Relanda McFarland
Hattiesburg
Summary
I am an enthusiastic and dedicated professional seeking to join your team as a Customer Service Representative. With a strong background in call center operations and front desk reception, I excel in delivering exceptional service and fostering positive customer relationships. My passion for helping others, combined with my effective communication skills, makes me a perfect fit for your organization. I am eager to contribute to your team's success and enhance customer satisfaction. Diligent Claims Processor versed in insurance processes and claims procedures. Offers great attention to detail and time management abilities to successfully handle large volume of claims. Highly accurate and thorough with focus on completing error-free work in line with processing guidelines.
Overview
11
11
years of professional experience
Work History
Claims Processor
Aetna, CVS Health
11.2025 - Current
- Collaborated with claims department and industry anti-fraud organizations to resolve claims.
- Evaluated accuracy and quality of data entered into agency management system.
- Followed up with customers on unresolved issues.
- Reviewed applications and supporting documents to verify claims eligibility and accuracy.
- Established positive and trusting relationships with injured clients, administering efficient customer service and processing claims quickly.
- Tracked and reported on claims processing metrics to aid senior management in making informed decisions.
- Assisted in onboarding of new claims processors to familiarize with company procedures, policies and processes.
- Responded to customer inquiries, providing detailed explanations of insurance policies and claims processes.
Call Center Customer Service Representative
Teleperformance
05.2023 - 10.2025
- Delivered exceptional customer service by addressing concerns promptly and effectively.
- Answered inbound calls from potential customers and provided information on products and services.
- Conducted outbound calls to existing clients to promote new products or special offers.
- Documented, researched, and resolved customer service issues.
- Kept work and common areas neat and organized to maximize productivity, alleviate potential accidents and promote professional workspace.
- Documented and detailed calls and complaints using call center's CRM database.
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
Front Desk Receptionist
Cardiology Associates of Hattiesburg
03.2019 - 05.2023
- Compiled and filed documents to keep accurate records.
- Utilized problem-solving skills to address and resolve guest complaints effectively.
- Handled multi-line phone system, directing calls to appropriate departments.
- Scheduled appointments and maintained updated calendar for conference room bookings.
- Greeted people upon arrival and provided directions to specific destinations.
- Organized files and records and handled other support tasks, freeing up managers to take on more pressing responsibilities.
- Delivered exceptional customer service to bolster strong relationships and build positive experiences.
Direct Care Worker
The Claiborne
05.2015 - 03.2019
- Administered medications accurately, ensuring client safety.
- Developed personalized care plans to meet individual needs.
- Assisted with daily living activities, promoting independence.
- Maintained detailed records for effective care management.
- Collaborated with healthcare teams for optimal client outcomes.
- Provided compassionate care to enhance client well-being.
- Trained in CPR and first aid, ensuring emergency readiness.
Education
Bachelor of Science - Biology
William Carey University
Hattiesburg, Ms05-2016
Skills
- Team Player
- Fast Learner
- HIPPA compliance
- Insurance verifications
- Inbound and outbound customer service
- Time management
- Team player
- Fast learner
- Health insurance
- Customer service
- Data entry proficiency
- Claims review
- Transactions reconciliation
- Payments posting
Timeline
Claims Processor
Aetna, CVS Health
11.2025 - Current
Call Center Customer Service Representative
Teleperformance
05.2023 - 10.2025
Front Desk Receptionist
Cardiology Associates of Hattiesburg
03.2019 - 05.2023
Direct Care Worker
The Claiborne
05.2015 - 03.2019
Bachelor of Science - Biology
William Carey University