Candidate Information Name Available: Register for Free Title Claims Processor Customer Service Target Location US-NC-Knightdale Email Available with paid plan Phone Available with paid plan	20,000+ Fresh Resumes Monthly     View Phone Numbers     Receive Resume E-mail Alerts     Post Jobs Free     Link your Free Jobs Page     ... and much more Register on Jobvertise Free
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TCandidate's Name
PHONE NUMBER AVAILABLEEMAIL AVAILABLEZebulon, United States Street Address
SUMMARYSeasoned Claims Processor evaluating online entry, error correction and quality control review for final adjudication of claims. Strong business and financial acumen with proven success to maintain efficient operations. Extensive knowledge of billing, collections and fiduciary management. Detailed Claims Processor with 7 years of experience investigating claim information for correctness. Trustworthy teammate with benefit knowledge and rapport-building skills. Noted for thoroughness and ethical customer service.SKILLSPayments postingTransaction reconciliationClaims reviewRegulatory complianceEXPERIENCEClaims ProcessorWake Forest, NCMoving and Storage Company/ Apr 2013 to CurrentVerified claim data correctness in preparation for processing.Reviewed history records to determine benefit eligibility for services.Maintained comprehensive database for enrollment data, claim submission and payment information.Processed claims according to established quality and production standards and made corrections and adjustments to solve problems.Technical Customer Support SpecialistWake Forest, NCMoving and Storage Company/ Apr 2013 to CurrentProvided customer service and issue resolution to increase QA satisfaction levels.Engaged customers with proactive strategies to understand needs and develop successful solutions.Educated clients on how to conduct transactions with convenient online solutions.Expressed appreciation for patronage, inviting and encouraging customer return visits.Answered support calls and emails from corporate customers needing assistance with moving products.Credit Specialist/Customer Service ManagerRaleigh, NCHomebuyers Consulting Network/ Jun 2000 to Apr 2007Delivered fast, friendly and knowledgeable service for routine questions and service complaints.Established positive rapport with customers, managers and customer service team members to maintain positive and successful work environment.Maintained knowledge of company products and services to promptly resolve complaints and concerns.Assisted staff with resolving complex customer issues and implementing targeted solutions.Investigated sensitive customer service complaints and delivered prompt resolution to customer satisfaction.Assisted customers in making payments on accounts and setting up payment plans.Reviewed customer account information to determine current issues and potential solutions.Interviewed, hired and trained new quality-focused customer service representatives.EDUCATION AND TRAININGSome College (No Degree): Business Administration And ManagementVance Granville Community CollegeLouisburg, NCCERTIFICATIONSLicensed Administrator in Training - 2018Activity Coordinator 2019Medication Technician 2017CPR/First Aid 2021Claims Adjusters License 2022