Crystal F. Email & Phone Number

Atlanta, Georgia, United States

Claims Eaxminer• Hays, (Remote), Ga ●Reviewed insurance claims to verify due process by both claimant and claim adjuster during investigation and reporting phases, enduring thorough and fair assessments.●Ensured legal compliance and approved or denied insurance claims based on detailed evaluations, upholding regulatory standards.●Assisted adjusters as needed, providing guidance and support to enhance accuracy and efficiency in claim resolutions.Claims Auditor 11/11/2024 - Current●Conduct thorough investigations by reviewing travel-related claims, verifying documentation, and ensuring compliance with company policies and regulatory requirements.●Communicate audit findings and risk analyses to management, providing actionable recommendations to improve claim processing efficiency and accuracy.●Collaborate with internal teams to resolve discrepancies and ensure timely, fair claim settlements while minimizing financial risk.●Monitor and assess the validity of claims through detailed evaluations of supporting evidence, including travel itineraries, medical reports, and receipts.

Georgia

Remote Work from Home Customer Service Fraud Claims● Primary point of contact for account-related customers disputes, fraud claims and escalations.● Identified risk and initiated fraud claims based on account review findings.● Addressed consumer complaints by identifying cardholder’s disputes through active listening and probing questions while maintaining balance between accuracy and resolution.● Assessed each account-related dispute based on policies and procedures. ● and best-demonstrated practices to ensure alignment with compliance.● Assured that regulatory time frames as well as internal service level agreements were met to avoid company violations, which included, but are not limited to issuance of credit, reversal of fees, interest reimbursement, mailing appropriate notification letters to customers, case closure timeframes, etc.Remote Work from Home Customer Service Fraud Claims Pod Leader● Assisted team members with daily concerns on different processes.

Montgomery, Alabama Area

As a customer service care resolution internal escalations supervisor for Sprint, I am responsible for answering incoming calls from Sprint customers making the effort to resolve customers' issues with one call on a daily basis, I am responsible for answering billing questions, accepting payments, setting up payment arrangements, verifying account information, technical support, data entry, opening disputes, follow ups, handling escalated calls, survey call back when customer have an problem with and customer service agents or supervisor that was handling their account ensuring that our customer are very happy with their plan and service that we provide, sending memo out to legal team anytime we have legal threat, escalate any issues that would need to be review by management team providing floor support, working cooperatively with supervisors and other duties as deemed necessary.

responsible for various bookkeeping and accounting processes which may include Cash handling, review department reports, completing journal entries, processing of vendor invoices, payroll and personnel duties. Monitoring accounts to ensure payments are up-to-date, resolving the discrepancies related to invoices update employee personnel file. Reconcile vendor statements, research and make corrections of discrepancies and assisting in month-end closing and Prepare month-end account reconciliations (Accounts payables Vs General ledger) ● HR Administration ● Employee Relations ● Recruiting & Selection ● Scanning & Documentation ● Employee Management ● Benefit Administration ● HRIS PeopleSoft ● Policy & Procedures ● MS Office, SAP, PeopleSoft● Accounting & Payroll ● Training & Development ● Unemployment Claims

Montgomery, Alabama Area

Lead and direct a team of lab technicians in testing inspecting of waterline products calibrating, troubleshooting ph. Meters density meters, scales, HPLC, and blends raw materials to create beverage products to exact specifications ensure resulting mixture meets specified consistencies products. Manage the production of products from beginning to end and ensuring that product exceeds standards and meets quality guidelines. Communicate with management, internal departments, and coordinate overall quality/ production following corporate goals. Prepare, compile, and evaluate statistical data to determine and maintain quality and reliability product.Selected Contributions:• Interprets schematic diagrams or formulas to maintain the quality and reliability of the products.• Lead, train, and direct team technicians to ensure the waterline meets quality standards to ensure productivity and profitability for the company.

Montgomery, Alabama Area

I have managed six employees with different workstations. Conducted daily inventory on the product. Supervised monthly tests to identify ways to improve quality and efficiency. Handle paperwork payroll, administration. Maintained communication with management to ensure quality activities aligned with business goals. Provided leadership and direction to production employees to guide the quality of the production line and ensure congruence with objectives.Selected Contributions:• Designed, developed training manual to demonstrate products.• Trained vendors on products and services for the company.• I saved the company over $250,000 annually.

Atlanta, Georgia, United States

Key Responsibilities:● Monitored and maintained Sprint II network infrastructure, ensuring high performance across routers, switches, and firewalls.● Managed and configured Channel Service Units (CSU) and Data Service Units (DSU) for reliable operation of Digital Signal circuits (DS3, DS1, DS0).● Diagnosed and resolved network issues related to digital cross-connect systems, minimizing downtime and improving efficiency.● Performed regular maintenance, including software updates and hardware replacements, to sustain network integrity.● Collaborated with IT teams to enforce security protocols and enhance system reliability.● Created and maintained documentation of network configurations, changes, and incident resolutions.● Generated and analyzed performance reports to provide actionable insights to senior management.● Coordinated troubleshooting and restoration of service-impacting network events, minimizing customer impact.● Directed activities and provided technical assistance to field personnel and installations.● Worked with local exchange carriers to isolate faults and supported the Sprint account team. Key Achievements:●Reduced network downtime by 92% through proactive monitoring and rapid response to incidents.●Improved network performance by 95% by optimizing DS1 and DS0 circuits.●Streamlined documentation processes and introduced best practices, enhancing team efficiency.

Cybersecurity

Bachelor'S Degree, Human Resources Management/Personnel Administration, General, 3.5

Medical Billing And Claims

Associated Degree, Occupational Science Health Management

Associate'S Degree, Information Technology

Human Resource Management

Administrator Management, Human Resource Management, 4.0

Administrator Management, Human Resource Management, 4.0