Lindsey Sears
Myrtle Beach
Summary
Customer Service Representative bringing top-notch skills in oral and written communication, active listening and analytical problem-solving skills. Enhances customer experiences by employing service-oriented behaviors, understanding customer desires, and providing customized solutions to build loyalty.
Overview
19
19
years of professional experience
Work History
Customer Service Representative
Cigna
09.2023 - Current
- Examined medical records and policy to determine patient eligibility and benefits.
- Defined claim settlements and made recommendations for legal action when settlements are deemed non-negotiable.
- Developed positive client relationships and earned a reputation for exceeding service standard goals.
- Investigated and resolved customer inquiries and complaints accordingly.
- Maintained confidential patient, employee and company information in compliance with company policies and regulatory requirements.
- Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services while creating welcoming, positive experiences.
Licensed Claims Adjuster
USAA
01.2022 - 03.2023
- Serviced the military community by providing world class service throughout their claim's experience.
- Investigated claim damages by conducting research from various sources, including the insured and third parties.
- Facilitated communication to and from the front line as the teams’ Pulse Leader.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
Private Caregiver
Private Patient
05.2017 - 04.2021
- Assisted patient with administering medication based on physician’s orders.
- Routinely monitored and recorded vital signs such as: blood pressure, glucose and oxygen levels.
- Followed care plan and safety practices at all times.
- Managed client’s schedule and accompany all doctor’s visits, rehabilitation and other daily activities.
- Maintained clean, safe, and well-organized patient environment.
- Provided assistance in daily living activities by dressing, grooming, bathing, and toileting patient.
Claims Examiner
FedEx
06.2006 - 10.2016
- Examined property damage and assessed any physical injuries.
- Prepared and processed claim reports lwith full compassion.
- Negotiated settlements with claimants.
- Examined police reports, videos from surveillance cameras or audio if applicable to determine liability.
- Supported in house attorneys to defend the company in case of contestation.
- Worked with private investigators and attorneys on preparation of evidence, witness statements, and other documentation in preparation for trial.
Education
Bachelor of Science - Integrated Studies, with specialties in Public Health and Education
Kennesaw State University
Kennesaw, GASkills
- Excellent written and verbal communication
- Strong analytical thinking
- Working experience in using appraisal software
- Experience in writing detailed reports
- Proficiency in Microsoft Office Applications
- Complaint/Conflict resolution
- Call center procedures
- CRM software
- Empathy
- Customer education
- Client relations
- Problem-solving and resolution
- Multitasking and organization
- Customer Service
Timeline
Customer Service Representative
Cigna
09.2023 - Current
Licensed Claims Adjuster
USAA
01.2022 - 03.2023
Private Caregiver
Private Patient
05.2017 - 04.2021
Claims Examiner
FedEx
06.2006 - 10.2016
Bachelor of Science - Integrated Studies, with specialties in Public Health and Education
Kennesaw State University
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