Customer Service Healthcare Claims

Zariah Jackson

Las Vegas, NV

***********@*****.*** 702-***-****

Professional Summary

Dedicated service professional and team player with extensive experience in healthcare claims and customer service. Seeking a growth-oriented role in a collaborative environment. Proven ability to handle a wide range of tasks with excellent organizational skills while continually providing first-class service in all interactions.

Professional Experience

Healthcare Claims Specialist

Prompt Technologies - Las Vegas, NV

February 2023 - March 2025

- Track, analyze, and report on claims, reviewing, analyzing, and resolving issues efficiently.

- Maintain accurate records of claims and monitor the status of denied claims and appeals.

- Document relevant activities in CMS, ensuring the daily clearance of CMS feeds.

- Identify and implement new claims procedures while approving and managing claims.

- Evaluate and resolve claims in accordance with company standards, ensuring timely follow-up on unresolved cases.

Deposit Operations Specialist

Bank of America - Albuquerque, NM

January 2022 - February 2023

- Managed high-volume inbound calls concerning customer debit card deposit accounts and disputes, contributing to project management and budget planning.

- Educated clients on online banking options and conducted thorough account searches, utilizing Microsoft Office for data analysis and reporting.

- Developed and maintained client relationships, focusing on protecting and retaining investments. Customer Service Representative

Precision Opinion - Las Vegas, NV

February 2021- January 2022

- Handled inbound/outbound calls as a key point of contact for customer service tasks and account management.

- Conducted surveys for the CDC, effectively utilizing company scripts to gather necessary data. Travel and Lifestyle Services Representative

Telus International - Las Vegas, NV

March 2019 - February 2021

- Provided concierge services by booking flights, cars, and hotels for AMEX Platinum cardholders, ensuring satisfaction through efficient service.

- Addressed inquiries about benefits and worked with third parties to confirm reservations while managing a high volume of calls.

- Build lasting relationships with customers, enhancing engagement and satisfaction. Education

**College of Southern Nevada**

Health and Information Technology Program, AAS (In Progress)

**Central Crossing High School - Grove City, OH**

High School Diploma, June 2017 GPA: 3.68

Technical Skills

- Proficient in Microsoft Office (Word, Excel, OneNote, Teams)

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