Customer Service Data Entry
Resume:
SHALEIGH HURST
PERSONAL SUMMARY
Focused remote professional seeking to gain valuable hands-on experience in a rewarding role. Passionate about detail and adept in applying analytical and critical thinking skills to solve complex problems and influence decision-making. Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
SKILLS
Documentation review Benefit explanation
Customer service and support Policy analysis
Analyzing data Negotiation proficiency
Self-motivated Skilled negotiator
Excellent communication skills Production-oriented Thrives under pressure Data collection
Complaint handling and resolution Customer advocate Organizational skills Data Entry Specialist
Friendly, positive attitude Teamwork and collaboration Problem-solving
EXPERIENCE
January 2022 - June 2025
Results CX - January 2022, Dallas Tx
January 2022 - June 2022
RESULTS CX - Client Support Specialist, USA
• Self-motivated, with a strong sense of personal responsibility.
• Worked effectively in fast-paced environments.
• Skilled at working independently and collaboratively in a team environment.
• Proven ability to learn quickly and adapt to new situations.
• Manage approximately 40 plus case loads per day.
• Responding to client benefit calls to provide benefit information. Managed all incoming emails and processed all possible benefit information as required. Managed approximately 45 plus case loads per day.
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**************@*****.***
Springtown, PA 76082
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EDUCATION AND
TRAINING
Medical Assistant, Medical
Assisting
CTK Healthcare And Career
Institute, Irving, TX
June 1991
High School Diploma
L D Bell High-school, Bedford,
Texas
May 1990
March 2020 - May 2021
BROADPATH SOLUTIONS - Project Assistant - Remote, Texas February 1997 - October 2018
Aetna - CLAIMS SPECIALIST, Hartford, CT
January 1995 - February 1997
Twin Creek Apartments - APARTMENT MANAGER, Killeen, TX Provided exceptional customer service by resolving client inquiries and issues efficiently.
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Collaborated with cross-functional teams to enhance client experience and streamline processes.
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Analyzed client feedback to identify areas for improvement and implement solutions.
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• Assisting Medicare clients with claims filing and information.
• Handled delivery of test results for patients in the state of Illinois.
• Managed approximately 40 to 60 patients per day. Acted as intermediary between insurance companies and customers, including researching and assessing information to determine validity of claims.
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Researched and reviewed information to determine validity of insurance claims and contacted companies and customers about decisions.
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• Oversaw regulatory and strategic initiatives to ensure accuracy of medical claims. Researched coverage and premium options and supplied clients with best coverage available for individual needs.
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Investigated and analyzed requirements to improve timeliness of reports to customers.
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Delivered exceptional customer service to all clients by effectively communicating information and actively listening to concerns.
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Uploaded documentation and reports to corporate database system using Cats, HLEL, Auto Coder, Rumba and ETUMS to facilitate smooth claims processing.
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Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
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Presented and clearly explained insurance policy options based on clients' needs and goals.
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• Coded claims forms and mediated disputes between carriers and clients. Submitted up-to-date activity and production logs to agency management for review.
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Reviewed, classified, coded and rated applications to support claims and appeals during busy periods.
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Assisted customers with pre cert of inpatient admissions and surgical procedures via inbound calls.
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Traveled between offices training new personnel on company computer systems and how to function in their individual work capacity.
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Served on 5-member review panel for decision making to uphold or overturn customer appeals.
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Implemented business strategies to maximize tenant satisfaction and reduce vacancies.
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Supervised and coordinated work of maintenance and cleaning personnel to optimize productivity and enhance results.
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Developed strong, professional relationships with vendors and residents by initiating collaboration and delivering exemplary service and engagement.
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• Liaised between company and owners to address and remedy ongoing concerns. Remained aware of all construction and maintenance projects and notified appropriate individuals of project updates, delays and schedule changes.
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Coordinated maintenance and repair requests with Home office decision makers department and contacted contractors for bid proposals.
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Managed overall tenant relations, including promoting tenant satisfaction and streamlining services delivery.
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Achieved highest possible net operating income by implementing cost control and revenue improvement programs.
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• Inspected properties regularly to identify deficiencies and schedule repairs.
• Compiled and conveyed all operational and financial data to regional manager. Showed tenants around properties, highlighting features and redirecting concerns to capture interest.
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Ensured timely production of annual rent, operating expense and real estate tax adjustments.
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Coordinated necessary improvements in compliance with lease agreements to ensure timely completion, tenant acceptance, occupancy and rent commencement.
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Verified property compliance with state and federal regulations avoiding any form of discrimination or illegal practices.
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Recognized for fostering good working relationships with owners, residents and board members.
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Inspected property every weekly, took pictures and wrote reports regarding findings for submission to owners.
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Analyzed and negotiated bids from property services contractors such as maintenance, cleaning, and security contractors, saving approximately 60.00 monthly
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