Shabresha Amos
Hattiesburg
Summary
Detail-oriented and customer-focused Claims Processor with experience reviewing, verifying, and processing insurance claims accurately and efficiently. Skilled in data entry, claims documentation, policy verification, customer service, and maintaining compliance with company and regulatory guidelines. Strong organizational abilities with a proven track record of handling sensitive information, resolving issues, and meeting productivity goals in fast-paced environments.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Claims Processor
Hattiesburg Clinic
Hattiesburg, MS
01.2022 - 05.2026
- Reviewed and processed insurance claims for accuracy, completeness, and policy compliance.
- Verified claimant information, coverage details, and supporting documentation.
- Entered and updated claim information in company databases while maintaining data accuracy.
- Communicated with policyholders, providers, and internal departments to obtain missing information.
- Resolved claim discrepancies and escalated complex cases when necessary.
- Maintained confidentiality and compliance with company policies and industry regulations.
- Met daily productivity and quality standards for claims processing.
Customer Service Representative
Maximus Federal
Hattiesburg, MS
06.2020 - 12.2021
- Assisted customers with account inquiries, claim status updates, and issue resolution.
- Maintained detailed records of customer interactions and transactions.
- Processed forms and documentation with a high degree of accuracy.
- Collaborated with team members to improve customer satisfaction and service efficiency.
- Handled confidential customer information in accordance with company policies.
Education
High School Diploma - undefined
Hattiesburg High School
Hattiesburg, MSSkills
- Claims Processing
- Insurance Verification
- Data Entry & Documentation
- Customer Service
- Claims Investigation Support
- Policy Review
- Medical & Insurance Terminology
- Record Management
- Microsoft Office Suite
- Attention to Detail
- Problem Solving
- HIPAA & Confidentiality Compliance
- Time Management
- Team Collaboration
- Microsoft Word, Excel, Outlook
- Claims Management Software
- Data Entry Systems
- Electronic Medical Records (EMR)
- Document Management Systems
Websites
Certification
- Certified Insurance Service Representative (CISR)
- Associate in Claims (AIC)
- HIPAA Compliance Training
Timeline
Claims Processor
Hattiesburg Clinic
01.2022 - 05.2026
Customer Service Representative
Maximus Federal
06.2020 - 12.2021
High School Diploma - undefined
Hattiesburg High School