Customer Service Representative
Resume:
Shedronda Jackson
***********@*****.***
***** ****** * ******* ** Ste. 3316, Houston, TX 77066 Highlights
● Past 3 yrs reviewing, verifying and processing health indemnity insurance claims
● More than 15 years of experience in customer service within a high-volume call center (handling an average of 95 calls daily).
● Excellent working knowledge using Microsoft Excel, Microsoft Word.
● Ability to train, motivate, and supervise customer service employees.
● A team player acknowledged as “Total Quality Customer Service Professional.” Work Experience
Claims Examiner/Processor
ManhattanLife Assurance - Houston, TX
May 2018 to July 2023 (*need remote)
Review insurance claims
Verify that due process was followed
Approved or Deny insurance claims
Customer Representative
Manhattan Life Assurance Houston, TX
Receive inbound calls from customers
Provide policy benefits
Educate members of their benefits and options available Provide members tools needed to sustain their accounts Provide providers with claim status
Assist in team chat and Learning Lab
Assist in nesting new hires
Client Services Representative
FMA Alliance, Ltd - Houston, TX
June 2017 to January 2018
Processed incoming and outgoing mail
Notated and closed accounts
Inputted data into the database
Printed and mailed media material for clients
Assisted the receptionist for her breaks and lunch Customer Service Representative
United Health Group-Optum Health - Houston, TX
February 2017 to May 2017
Received inbound calls from customers
Provided Medicare benefits
Educated members of their benefits and options available Provided members tools needed to sustain their accounts Process claims as needed
Customer Service Representative
Aetna Healthcare - Houston, TX
April 2013 to August 2016
Received inbound calls from customers
Entered data from customers into database
Processed claims for provider’s office
Provided information on Explanation of Benefits
Assist co-workers with information they were not aware of Assisted with complex claims-processing issues and monitor claims status updates Customer Service Representative
Asurion - Houston, TX
October 2006 to October 2011
Received inbound calls from customers
Entered date from customers into database
Processed insurance claims for lost, stolen or damaged cell phones Provided instructions on how to process claims
Selected by supervisor to assist with file closures, resolved complex claims-processing issues and collected payments for deductible
Education
High School Diploma
Booker T. Washington High School Houston - Houston, TX 1989
Skills
• MS Windows proficient Strong client relations
Credit Card processing Multi-line phone talent
Self-motivated Exceptional communication skills
Proficient in cash management Strong verbal communication Quick learner Training development aptitude
• Medical Billing
• CPT Coding
• Typing
• Supervising Experience
• Insurance Verification
• Data Entry
• Computer Networking
• Medical Records
• Microsoft Powerpoint
• Microsoft Excel
• Microsoft Outlook
• Operating Systems
• Medical Terminology •
ICD-9
• Pricing
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