Inbound Customer Service Representative

Roxanne A. Fisher


                             25350 US Highway 19 NŸ Clearwater, FL, 33763


                                                  Mobile: 727.301.0194


                                             mrs_fisher2016@icloud.com


 


 


Objective


Medical Claims and extensive Customer Service experience. Self starter, very well organize, computer literate, MS Office, Word, Outlook and Excel. Able to multi-task in high stress atmosphere. Seeking a stable company to work on their team where I am able to apply my knowledge and my experience can be utilized.


 


Experience


Wright Flood Insurance Ÿ Claims Technical Rep Ÿ 09/2016- 10/2016


 


•Responding to policy holders, adjusters, and agents in writing, email, or telephone calls with adjusters to give specific claim handling instructions. Correspond in writing, email, and/or telephone with insured’s, agents, or other representatives to obtain information or provide information regards to flood claims.


•Review claim reports and perform internal claim audits; responsible for reviewing claim work performed by adjusters and in-house examiners for accuracy.


 


Chargeback 911Ÿ QA Customer Support AgentŸ 01/2014- 02/2015


 


• Processes customer and account source documents by reviewing data for deficiencies; resolving discrepancies by using standard procedures or returning incomplete documents to the team leader for resolution.


•  Verifies entered customer and account data by reviewing, correcting, deleting, or reentering data; combining data from both systems when account information is incomplete; purging files to eliminate duplication of data.


 


Premier Insurance BenefitsŸ Medical Claims ExaminerŸ 09/2012- 01/2014


•Carefully reviewed evaluate and investigate insurance claims. Obtained additional information from claimant’s doctors on questionable claims. Obtained physician statements and relevant medical records often limiting the company’s liability.


•Determined if the policy of the insured is covered. Investigate claims to ensure they are fraudulent claims. Maintained thorough written records related to claims. Issuing payments to insured after examining claim thoroughly.


 


 


 


Education


•Largo High School • Largo, FL • Graduated 2001


 

  • ID#: 120914
  • Location: Clearwater, FL , 33763

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