Claims Processing & Customer Support Specialist

Star Shaw

Dallas, TX 469-***-**** ***************@*****.***

Professional Summary

Detail-oriented and dependable professional with experience supporting customers, processing documentation, handling sensitive information, and maintaining accurate records in fast-paced environments. Skilled in reviewing claims-related information, verifying account details, resolving discrepancies, and entering data with a high level of accuracy. Experienced working in remote and call center settings while consistently meeting productivity, attendance, and quality expectations. Strong communication, multitasking, and problem-solving skills with the ability to quickly learn new systems and procedures.

Core Skills

Claims Processing • Data Entry & Documentation • Insurance Verification • Customer Service Support • HIPAA Awareness • Microsoft Office Suite • Records Management • Problem Solving • CRM Systems • Call Center Support • Quality Assurance • Time Management

Professional Experience

Customer Support Representative Remote 2024 – Present

• Assist customers with claim-related inquiries, account updates, billing questions, and documentation requests through inbound calls and email support.

• Review submitted information for completeness and accuracy before updating internal systems.

• Process customer requests while maintaining productivity and quality performance standards.

• Handle an average of 60+ customer interactions daily while providing professional and empathetic service.

• Document customer interactions, resolutions, and follow-up actions in CRM systems.

• Escalate unresolved issues and discrepancies to leadership or specialized departments when appropriate.

• Maintain confidentiality of customer records while following company policies and compliance procedures. Administrative Processing Specialist Dallas, TX 2022 – 2024

• Processed high volumes of applications, claims-related documents, and customer records while ensuring accuracy and timely completion.

• Reviewed forms and supporting documentation to verify eligibility, signatures, and required information.

• Entered sensitive customer and insurance information into internal databases with strong attention to detail.

• Resolved processing errors, corrected discrepancies, and communicated updates with internal departments.

• Maintained organized electronic filing systems and tracked daily processing activity reports.

• Assisted supervisors with meeting departmental turnaround goals and productivity expectations.

• Supported onboarding and training of new team members on processing procedures and company systems. Customer Service Associate Dallas, TX 2020 – 2022

• Provided customer support through inbound and outbound phone communication in a fast-paced call center environment.

• Assisted customers with account maintenance, payment processing, issue resolution, and general service inquiries.

• Updated customer records and verified account information to ensure accurate documentation.

• Maintained professionalism while de-escalating customer concerns and resolving complaints efficiently.

• Consistently met attendance, quality assurance, and average handling time expectations.

• Collaborated with team members and supervisors to improve customer satisfaction and workflow efficiency. Education

High School Diploma Dallas, TX

Additional Qualifications

• Typing speed of 45+ WPM with strong computer navigation skills

• Familiar with Microsoft Word, Excel, Outlook, Google Workspace, and CRM systems

• Ability to meet strict deadlines, productivity goals, and quality standards

• Quick learner with the ability to adapt to new systems and workflows

• Strong verbal and written communication skills

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