Customer Service & Claims Resolution Representative
Resume:
Zonnie Crockett
**** *. ****** ******, ********* 53218
********@*****.***
Professional Summary
Customer service rep
Skills
• Data entry. Customer service skills, computer literacy Work Experience
Centene Management
Pharmacy Resolution Rep
June, 2022 - March, 2025
• Prepare insurance claim forms or related documents, and review them for completeness.
• Prepare insurance claim forms or related documents, and review them for completeness.
• Post or attach information to claim file.
• Calculate amount of claim.
• Transmit claims for payment or further investigation.
• Contact insured or other involved persons to obtain missing information.
• Review insurance policy to determine coverage.
• Process and record new insurance policies and claims.
• Organize or work with detailed office or warehouse records, using computers to enter, access, search or retrieve data.
• Provide customer service, such as limited instructions on proceeding with claims or referrals to auto repair facilities or local contractors.
• Correspond with insured or agent to obtain information or to inform them of account status or changes.
• Correspond with insured or agent to obtain information or to inform them of account status or changes.
• Review and verify data, such as age, name, address, and principal sum and value of property, on insurance applications and policies.
• Compare information from application to criteria for policy reinstatement, and approve reinstatement when criteria are met.
• Examine letters from policyholders or agents, original insurance applications, and other company documents to determine if changes are needed and effects of changes.
• Transcribe data to worksheets, and enter data into computer for use in preparing documents and adjusting accounts.
• Notify insurance agent and accounting department of policy cancellation.
• Pay small claims.
• Process, prepare, and submit business or government forms, such as submitting applications for coverage to insurance carriers.
• Collect initial premiums and issue receipts.
• Check computations of interest accrued, premiums due, and settlement surrender on loan values.
• Interview clients and take their calls to provide customer service and obtain information on claims.
• Obtain computer printout of policy cancellations, or retrieve cancellation cards from file.
• Compose business correspondence for supervisors, managers, and professionals.
• Apply insurance rating systems.
• Calculate premiums, refunds, commissions, adjustments, or new reserve requirements, using insurance rate standards.
• Enter insurance- and claims-related information into database systems.
• Modify, update, or process existing policies and claims to reflect any change in beneficiary, amount of coverage, or type of insurance.
• Organize or work with detailed office or warehouse records, maintaining files for each policyholder, including policies that are to be reinstated or cancelled.
Masterson/ Ritus Rubbish
Rubbish
January, 2017 - July, 2017
• Molding : Press operator, operated large molding presses used for making quality, molded products. Inserted of tools into press, removal of molded products, inspection of parts for defects and completion of necessary paperwork associated with the production lab.
Adecco/ Briggs & Stratton
Manufacturing Production Associate
October, 2017 - March, 2018
• Operated production machines, ensured the manufacturing lines have enough product to continue running, complete job quality and production reporting, and ensured quality control requirements. News America Marketing
Data Entry Operator/ In-Store Advertisin
February, 2014 - December, 2016
• Entry-level data entry operator, entered data invoices from various chain grocery stores, assisted Sales/Marketing employees with In-Store Advertising entered their invoices, filed and answered phones. Kellys IT Resource/ Iron Mountain
Data Entry Operator
February, 2013 - January, 2014
• Keyed, verified, stored and protected various clients information and assets. Thousands of local enterprises work with Iron Mountain as does almost all of the FORTUNE 1000. MOD (Modular Data Center), high density, rapidly scalable and provide additional layer of physical security to the clients. Secured cages in the warehouse, filed and answered calls. Kellys OCG
Scheduler
April, 2012 - July, 2012
• Scheduled candidates for Diabetes Care Specialist with Nova Nordisk, as a third- party rep. Entered data into the MS Outlook, Nova Tracker and via internet to retrieve candidates information. Scanned resumes, set-up phone interviews with Screeners via eLinks and scheduled phone interviews into a shared calendar or their own Kellys calendars. Policy Studies Inc.
Switchboard/ Customer Service
June, 2010 - March, 2012
• Answered phone calls from perspective clients, W-2 participants and employees. Directed calls to each designated FEP
(Financial Employment Planner). Office duties, filing, faxing, mailing and prepared W2 forms for participants. Kellys IT Resource/ Milwaukee Public School
Administrative Assistant II
September, 2007 - January, 2010
• Assisted with phones, entered students immunization records into the ESIS system, generated students incident referrals and entered referrals for the day. Mailed conferences to parents, arranged CO (Central Office) hearings, faxed, data entered and administer students medicines.
Masterson Temp Agency
Warehouse Assistant
• Packaged various frozen food products, labeled boxes and counted boxes onto palletes. Unload and load frozen food products onto conveyer belts.
Education
Associate Degree in Sciences Physical Therapist Assistant Milwaukee Area Technical College
High School Diploma
Grambling State University
Rufus King High School for the College Bound
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