Customer Service Call Center

LaJhaunie Crawford

Valdosta, GA *****

***********@*****.***

+1-229-***-****

Authorized to work in the US for any employer

Work Experience

Dental Claims Processor

Media Riders for Managed Care Dental of North America call center representative. - Remote December 2022 to Present

• Process claims, explanation of benefits, adjustments, and statements

• Communicate effectively with Dental facilities regarding claims

• Review medical records for completeness

• Provide clinical interpretation and decision making, according to contractual agreements and policies.

• Respond to questions, and request for information regarding clinical treatment, processing policies, and payment decisions.

Unemployment Claims Specialist

Accenture - Remote

February 2020 to June 2022

• Great problem solving and decision making abilities

• Focusing on financial impact of claims and actively pursues opportunities to enhance unemployment results.

• Ensures that work is accurate and complete, proccessed in a timely manner with proper spelling and grammer.

Sales Associate

Walmart - Valdosta, GA

November 2017 to January 2020

• Answer customers questions regarding merchandise

• Provide customer service successful monetary exchange

• Maintained a friendly attitude

• Stocked merchandise to provide store and customer with needed materials to ensure the fulfillment of needs

Education

High school diploma

Valdosta High School - Valdosta, GA

August 2008 to May 2013

Skills

• Customer service (6 years)

• Medical terminology (10+ years)

Certifications and Licenses

Certified Medical Assistant

CNA

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