Shanta Simpson has over 10 years of experience in customer service roles, including claims representative at Sedgwick Corporation. She has strong skills in problem solving, communication, and adapting to change. She is pursuing a B.A. in Business Management at Daytona State College.

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