1. Shanta Simpson
Claims Representative - Sedgwick Corporation
Sanford, FL
shanta542@gmail.com - (386) 315-0116
• Motivated, personable professional currently pursuing a college degree with over 10 years of customer service
and pharmacy benefit management skills
• Analytical with excellent problem-solving abilities, who readily adapts to change, works independently and
exceeds expectations
• Interface well with the public and all levels of an organization to ensure customer service excellence
• Able to juggle multiple priorities and meet tight deadlines without compromising quality
• Skillfully diffuse tension by exercising my trained ability to identify, evaluate and resolve problems
• Fluent in Microsoft Office (Excel, Word, PowerPoint, Publisher, Outlook) and organizing correspondence
• Ability to operate office machinery such as copiers, fax machines, and computers
WORK EXPERIENCE
Claims Representative
Sedgwick Corporation - September 2014 to Present
Handle leave claims for several different companies.Such as long term, short term, Claims.
Highlights
• Assist Employees with short term, long term, FMLA, and workman Comp claims
• Assist with intake on claims as well as answer any questions the Employee may have
• Assist the examiners with any additional paperwork they may need to make a determination on the claim.
•Help Doctors office with any questions they may have on Employees their claims
•Handle payment information for Employees
Customer Service Representative
Walgreens Corporate - Orlando, FL - June 2012 to June 2014
Handle incoming calls from members, pharmacies for Healthcare Clinic information along with scheduling
appointments for the Nurse Practitioners
Highlights
• Provide information and services to over 3,000 customers in relation to the Healthcare Clinic appointments,
wait times or complaints
• Schedule appointments with the Nurse Practitioners to ensure customers prescriptions are correct.
• Deescalate and file complaints on behalf of the customers if issues arise in the Healthcare Clinic.
Sales and Service Representative
Frontier Communication - DeLand, FL - July 2011 to December 2011
Handled multi-faceted clerical tasks for Frontier Communication
Highlight
Assisted customers with technical support and troubleshooting with cable, telephone and internet services
• Received credit/debit card and check by phone payments for services rendered to customers
• Provided detailed plan overview for existing customers to ensure that they were receiving the best plan
Business Repair Specialist (Temporary Contract)

2. Century Link - Altamonte Springs, FL - May 2010 to September 2010
Responsible for maintaining high level of customer service to Century Link's business clients.
Highlights
• Assisted customers with the complete setup of their business lines
• Upsold special promotions offered to exclusive business clients such as wire maintenance repair
• Conducted technical support to business clients who had issues with their service.
Member Services and Specialty Rep (Temporary Contract)
Connextions - Orlando, FL - October 2009 to March 2010
Handled incoming calls from members, pharmacies, benefit administrators and providers for pharmacy benefit
information to facilitate mail order facilities prescriptions processes.
Highlights
• Assist pharmacies, providers, benefit administrators with eligibility claim adjudications, plan overrides, prior
authorizations, reversals, rejection, benefit and copay information
• Assist members with benefit and copay information
• Place refills, provided account balances, copay inquires, order status, accepted payments and update
insurance information.
EDUCATION
B.A. in Business Management
Daytona State College
2013 to Present
Lake Mary High School - Lake Mary, FL
1997 to 2001