Customer Support Claims Specialist
Resume:
About Me
Detail-oriented and dependable professional with 4 years of
experience in claims management and team leadership. As a Claims Specialist, developed strong analytical and problem-solving skills, effectively managing claims and ensuring customer satisfaction. Additionally, with 2 years of management experience at Massage Envy, honed time management, leadership, and organizational skills, successfully leading a team to meet performance goals. Known for honesty, reliability, and a commitment to excellence in all tasks. Seeking opportunities to leverage these skills in a dynamic and challenging environment.
Business and Claims
Specialist for Oregon
Employment Dept.
2/2020-5/2022
Experience
***************@*****.***
Shayna Kelly-Smith
Customer Support Rep
Manager
Massage Envy
10/2022-01/2024
Verifying eligibility: Determine if claimants are adhering to eligibility requirements, such as being physically able to work
Retrieving computer information: Retrieve computer information about payment status and wage records
Interviewing customers: Conduct interviews and take fact-finding statements to expedite the adjudication process
Analyzing claims: Review claim filing options, identify eligibility issues, and determine the best claim type for the claimant
Managing operations: Overseeing the daily operations of the location, including inventory, deposits, and marketing
Customer support
Computer skills
Multi phone lines
Multi agency data banks
Typing
Skills
Sam Barlow MHCC
General studies Intergrated Media
Diploma 2013 Associates 2015
Education
Ensuring compliance: Ensuring compliance with all laws and regulations, including local and state licensing laws for massage therapists and estheticians
Resolving customer issues: Guiding the sales and customer service team to resolve customer challenges
Creating a positive environment: Maintaining a clean, safe, and therapeutic environment for employees, members, and guests
Empowering team members: Providing ongoing training, setting clear expectations, and reviewing performance regularly
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