amirah james

Investigated minor to intermediate Workers’ Compensation Claims, analyzing documents and conducting phone interviews to determine liability. Communicated with agencies, insureds, underwriting, and Claim Executives to resolve issues, ensuring follow-ups were completed and reserves were adequate.

Acted as primary liaison for callers from multiple client accounts, assisting with questions and solving problems related to claims application and servicing processes. Performed claim intake and full-service customer support within regulatory requirements and client expectations.

Performed detailed analysis on depository accounts for suspected deposit fraud or counterfeit check activity, providing documentary evidence to support findings. Communicated information on deposit fraud suspects to account relationship officers, corporate investigations, and area management.

Identified client needs and recommended solutions when fraud was identified, accurately recording data captured during client interactions. Complied with industry regulations, bank procedures, and financial controls while reading frequent updates and learning materials.

Revised user reports regarding website content, analyzing and identifying content according to compliance policies. Made well-balanced decisions and helped resolve inquiries by flagging discrepancies and using market-specific knowledge.

Triaged incoming call volume and assisted with member services, identifying and resolving patient-impacting issues. Maintained updated demographic information and appropriately documented all caller interactions.

Investigated and resolved customer concerns, providing guidance to both internal and external customers. Educated and provided referrals about Medicare products and services, while complying with HIPPA and CMS regulations.

Currently pursuing a Bachelor's Degree in Liberal Arts through the Fuse College Career Program, with an anticipated completion in 2026. This program is a collaboration between HCC and the University of South Florida.

Completed high school education and received a High School Diploma in June 2012. This program provided foundational knowledge and prepared for further academic pursuits.