Customer Service Claims Processing

Natalie Young

Midland, GA 706-***-**** ************@*****.***

Professional Summary

Dedicated and detail-oriented professional with 10+ years of experience in customer service, healthcare support, claims processing, and administrative assistance. Skilled in problem resolution, benefits administration, and policy support. Proven ability to manage high-volume inquiries, resolve complex issues, and deliver excellent customer experience in both on-site and remote settings. Seeking a remote position where I can leverage strong communication, multitasking, and technical skills to support business operations and enhance client satisfaction. Core Skills

- Remote Customer Support & Call Handling

- Claims Processing & Benefits Administration

- Healthcare Advocacy & Insurance Support

- Conflict Resolution & Problem Solving

- CRM & Ticketing Systems (Salesforce, ServiceNow, etc.)

- Data Entry, Documentation & Compliance

- Communication (Phone, Email, Chat)

- Time Management & Multitasking

- Microsoft Office Suite & Google Workspace

Professional Experience

Aflac – Benefits Specialist

Columbus, GA Jan 2023 – Present

• Facilitate employee access to benefits and explain policy changes.

• Respond to employee inquiries and provide solutions for complex concerns.

• Research providers, negotiate rates, and oversee compensation policies.

• Administer claims, process payments, and ensure compliance with regulations. Blue Cross Blue Shield – Health Care Advocate

Columbus, GA Jan 2020 – Feb 2023

• Assisted members with Medicare and commercial insurance policies.

• Processed claim adjustments, grievances, and appeals.

• Supported members with prior authorizations, pre-approvals, and billing inquiries.

• Coordinated with doctors’ offices and hospitals to resolve issues quickly.

• Drafted and distributed termination letters via mail, email, or fax. Tsys – Customer Service Representative

Columbus, GA Jan 2017 – Aug 2020

• Handled high-volume inbound calls, assisting customers with payments, fraud issues, and account updates.

• Processed debt collections while maintaining compliance and professionalism.

• Delivered excellent customer service in a fast-paced environment. Hannah Heights – Leasing Specialist

Columbus, GA Jan 2013 – Jun 2016

• Marketed and leased residential and commercial properties.

• Prepared lease agreements, screened applicants, and managed tenant relations.

• Delivered personalized service to maintain tenant satisfaction. AAFES – Manager

Columbus, GA Mar 2009 – Jun 2018

• Supervised staff, managed payroll, and oversaw daily operations.

• Trained new employees and maintained accurate inventory.

• Handled ordering, scheduling, and performance management. Education & Certifications

• Diploma – Pine Foster, 2003

• CNA Certification – Columbus Tech, 2016

• Medical Assistance Certification – Columbus Tech, 2004

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