Ayanna Millin
Sicklerville,NJ
Summary
Empathetic professional in customer service known for high productivity and efficiency in task completion. Possess specialized skills in conflict resolution, data entry, and customer relationship management. Excel in communication, problem-solving, and adaptability, ensuring positive experiences and outcomes for customers.
Overview
4
4
years of professional experience
Work History
Member Relations Specialist - Medicare
Jefferson Health Plans
Philadelphia, Pennsylvania
04.2025 - Current
- Managed member inquiries to ensure timely resolution of concerns.
- Facilitated onboarding processes for new members and providers.
- Coordinated communication between members and healthcare providers.
- Answering member inquiries about Medicare coverage, benefits, eligibility, and claims.
- Explaining plan options and helping members understand their rights, costs, and available services.
- Resolving issues related to billing, claims, and service access by coordinating with internal departments or providers.
- Maintaining compliance with CMS (Centers for Medicare & Medicaid Services) regulations and company policies.
- Documenting interactions accurately in the system for tracking and follow-up.
- Educating members on preventive care, resources, and programs available under their plan.
- Handling escalations with professionalism, ensuring members feel supported and valued.
Pip Examiner
Geico
Marlton, USA
08.2024 - 12.2024
- Investigate medical necessity and determine causation for personal injury claims.
- Consult with involved parties to gather the necessary information.
- Secure medical information and review insurance contracts, reports, and billing documents.
- Evaluate the validity of personal injury insurance claims.
- Enforce compliance with laws and regulations governing financial and securities institutions.
Contact Center Representative - Credit Card
TD Bank
Mount Laurel, USA
01.2024 - 08.2024
- Processed and reviewed credit card applications ensuring compliance with company procedures.
- Provided expert advice to customers regarding credit card products, services, and services.
- Resolved customer inquiries promptly and professionally, addressing their concerns and providing solutions.
- Processed payments and transactions accurately and efficiently, adhering to established procedures.
- Demonstrated strong communication and interpersonal skills, effectively interacting with customers and colleagues.
Licensed Account Representative
NJM Insurance Group
Hammonton, USA
05.2023 - 12.2023
- Processed a high volume of insurance claims accurately and efficiently, ensuring timely resolution for customers.
- Provided exceptional customer service by assisting with policy inquiries, resolving issues, and providing guidance on coverage options.
- Utilized CRM software to effectively manage customer interactions, track claim progress, and maintain comprehensive records.
- Demonstrated strong multitasking abilities by handling multiple customer inquiries and administrative tasks simultaneously while maintaining a high level of accuracy and efficiency.
Intake Screener
Center For Family Services
Voorhees, USA
02.2022 - 06.2022
- Screened individuals for eligibility, ensuring they met the criteria for receiving services.
- Collected demographic data and maintained accurate records, contributing to data-driven decision-making and program evaluation.
- Provided empathetic support and guidance to individuals navigating the intake process, fostering a sense of comfort and understanding.
- Utilized intake forms efficiently and effectively to gather essential client information.
- Ensured accurate record-keeping, maintaining detailed and organized client files to facilitate seamless service delivery.
Education
Medical assisting - Billing And Coding
ASI Career Institute
Blackwood, NJ 07.2020 - 02/2021
High school or equivalent -
Highland Regional High School
Skills
- Claims processing
- Customer service
- Problem solving
- Compliance monitoring
- Call center experience
- Document processing
- Account management
- Dispute resolution
- Member account management
- Healthcare
- Customer support
- Member correspondence
- Policy analysis
- Customer relationship management
- Insurance regulations
- Time management
Timeline
Member Relations Specialist - Medicare
Jefferson Health Plans
04.2025 - Current
Pip Examiner
Geico
08.2024 - 12.2024
Contact Center Representative - Credit Card
TD Bank
01.2024 - 08.2024
Licensed Account Representative
NJM Insurance Group
05.2023 - 12.2023
Intake Screener
Center For Family Services
02.2022 - 06.2022
Medical assisting - Billing And Coding
ASI Career Institute
07.2020 - 02/2021
High school or equivalent -
Highland Regional High School