Customer service representative

Personal summary

🔍 Data-Driven Claims Analyst | Problem Solver | Quality Assurance Specialist 🚀 Welcome to my profile! I am a highly skilled and detail-oriented professional with a proven track record in analyzing claim denials, identifying root causes, and developing effective solutions. My expertise lies in monitoring user progress and implementing continuous improvements to deliver high-quality results. 💼 Extensive Industry Experience: Throughout my career, I've honed my skills in supporting teams to ensure the seamless delivery of quality products and services. I take pride in my ability to introduce innovative provider portals and billing software, enhancing user experience and streamlining processes. 🔧 System Analysis and Resolution: As a proactive problem solver, I investigate system issues and implement efficient resolutions to minimize downtime and improve operational efficiency. My thorough system analysis, documentation, testing, and user support have played pivotal roles in successful platform transitions. 📈 Data Analysis and Quality Assurance: With a sharp eye for detail, I validate results and conduct quality assurance to ensure the accuracy of data and uphold high standards. Analyzing data allows me to identify root causes of issues and provide recommendations for corrective actions. 🤝 User-Centric Approach: I believe in actively listening to users, understanding their needs, and offering personalized assistance. Whether it's handling concerns promptly or escalating critical issues to supervisors, I prioritize user satisfaction and positive experiences. 🔒 Mitigating Risk: In my role, I have successfully performed audits to identify potential fraudulent or unrepresentative financial claims, mitigating risks and safeguarding company interests. 📝 Proposal Documentation Expertise: Preparing proposal documentation and specifications based on user analytics is one of my core strengths, ensuring that deliverables meet the needs of clients effectively. 🌟 Let's Connect and Collaborate: I am enthusiastic about connecting with fellow professionals, industry peers, and potential collaborators. If you're interested in discussing industry trends, sharing insights, or exploring new opportunities, feel free to reach out. Let's connect and work together to drive impactful solutions and contribute to the success of the insurance and claims industry! "Message me to connect"

Skills

SQL1 Microsoft Power BI1 Data analysis1 Claims settlement5 Denial management5 Insurance verification5 Obtaining authorizations5 MS Office (user know-how)7