Karen Joubert
Remote Claims Processing Specialist
Kariega
Summary
Detail-oriented Claims Processing Specialist with 10+ years of experience ensuring high-quality claims adjudication and documentation accuracy. Skilled in CRM systems, Microsoft Outlook, and remote workflows, with a strong commitment to confidentiality and compliance. Fully equipped home office and excellent independent time management skills.
Overview
23
23
years of professional experience
Work History
Sales and Marketing Specialist
Self-Employed
01.2024 - 04.2025
- Analysed customer behaviours using Al tools to develop digital products, leading to a 95% satisfaction rating and a 25% sales increase
- Provided high-quality customer consultations, assisting in product selection, resolving inquiries, and ensuring repeat business
- Mastered customer psychology to enhance engagement and optimize marketing strategies.
- Implemented fast-response customer service systems, improving resolution times and boosting retention rates.
- Engaged with a global community of 37,000+ members, facilitating weekly webinars and discussions to exchange insights on digital product innovation and market trends.
- Managed and moderated an international social media group, fostering meaningful interactions, addressing inquiries, and enhancing engagement through strategic content and conversation.
Operations & Care Excellence Manager
Elder Nest Retreat
01.2015 - 11.2023
- Led a 30+ caregiver team with a customer-first mindset, ensuring 95% family satisfaction through high-quality service
- Designed personalized care solutions, showcasing adaptability in fluctuating circumstances and strengthening client trust.
- Provided emotional support and guidance, demonstrating sensitivity to customer needs while resolving escalated concerns
- Implemented efficiency-driven administrative workflows, reducing response times and improving client engagement.
- Accurately processed client records and ensured compliance with privacy standards.
- • Managed data entry and workflow systems remotely, supporting daily operational excellence.
Franchise Marketing & Operations Coordinator
Fun4PartyAnimals
01.2009 - 12.2014
- Managed high volumes of customer interactions, swiftly resolving issues and enhancing overall customer satisfaction.
- Trained and supervised teams to improve service quality and conflict resolution strategies.
- Promoted services proactively, identifying upselling opportunities and driving revenue growth.
- Utilized fast and effective communication, handling inquiries across phone, email, and live chat platforms.
Call Centre Representative
Quest Staffing Solutions
01.2007 - 01.2008
- Handled international customer support, assisting clients with loan applications, eligibility checks, and account management.
- Provided rapid, high-quality resolutions, ensuring a first-call resolution success rate
- Managed stress-resistant interactions, remaining professional and proactive in high-pressure situations
- Leveraged persuasive communication, cross-selling financial products while maintaining compliance
Administrative Clerk
ABSA Home Loans
06.2002 - 12.2002
- Reviewed and processed loan applications with accuracy and efficiency.
- Ensured compliance with banking regulations, reducing processing errors
- Coordinated with loan officers and underwriters to facilitate smooth approvals.
Call Centre Representative
Quest Staffing Solutions
01.2002 - 06.2002
- Managed high-volume inbound and outbound calls, swiftly resolving loan-related inquiries with professionalism.
- Adapted quickly to customer emotions, providing psychologically sensitive responses to difficult situations.
- Resolved complex issues in fluctuating circumstances, ensuring seamless customer experiences.
- Implemented persuasive communication strategies, driving customer retention and product promotion.
Education
Facebook Marketing & Advertising
Simplilearn01-2024
Content Marketing
Simplilearn01-2024
Higher Certificate in Supply Chain Management
IMM Graduate School 01-2021
Course in Logistics Management And Order Processin
Damelin01-2020
High School Diploma -
Hoerskool Wonderboom
04.2001 -
Skills
- Claims Processing & Adjudication
- Data Entry Accuracy
- CMS & HIPAA Compliance Awareness
- Remote Workflow Management
- CRM Systems
- Microsoft Outlook
- Research & Issue Resolution
- Document Management
- Google Workspace
- Data Entry Systems
Technology Skills
- CRM Systems
- Microsoft Outlook
- Google Workspace
- Data Entry Systems
Timeline
Sales and Marketing Specialist
Self-Employed
01.2024 - 04.2025
Operations & Care Excellence Manager
Elder Nest Retreat
01.2015 - 11.2023
Franchise Marketing & Operations Coordinator
Fun4PartyAnimals
01.2009 - 12.2014
Call Centre Representative
Quest Staffing Solutions
01.2007 - 01.2008
Administrative Clerk
ABSA Home Loans
06.2002 - 12.2002
Call Centre Representative
Quest Staffing Solutions
01.2002 - 06.2002
High School Diploma -
Hoerskool Wonderboom
04.2001 -
Facebook Marketing & Advertising
Content Marketing
Higher Certificate in Supply Chain Management
Course in Logistics Management And Order Processin
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