Data Entry Clerk with Detail-Oriented Focus

Titilayo Ogunniyi

Dallas, TX. 678-***-**** ******************@*****.***

PROFESSIONAL SUMMARY

Experienced Insurance Resolution Specialist with a strong background in customer service and insurance claims processing. Proven ability to analyze claim details, ensure regulatory compliance, and resolve complex issues with professionalism and efficiency. Adept at navigating policy documentation, collaborating with internal teams, and maintaining accurate records to support timely claim resolutions. Recognized for exceptional communication, attention to detail, and problem-solving skills.

PROFESSIONAL EXPERIENCE

Capgemini, Remote

Insurance Resolution Specialist (Customer Service Representative) August 2022 – Present

Serve as the primary point of contact for clients regarding insurance claims, benefits inquiries, and policy clarifications.

Investigate and resolve insurance claim issues in alignment with company standards and compliance guidelines.

Collaborate with healthcare providers and legal representatives to verify claim details and resolve discrepancies.

Process and document high-volume claims with accuracy, ensuring timely follow-up and customer satisfaction.

Educate clients on insurance processes including eligibility, coverage, claim submissions, and appeals.

Document client interactions and claims progress in internal systems, maintaining clear communication across departments.

Resolved escalated issues effectively, ensuring all concerns were addressed promptly and thoroughly.

Georgia Women’s Development Center, Remote

Customer Service Representative October 2020 – August 2022

Provided compassionate support and guidance to clients navigating insurance, housing, and support services.

Handled complex client inquiries related to benefits, coverage, and service eligibility, ensuring clear and empathetic communication.

Maintained detailed documentation of client interactions and service resolutions to support organizational goals.

Educated clients on the claims process, including how to submit, follow up, and appeal if necessary.

Consistently achieved high levels of customer satisfaction through effective issue resolution and service excellence.

EDUCATION

University of Ilorin

Bachelor of Education in Early Childhood Education August 2015

ADDITIONAL SKILLS

Excellent communication skills with a focus on customer service

Problem solver

Experience with Microsoft Office – Word & Excel

Microsoft Teams & Microsoft Outlook

Energetic work attitude

Critical thinker

Friendly and personable

Skilled in insurance claims and client issue resolution

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