Resourceful individual skilled in multitasking and conflict resolution. Experienced in claims processing and customer service, committed to delivering high-quality support and driving operational improvements.
Work History
Library Page
8 Months
Jackson-George Regional Library System | 10.2025 - 06.2026
Assisted patrons in locating resources, enhancing overall library experience.
Shelved and organized library materials to maintain efficient access for patrons.
Processed new acquisitions, ensuring accurate cataloging and availability of materials.
Supported library programs by setting up spaces and preparing materials for events.
Insurance Operations Specialist
5 Years
Humana | 05.2019 - 05.2024
Streamlined claims processing workflows to enhance operational efficiency.
Implemented process improvements that increased accuracy in data entry and documentation.
Collaborated with cross-functional teams to resolve complex customer inquiries effectively.
Conducted training sessions for new team members on insurance protocols and systems.
Managed escalated claims issues, ensuring timely resolution and customer satisfaction.
Oversaw timely completion of all auditing requirements imposed by regulatory agencies, ensuring continued adherence to industry standards for transparency and accountability.
Enhanced customer satisfaction by resolving complex claims issues and providing timely updates on claim status.
Reduced turnaround time for underwriting decisions by optimizing data collection and analysis techniques.
Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Generated, posted and attached information to claim files.
Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
Waitress
5 Months
Waffle House | 12.2019 - 05.2020
Managed multiple tables efficiently, ensuring timely order delivery and guest satisfaction.
Delivered exceptional customer service in fast-paced dining environment.
Collaborated with kitchen staff to streamline food preparation and service processes.
Trained new team members on menu offerings, service standards, and operational procedures.
Maintained cleanliness and organization of dining area to meet health standards consistently.
Education
High School Diploma
Alma Bryant High School | Irvington, AL | 05-2017
Skills
Claims management
Claims processing
Teamwork and collaboration
Customer service
Time management
Attention to detail
Multitasking
Problem-solving
Computer proficiency
Data entry
Medical terminology
Analytical thinking
Prior authorization processing
Conflict resolution
Certification
In-house certification for pharmacy overrides.
In-house certification for expedited appeals for pharmacy and medical needs.