Akiah Israel
Norcross
Summary
Personable and positive individual with exceptional interpersonal skills and natural ability to lead and motivate teams. Demonstrates deep understanding of customer service principles and proficiency in conflict resolution and team management, ensuring efficient and effective operations. Committed to driving customer satisfaction and team performance to achieve company goals.
Overview
9
9
years of professional experience
Work History
Claims Processing Specialist
The Dillon Group
01.2022 - Current
- Maintained up-to-date knowledge of industry regulations, ensuring accurate and compliant claims processing.
- Coordinated with other departments such as finance and coding teams to resolve any issues related to payment calculations or coding errors in submitted claims.
- Developed strong rapport among clients by addressing their concerns promptly, which ultimately resulted in higher client retention rates.
- Initiated internal audits regularly ensuring that all staff members followed established rules and guidelines which lead increased operational efficiency over time.
- Leveraged advanced software tools to quickly identify discrepancies, leading to more accurate claims decisions.
- Enhanced customer satisfaction with timely claim resolution through effective communication and followup.
- Handled complex cases with a keen attention to detail, ensuring proper evaluation and adjudication of each claim.
Customer Service Supervisor
Delta Dental Of California
03.2016 - 01.2022
- Promoted a positive work environment through open communication channels, fostering team collaboration and high morale.
- Collaborated with other departments to address recurring customer concerns, improving overall service quality.
- Coached employees through day-to-day work and complex problems.
- Improved customer satisfaction by addressing and resolving escalated issues promptly and professionally.
- Demonstrated exceptional problem-solving abilities in navigating challenging customer scenarios and finding solutions that met their needs as well as aligned with company policies.
- Managed escalated calls with diplomacy, successfully deescalating situations while ensuring satisfactory resolutions for both parties involved.
- Responded to customer inquiries and resolved complaints to establish trust and increase satisfaction.
- Assessed team performance through regular reporting, identifying opportunities for further skill development and training initiatives.
Education
Business Administration And Management
University of Phoenix
Tempe, AZHigh School Diploma -
Union County Vocational Technical School
Scotch Plains, NJ06.2000
Skills
- Claims processing software
- Verbal communication
- Medical terminology
- Data entry proficiency
- Insurance regulations
- Transactions reconciliation
- Customer service
- Problem-solving
- Time management
Timeline
Claims Processing Specialist
The Dillon Group
01.2022 - Current
Customer Service Supervisor
Delta Dental Of California
03.2016 - 01.2022
Business Administration And Management
University of Phoenix
High School Diploma -
Union County Vocational Technical School
Similar Profiles
Mike KellyMike Kelly
Business Manager at Sid Dillon Auto GroupBusiness Manager at Sid Dillon Auto Group
Cynthia MunozCynthia Munoz
Leasing Coordinator/Receptionist at Dennis Dillon Auto GroupLeasing Coordinator/Receptionist at Dennis Dillon Auto Group
Iulia SimionicaIulia Simionica
QA Analyst at Dillon Kane Group, DKGQA Analyst at Dillon Kane Group, DKG