Kamakshi Rawat
Ghaziabad
Summary
Dynamic professional with expertise in claim administration and customer relationship management at MetLife. Proven track record in making eligibility decisions and enhancing customer satisfaction through effective communication and empathetic support. Skilled in conflict resolution and compliance assurance, consistently delivering solutions that meet diverse client needs.
Overview
6
6
years of professional experience
2022
2022
years of post-secondary education
Work History
Specialist
MetLife
Noida
11.2025 - 04.2026
- Administered STD claims, makes eligibility decisions, interacts with employers/physicians, and creates action plans for claimants.
- Focused on voice coaching, monitoring calls, and improving customer satisfaction through tailored training programs
- Promptly reviewed new claims to make initial and subsequent decisions
- Ensured all processes meet company, state, and federal guidelines
- Managed customer care,operations and claims by providing empathetic support and managed complex tasks like Short Term Disability (STD).
- Collaborated with team members to streamline daily operational processes.
- Maintained accurate records of client interactions and documentation.
- Participated in ongoing training and compliance activities.
- Reviewed documents for accuracy prior to submission or publication.
Customer Service Representative
First Idea
Noida
08.2020 - 08.2025
- Assisted customers with product inquiries and service-related issues.
- Processed customer orders and managed returns efficiently.
- Responded to customer feedback through various communication channels.
- Documented customer interactions accurately in company systems.
- Resolved conflicts by effectively communicating with dissatisfied customers.
- Maintained knowledge of products and services to provide informed support.
- Answered customer inquiries and provided accurate information regarding products and services.
- Remained calm and professional in stressful circumstances and effectively diffused tense situations.
- Resolved complex problems by working with other departments to provide solutions that meet customer needs.
Education
Bachelor of Arts - Political Science
OPJS University
Rajasthan , India 07.2018 - 08.2021
Delhi Public School
Greater Noida, IndiaSkills
- Claim administration
- Eligibility decision making
- Customer interactions
- Compliance assurance
- Customer relationship management
- Call monitoring
- Conflict resolution
- Effective communication
- Empathetic support
- Workflow automation
- Team collaboration
Languages
Hindi
First Language
English
Proficient (C2)
C2
Timeline
Specialist
MetLife
11.2025 - 04.2026
Customer Service Representative
First Idea
08.2020 - 08.2025
Bachelor of Arts - Political Science
OPJS University
07.2018 - 08.2021
Delhi Public School