Katrina L Mack
**** ******* *** *****, *******
Ph# 407-***-****
Email: *******@*****.***
Professional Summary:
Demonstrate the core values of the organization by building meaningful and long-term relationship with the customers and by developing trust and respect among management. To focus on the customers’ satisfaction and reputation of the company for achieving the desired target and embellishing the productivity of the company through active experience and novel approach.
Professional Experience:
Executive Claim Services
Customer Service Representative Tampa, FL 08/2019-09/2022
Call center environment in/outbound calls.
Claims and billings
Data Entry
Held the responsibilities of following up on billing and claims cases.
Inputting data into a preformatted Excel workbook
Works with other departments to complete customer requests as needed and minimize escalations.
Functions w/in a team-based environment, and actively participates in achieving team goals. Meets/exceeds performance metrics as determined by department.
FIS
Fraud Specialist Tampa, FL 07/2018-12/2018
Assist customers within a high-volume call center environment in the completion of filing fraudulent ATM transaction claims.
Responsible for the prevention and detection of potential fraud across all payment channels by reviewing customers’ accounts
Responsible for maintaining knowledge of fraud situation in the industry
Actively participate in team meetings; share information and make suggestions for improvements to fraud operations.
Verify activities through outbound calls and/or send “Potential Fraud Alert” e-mails to customers
Responsible for reconciling debit card fraud disputes claims with the Master Fraud Transactions
WellCare (Alta Staffing (Temp position) Tampa, FL 09/2016-11/2017
Provider Relation Specialist
Created/organized team’s spread sheets
Up-dated providers information in WellCare’s provider data base
Verified all providers credentialing for WellCare approval
Followed-up with providers to make sure all credentialing is corrected
Data Entry
Data entry and word processing skills to locate and correct data entry errors
HSBC (Superior Group) (Temp position) Tampa, FL 12/2014-08/2016
Foreclosure Operator Specialist
Responsible for sending out state county’s processing fees checks
Responsible for reviewing Loan Documentation
Followed-up with county’s processing fees within a timely matter
Trained new employees
Responsible for closing out foreclosure accounts within a timely matter
Data Entry
Reviewing real estate Property Appraisals to extract certain data points from the appraisal and transpose it into a workbook.
Mack Supreme Property Maintenance Tampa, FL 04/2011-11/2014
Co-Owner/Administrator
Ordered supplies and equipment as needed and performs maintenance checks on a weekly or monthly basis.
Responsible for bidding contracts.
Responsible for payroll
Inspections of all finished properties.
Scheduling
Appointment setting
Data entry
Responsible for handling all management meetings
LPS Services (Aerotek) (Temp) Tampa, FL 11/2009-06/2011
Foreclosure Clerk Specialist
Data entry
Responsible for verifying the correct information to send attorneys.
Scanning foreclosure documentation.
Responding to attorney’s emails within a timely matter.
Filling and faxing documentations.
In/out bound client services calls.
Trained new hires.
Vangent Tampa, FL 08/2007-09/2009
Medicare Tier 1 Customer Service Representative
Call center environment in/outbound calls.
Responsibilities included enrolling healthcare beneficiaries into prescription drug plans, logging complaints against contracted Medicare companies.
Resolve complex claims issues and work alongside other federal departments such as Social Security and Medicaid.
Medical billing and claim inquiries.
Reviewed important information regarding HMOs and PPOs rules and regulations.
Followed up on calls regarding information pertaining to beneficiaries’ plans.
Claims and billings
Health Plan Services Tampa, FL 12/2003-05/2007
Member/Provider Customer Service Specialist
Call center environment in/outbound calls.
Trained/assisted new hires.
Verified benefits for dental and health plans.
Processed and reviewed claims documents for doctor’s offices and hospitals.
Very knowledgeable of medical/dental billing codes and procedures codes.
Followed up with doctor’s offices and hospitals on how to correctly bill claims.
Held the responsibilities of following up on billing and claims cases.
Held all required responsibilities working at home.
Took escalated supervisor calls
Claims and billings.
PHP/Amerigroup
Member/Provider Service Supervisor Tampa, FL 07/1999-11/2002
Call center environment
Supervised a team of fifteen.
Taking in/outbound calls in a center environment.
Trained/assisted new hires.
Handled scheduling.
Responsible for escalated calls.
Reviewed/assisted information for insurance brokers.
Responsible for meeting call handle time etc…
Maintaining the reports of improvement and feedback for my team.
Claims and billings
Education:
Brewster
(Diploma) Tampa, FL 08/1998-01/2003
Warner University
Business Management
(AS) Lake Wales, FL 01/2012-05/2015
Certificates:
Florida Public Notary License
Appreciation for Member/Provider Services
Achievement for Life Management Training
Completion mentoring class offered by mentor training institute
Completion for Client Services Training
Coaching bringing out the best in others
Appreciation providing support in the school board
CPR
Training CSR (How to build great Customer Service skills)
Certifications: State Farm Auto
All Lines 6-20 Adjuster License
References:
Open upon request