Data Entry and Claims Support Specialist Resume Title
Resume:
ShaMica Howard
Jacksonville, TX *****
***********@*****.***
Willing to relocate: Anywhere
Work Experience
Claims Processing Specialist
Tata Consultancy Services (TCS) - Dallas, TX
March 2022 to Present
• Determining a customer's insurance coverage
• Evaluating those who have filed a claim
• Communicate the requirements for Loans, Health claims and Processed to clients,
• Receive requirements submitted by clients,
• Validate the requirement and endorse further processing and approval requirements. Fraud Agent
VDart, Inc - Mesquite, TX
April 2021 to January 2022
• Contracted with Michigan State EDD Claims Client account look up, and maintenance.
• Unemployment claim access, update, verify, and submit. Document overview.
• Research, analyze, and identify fraudulent claims and or Identification.
• Complete outbound calls to verify claims or if victims. Process Fraud referrals and Fraud Investigations.
• Interviews claimants returning at specified intervals to certify claimants for continuing benefits.
• My contract is over 1/15/2022.
Customer Service Agent (CSA)
Indotronix International Corp
July 2020 to May 2021
• Client account look up, and maintenance.
• Unemployment claim access, update, verify, and submit
• accurate information for the state of Oklahoma.
• Takes initial claims by phone.
• Investigates and adjudicates UI claims with quality, courtesy, and timeliness.
• May make determinations on initial, additional, reopen, and claims certifications regarding payment of UI to claimants and liability of employers for charge-backs. Customer Service Representative
Convergys - Jacksonville, TX
January 2019 to May 2019
• Answer incoming call center questions about health insurance, insurance policies and insurance coverage issues, as well as consumer complaints and general inquiries.
• Demonstrate accuracy in processing client policy modifications based on the data given.
• Keep track of all customer inquiries and follow up to verify that all questions are answered regarding customer policies
• Verify new customers coverage and present policyholders with proof of insurance paperwork All Previous positions I held were in California. Since in Texas, I have contracted myself out. Customer Service Associate
P C N - Pharmaceutical Care Network - Sacramento, CA April 1999 to December 1999
• Handled calls and correspondence (electronic and written) regarding pharmacy benefit inquiries from providers (pharmacy/physician) and members.
• Effectively communicate issues and resolution to members and providers.
• Document calls within a call tracking system using established protocols to ensure resolutions are clear, concise, and accurate.
• Assist network pharmacies in processing prescription claims. Review claims for accuracy against benefit guidelines and contract standards.
• Serve as a customer advocate in problem resolution and follow through. Education
Human Services
Grace Bible College - Grand Rapids, MI
2021 to Present
Skills
• JavaScript
• Java
• Cold Calling
• Web Services
• Requirements Gathering
• HTML5
Assessments
Work style: Reliability — Proficient
December 2021
Tendency to be reliable, dependable, and act with integrity at work Full results: Proficient
Typing — Proficient
March 2022
Transcribing text
Full results: Proficient
Call center customer service — Proficient
January 2022
Demonstrating customer service skills in a call center setting Full results: Proficient
Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.
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