Claims & Customer Care Specialist with Health & Mortgage Focus

Alonda Gregory

Indianapolis, IN ***** +1-317-***-**** ***********@*****.***

Work Experience

CLAIMS Representative

ELEVANCE HEALTH/ANTHEM BCBS Indianapolis, IN April 2025 to Present

TAKING 50+ INBOUND CALLS FROM MEMBER AND PROVIDERS.

GOING OVER BENEFITS AND CLAIM STATUS.

LOOKING UP CPT- CODES.

Verify patient eligibility, coverage, and benefits

Ensure claims comply with policy guidelines, coding rules, and government regulations

Process claims for payment or denial

Document claim decisions clearly in the system

Bankruptcy Specialist

Carrington Mortgage Services, LLC Indianapolis, IN December 2021 to April 2025

Taking50+ inbound calls an assisting clients with Mortgage account.

Processing payments and reviewing legal docs related to open bankruptcy case.

Review accounts for foreclosure holds, repayment plans, and post-petition payments

Maintain accurate loan servicing records and bankruptcy ledgers

Customer Service Representative Protective Insurance Indianapolis, IN June 2019 to December 2021

Customer service representative, assisting customers with following claims due to auto accidents for commercial vehicles

Took 100 inbound and outbound calls

Resolve customer concerns and escalate complex issues when needed

Document all customer interactions accurately in company systems

Verify account information and maintain confidentiality of customer data

Educate customers on products, services, and company procedures

Claims Representative UnitedHealth Group Indianapolis, IN February 2017 to December 2019

Remote call center taking inbound calls, assisting customers with client information and benefits and eligibility

Review and process medical, dental, or pharmacy claims accurately and efficiently

Verify member eligibility, benefits, and coverage details

Maintain detailed documentation of claim decisions and activities

Education

Business Management (Associate's degree)

Indiana Tech, Fort Wayne, IN 2019

Skills

Call center experience

Delivery driver experience

Data

sorting Customer communication Mobile devices Loan document collection

Languages

English

Foreclosure documents

Microsoft Outlook

Customer inquiry handling

Customer service DOT (Department of Transportation) regulations

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