed strong relationships with insurance providers, promoting effective communication for claim resolution.
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Provided exceptional customer service when addressing inquiries from clients regarding their claim status or policy coverage details.
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Conducted thorough investigations of disputed claims, gathering evidence to support decision-making processes.
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Managed a large caseload while maintaining strict deadlines and delivering consistent results under pressure situations.
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Negotiated fair settlements with claimants, contributing to favorable outcomes for all parties involved.
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• Collaborated with legal department on important claims. Worked productively in fast-moving work environment to process large volumes of claims.
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Prepared and presented detailed reports to management on claims issues to aid in decision making.
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Negotiated claim settlements with claimants and attorneys to resolve claims efficiently and fairly.
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08.1997 Bachelor of Arts, English, Texas A&M University - College Station, TX 12.1993 Bachelor of Arts, Business, San Jacinto Junior College - Pasadena, Tx Education
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