To acquire a position that allows me to utilize my analytical problem solving capabilities, knowledge of Customer Service, Insurance, Sales and Accounting experience. While also be given the opportunity to grow within a strong organization.
Outstanding Customer service, Sales and Attendance.
Impressive knowledge of Microsoft Office, Sales Force, Green Screen, Oracle, SAS and SAP.
Ability to research, escalate and resolve, customer and internal account concerns.
Outgoing Claims Accounts Specialist with 4+ years of
experience specializing in damage claims and proving liability. I use my 20+
years of interpersonal and Customer Service skills to benefit the Customer
Service goals of the company. I am personable ,reliable and will prove to be
and asset to your company
Damage Claims Supervisor07/2017 to 04/2017ANSCO & ASSOCIATESCharlotte, NC
Investigated claims in order to issue reasonable fault.
Issued approval or denial of the claim based off of the finding of the investigation.
Assisted with the next process of approval or denial of the claim.
Rather offering repair services or steps to appeal the decision.
Assign vendor or subcontractor to repair/restore homeowners' issue.
Executed full cycle accounting of vendors, subcontractors, Insurance companies and homeowner.
Demonstrated excellent professionalism while communicating with all parties via phone, fax, email and web chat.
Claims Recovery Specialist05/2014 to 07/2017PRGCharlotte, NC
Recovery of repair cost on third party CATV damages across multiple states.
Developed a professional working relationship with the client, on site investigators, technician's and management team.
Resolved and negotiated claims recovery via phone, email, letter and other means of communication.
Worked liable parties' insurance provider to defend claims and negotiate settlements.
Administered claim from start to finish until payment received.
Applied Cash application of payments to insure fund were allocated to the correct claim by amount, invoice and claim number.
Patient Care Advocate05/2013 to 04/2014Express ScriptsCharlotte, NC
Assisted with inquiries from members, providers, physicians and internal and external clients related to pharmaceutical benefits.
Researched and resolved mail order claim issues, responding to members within performance agreement guidelines.
Inputted correct medical billing coding to ensure claims processed correctly.
Provided Prior Authorization codes, correspondence and pricing based off of members pharmaceutical benefits.
Provided benefit accumulators such as deductibles, coinsurance, Out Of Pocket Maximums and Copayment based off of plans coverage.
Utilize knowledge of benefits accumulators while assisting members with Explanation of benefits (EOB).
Commercial Sales Coordinator09/2010 to 05/2013Time Warner CableCharlotte, NC
Coordinated information with the construction department for new service areas.
Processed approval of site audits allowing for next phase of service allowing sales agent to complete contracts.
Reviewed Sales contracts with attention to detail outlining any discrepancies of rate of service or services being provided.
Coordinated with the customer and the Field Sales Rep to confirm work requirements, customer due dates and Provided Installation dates.
Managed problems/escalations or delays between, customers, Sales Reps and order fulfillment teams when issues rose during provisioning phase of the order.
Order Manager Rep05/2008 to 10/2010Time Warner CableCharlotte, NC
Lead party in the coordination of activities related to the installation of all service for the customer.
Ensured that all organizations touching the order accurately complete their respective task.
Review all service requests for accuracy and completeness by working with the customer and/or account team prior to the order being submitted for processing.
Customer Service Rep09/2001 to 05/2008Time Warner CableCharlotte, NC
Assisted Residential Customers with billing, product knowledge and technical support via phone, fax, email and live chat.
Reviewed billing/payment history to determine payment amount, payment arrangements and collection write off amounts.
Created Manual Invoice's and Receipt's to insure accurate information for both the company and customers finance department.
Provided manual receipts/invoices, Fraud information and Product information packets.
Tracked business contracts, Sales and sales agreements through Sales Force.
Education and Training
High School Diploma06/1985Holly Hill Roberts High School
accounting, attention to detail, benefits, billing, contracts, clients, Customer service, email, fax, finance, Insurance, medical billing, mail, Microsoft Office, Oracle, pricing, coding, research, Sales, SAP, SAS, settlements, technical support, web support