
Tallena Cox
@tallenacox
I resolve health insurance claims and customer issues while improving processing accuracy and service.
What I'm looking for
I've handled claims adjudication and customer issue resolution at Florida Blue, processing Medicare claims, other-party liability information, authorizations, duplicate claims, audits, and pricing reviews.
I use Claims Connect, Provider Connect, Customer Connect, and Workflow to resolve entry exceptions and rekeys. I meet daily, weekly, and monthly written-work targets while communicating clearly with customers in writing and verbally.
I've served as a go-to contact for peers with difficult questions when team leads and supervisors were unavailable, and I provide feedback to improve claims-processing guidelines.
My additional experience includes supporting customers and inventory at Beauty Supply USA and sorting, packaging, and moving orders at Amazon while maintaining safety, organization, and daily performance targets.
Experience
Work history, roles, and key accomplishments
Sorted and packaged orders to ensure timely deliveries, operated carts and racks, and maintained a safe, organized workspace. Collaborated with teammates to achieve daily targets.
Processed claims adjudication including entry, exceptions, and duplicate claims resolution. Provided customer communication and resolved conflicts, while meeting daily, weekly, and monthly targets.
Customer Service Representative
Beauty Supply USA
Oct 2024 - Dec 2024 (2 months)
Stocked inventory with new products and communicated with customers about product issues and questions. Maintained store cleanliness and organization.
Education
Degrees, certifications, and relevant coursework
Andrew Jackson High School
High School Diploma, General Studies
Grade: 3.0 GPA
Activities and societies: 3 Years in the Sports Medicine Program
Completed three years at Andrew Jackson High School, graduating on May 31, 2024 with a 3.0 GPA and 25+ credits in multiple subjects.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Salary expectations
Skills
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