Denitra Douglas
Creedmoor
Summary
Resourceful Claims Representative known for high productivity and efficient task completion. Specialized skills include claim investigation, negotiation, and customer service. Excel in communication, empathy, and problem-solving to effectively manage claims and support policyholders. Committed to delivering accurate and timely resolutions in fast-paced environments.
Overview
11
11
years of professional experience
Work History
Remote Healthcare Claims Representative
Alorica
Creedmoor
- Current
- Demonstrated empathy and patience with difficult callers, adhering to company policies including HIPAA/PHI
- Met/exceeded performance goals in Call Quality, Attendance, Adherence, and other Contact Center objectives
- Assisted customers with product/service issues, engaging members to introduce programs and gather updated demographic information
- Scheduled assessments based on member preferences and care manager availability
- Accurately documented calls in electronic records, ensuring compliance
- Protected member confidentiality and adhered to privacy policies
- Supported members during enrollment calls, managing difficult situations with empathy and urgency
- Conducted triage, connecting members with appropriate care team personnel
- Managed multiple priorities and adapted to change with enthusiasm
- Built strong relationships with peers, team members and patients
Customer Service Representative
Duke Energy
Remote
06.2022 - 09.2024
- Made a difference by taking a high volume of incoming and outgoing calls, chats, and emails from customers, stores, and associates while navigating multiple systems to aid in answering questions and resolving issues
- Answered basic billing inquiries and account issues and handled service request and billing and coding
- Was able to communicate professionally in a conversational manner while utilizing all available resources to ensure customer satisfaction
- Experience with HCM (e.g., Workday), SAP, Salesforce equivalent ERP product and productivity software desired
- Demonstrated being punctual, reliable, a problem solver while acting with integrity and be dedicated to making a difference
- Utilized Microsoft Office for accurate data entry and communication, improving workflow
- Promoted utility products, boosting customer engagement and service adoption
- Optimized customer service processes, reducing call handling time and improving resolution rates
- Provided empathetic assistance during outages, guiding customers through reporting processes and offering timely updates on service and restoration
Kitchen Manager
Bralies 2 bar and grill
Durham
01.2020 - 06.2022
- Managed labor schedules, optimizing staff allocation to meet peak demand periods effectively
- Oversaw inventory control, maintaining stock levels and reducing waste significantly
- Implemented process Improvements, leading to measurable increases in Kitchen efficiency
- Mentored staff and streamlined scheduling, enhancing team cohesion and operational efficiency
Shipping and Receiving
RiceWrap Foods Corporation
Butner
12.2017 - 07.2019
- Independently prepared and packed food orders, ensuring accuracy and adherence to safety standards
- Maintained cleanliness of kitchen, office areas, and outdoor spaces using industrial equipment
- Completed detailed records and reported directly to the Main Supervisor
- Executed food safety and sanitation protocols, enhancing overall hygiene
- Managed shipping and receiving operations, ensuring accurate documentation and timely processing of materials while maintaining strict adherence to safety protocols
Production Worker
The Onin Group
Raleigh
04.2014 - 02.2017
- Contributed to production efficiently and effectively handling various roles and responsibilities
- Adapted quickly to different work sites, demonstrating flexibility and reliability
- Managed diverse warehouse tasks including box assembly, labeling, packet preparation, quality inspection, inventory tracking and other production duties
Education
High School Diploma -
South Granville High School
Creedmoor, NC06-2012
Timeline
Customer Service Representative
Duke Energy
06.2022 - 09.2024
Kitchen Manager
Bralies 2 bar and grill
01.2020 - 06.2022
Shipping and Receiving
RiceWrap Foods Corporation
12.2017 - 07.2019
Production Worker
The Onin Group
04.2014 - 02.2017
Remote Healthcare Claims Representative
Alorica
- Current
High School Diploma -
South Granville High School