Todriana Jackson

Versatile professional with experience in customer service, claims processing, administrative support, technical support, and healthcare operations. Holds an Associate of Science in Criminal Justice and brings strong skills in communication, problem-solving, organization, and confidential record management.

Technical Support Representative

(2022)

• Resolved customer issues through phone and chat while documenting interactions accurately in company systems.
• Delivered consistent, high-quality customer service in a remote environment while managing multiple customer needs efficiently.

Temp Orthodontic Technician

(2021)

• Coordinate patient schedules and documentation in a fast-paced healthcare environment.
• Communicate with patients and providers while maintaining confidentiality and accurate records.
• Manage multiple priorities while supporting quality patient service and healthcare operations.

Medical Claims Processor

(2022-10 - 2023-11)

• Processed high volumes of medical claims accurately and efficiently under tight deadlines, supporting timely payment for services rendered.
• Reviewed claim information and researched complex medical claim issues to support accurate and timely processing.
• Maintained working knowledge of CPT and ICD-9 coding principles, government regulations, and third-party billing requirements.
• Maintained accurate patient and claim records through detailed data entry and communication with healthcare professionals.

Claims Adjuster

(2020-09 - 2022-12)

• Examined claim forms and supporting records to determine insurance coverage and appropriate claim handling.
• Negotiated claim resolutions with claimants, attorneys, and other insurance carriers while considering financial risk.
• Built positive relationships with policyholders through clear, professional communication throughout the claim process.
• Provided timely updates and resolutions to claim inquiries, supporting a strong customer experience.

Claims Specialist

(2018-11 - 2020-08)

• Managed a high volume of claims while prioritizing tasks, maintaining accuracy, and meeting processing expectations.
• Provided clear explanations of claim outcomes and responded to customer inquiries promptly and professionally.
• Maintained organized claim documentation and supported efficient claim-processing workflows.
• Used empathy, communication, and attention to detail to support customer satisfaction during claim interactions.

Bachelor of Science - Criminal Justice

Associate of Science - Criminal Justice