Kristie Payne
Calhoun
Summary
Results-driven Claims Analyst with a proven track record at Nourison, excelling in compliance review and data analysis. Enhanced claims processing efficiency through strategic process improvements and effective communication. Recognized for resolving complex disputes and fostering positive client relationships, contributing to increased customer satisfaction and operational excellence.
Overview
32
32
years of professional experience
Work History
Claims Analyst
Nourison
02.2023 - 01.2026
- Reviewed documentation for compliance with industry standards and internal policies.
- Collaborated with cross-functional teams to resolve complex claims issues efficiently.
- Utilized claims management software to streamline processing and improve turnaround times.
- Analyzed claims data to identify trends and discrepancies, ensuring accurate processing.
- Prepared detailed reports on claim status and outcomes for management review.
- Implemented process improvements that enhanced accuracy in claims adjudication workflows.
- Led initiatives to optimize communication between departments, reducing response times for inquiries.
- Maintained strict confidentiality with all personal data as per company guidelines.
- Managed high-volume caseloads, prioritizing tasks to ensure timely completion of all claims.
- Demonstrated a high level of accuracy and attention to detail in reviewing claim documentation for approval or denial decisions.
- Enhanced customer satisfaction by resolving complex claims issues in a timely manner.
- Interacted with clients and employees, which helped cultivate positive working relationships.
Customer Service Representative Hospitality
Shaw Industries
01.1994 - 07.2018
- Resolved customer inquiries through effective communication and problem-solving techniques.
- Maintained accurate records of customer interactions using CRM software.
- Collaborated with team members to enhance service delivery processes.
- Provided training and support to new staff on customer service protocols.
- Handled escalated complaints, ensuring timely resolutions and customer satisfaction.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Monitored performance metrics, contributing to strategies that enhanced service quality.
- Participated in team meetings to identify areas for process improvement and efficiency gains.
- Developed scripts for common queries to improve response time and consistency.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
Education
High School Diploma - N/A
Calhoun High School
Calhoun, GASkills
- Compliance review
- Data analysis
- Process improvement
- Dispute resolution
- Communication strategies
- Claims
- Claims processing
- Customer service and support
- Computer skills
- Decision-making
Timeline
Claims Analyst
Nourison
02.2023 - 01.2026
Customer Service Representative Hospitality
Shaw Industries
01.1994 - 07.2018
High School Diploma - N/A
Calhoun High School