Claims & Customer Service Specialist
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Customer Service Representative with experience in call center support, claims processing, and customer issue resolution. Skilled in communication, problem-solving, and handling high call volumes while maintaining professionalism and accuracy. Seeking opportunities where quality service and teamwork are valued.
Experienced administrative and claims professional with a strong background in medical claims processing, customer service, and insurance support. Skilled in reviewing, analyzing, and resolving medical and insurance claims with accuracy and efficiency while maintaining compliance with policies and regulations. Proven ability to communicate effectively with members, providers, and internal teams to resolve issues, explain benefits, and ensure timely claim resolution.
Detail-oriented, organized, and adaptable, with experience working in fast-paced, remote, and high-volume environments.
Completed relevant coursework and training in healthcare administration, medical billing and coding, and insurance claims processing. Knowledgeable in medical terminology, claims workflows, HIPAA compliance, and documentation standards. Ongoing professional development through hands-on experience in claims review, customer service, and healthcare support roles.
