Proven track record in enhancing customer satisfaction and streamlining operations, demonstrated at Elevance Health. Skilled in HIPAA compliance and negotiation, I excel in fast-paced environments, ensuring accuracy and efficiency. Achieved significant improvements in claims processing and customer service, reflecting strong analytical and interpersonal abilities.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Claims Adjuster
Elevance Health
Columbus
10.2022 - 02.2025
Process health insurance claims
Review and respond to provider and member correspondence
Process refunds and recoupments
Respond to provider inquiries through email and real time chat
Provide health insurance benefits and enrollment changes for policyholders and dependents
HIPAA compliant
Calculated and authorized payment of claims within designated authority level.
Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.
Utilized computer systems such as Microsoft Office Suite and specialized software programs used by the company.
Participated in training and mentoring of new claims adjusters, sharing knowledge and expertise.
Line Cook
Ezell's Catfish Cabin
Columbus
08.2022 - 08.2022
Shift Leader
Pizza Hut
Columbus
12.2020 - 04.2022
Training and supervising crew members with respect and accuracy
Assisting fellow management members, including general manager in all new hire establishments and reviews, prepare and deliver invoices for inventory to appropriate areas, and ensuring all customers are satisfied with the service and products we provide
Operate cash register, process credit/debit/gift card transactions, issue refunds as needed, maintain accountability for any discrepancies with money, ensure all safe restaurant practices are sustained
Meet company metrics and goals as a team
Demonstrate excellent customer service at all times, with every customer, every time, prepare and deliver invoices for inventory to appropriate areas, and ensuring all customers are satisfied with the service and products provided
Customer Service Representative
Afni
Opelika
06.2019 - 09.2019
Confirmed payments, refunds, etc
Maintained up-to-date knowledge of customer accounts
Answered phone and assisted clients with changes
Explained products and benefits
Provided excellent technical support
Legal Runner/Receptionist
Meacham and Earley, P. C.
Columbus
02.2019 - 05.2019
Responsible for hand delivery of each case file to its designated location (i.e
Several attorney's offices, various local and long distance court clerk's offices, various local judge's chambers, banks and credit unions, and even real estate contractors' offices)
Maintain detailed logs of each drop off and pick up from above mentioned locations
Ensure all completed files are scanned into the office's database and stored again on backup drives
Ensure all files that are no longer required to have hard copies are securely shredded as they are completed
Stock break room with refreshments for guests
Ascertain knowledge of entry level legal information (i.e
Civil/domestic cases, corporate litigations, real estate, and probate laws
Answer multi line phone system
Record messages for attorneys and fellow administrative staff
Accept and process payments made to and from the attorneys and clients
Responsible for all mail being delivered to post offices, incoming mail being sorted for each professional, as well as printing shipping labels and postage for outgoing mail
Ensuring each attorney of clientele awaiting their appointments are on site and each party is available
Performing various tasks and services as it pertains to legal secretarial activities
Administrative Assistant/Receptionist
YTB Fencing
Phenix City
11.2018 - 01.2019
Correspond with potential and established clients regarding payment, installation, and warranty claims
Schedule services for installations and repairs
Maintain databases of client information, invoices paid and awaiting payment, and warranty requests
Conduct daily business via multi-line phone, email, and even text messages
Cancel, reschedule, and confirm service calls
Assist with all client inquiries within a reasonable and professional timeframe
Shift Leader
Pizza Hut
Columbus
06.2017 - 04.2018
Training and supervising crew members with respect and accuracy
Assisting fellow management members, including general manager in all new hire establishments and reviews, prepare and deliver invoices for inventory to appropriate areas, and ensuring all customers are satisfied with the service and products we provide
Operate cash register, process credit/debit/gift card transactions, issue refunds as needed, maintain accountability for any discrepancies with money, ensure all safe restaurant practices are sustained
Meet company metrics and goals as a team
Demonstrate excellent customer service at all times, with every customer, every time, prepare and deliver invoices for inventory to appropriate areas, and ensuring all customers are satisfied with the service and products provided
Shift Leader
Pizza Hut
Phenix City
08.2014 - 05.2017
Training and supervising crew members with respect and accuracy
Assisting fellow management members, including general manager in all new hire establishments and reviews, prepare and deliver invoices for inventory to appropriate areas, and ensuring all customers are satisfied with the service and products we provide
Operate cash register, process credit/debit/gift card transactions, issue refunds as needed, maintain accountability for any discrepancies with money, ensure all safe restaurant practices are sustained
Meet company metrics and goals as a team
Demonstrate excellent customer service at all times, with every customer, every time, prepare and deliver invoices for inventory to appropriate areas, and ensuring all customers are satisfied with the service and products provided
Web Sales Associate
Extreme Outfitters
Columbus
07.2012 - 10.2013
Process website orders via credit/debit card, money order, and Paypal
Ship products worldwide via USPS, UPS, and FedEx
Ensure packages are quality checked prior to shipping for accuracy
Process returns and exchanges
Utilize business to business and e-commerce platforms
Communicate with clients via multi-line phone, email, and letter mail
Property Claims Adjuster-Total Loss at State Farm Mutual Automobile Insurance CompanyProperty Claims Adjuster-Total Loss at State Farm Mutual Automobile Insurance Company