Positive Care Specialist with specialties in retention, problem analysis and conflict resolution. Excellent problem solving and active listening talents. Understanding and polite with a strong need to build a personal connection with each customer.
Overview
14
14
years of professional experience
Work History
Provider Care Specialist II
United Healthcare Group
11.2021 - Current
Verified health insurance information to check enrollment, eligibility and insurance data integrity
Correspond letters, send out claim forms, EOB's, checks to providers, and medical facilities
Safeguarded confidentiality of patient information by consistently following patient protection standards
Delivered superb customer service to internal departments at United Heathcare facilities to handle provider-related questions
Liaised between providers, patients and health plans to resolve issues
Responded to problems related to claims, eligibility and utilization of provider services.
NBBC Account Rep
Wells Fargo
Responsible for developing and maintaining knowledge of a variety of financial products and services
Monitored and maintained assigned accounts and inbound calls
Addressed customer inquiries and concerns using extensive product knowledge
Cross-trained on different tasks to assist in various sales roles during employee absences or busy periods
Handled customer complaints following company procedure
Engaged with customers to better understand needs and requirements and find appropriate solutions.
Office Manager
CBJ Trucking
Stone Mountain, GA
12.2011 - 06.2025
Responsible for coordinating the various support services and personnel needed to ensure the office runs smoothly
Maintain timekeeping information and process / submit payroll
Manage electronic filing systems by recording information, updating paperwork, and maintaining confidential documents such as attendance records, correspondence and other materials.
Billing Representative
Mercury Insurance
02.2014 - 10.2015
Create, maintain, and enter information into various databases
Problem resolution including investigating issues and responding to customer inquiries (i.e Policy status, payments, due dates, lapses) regarding account status, billing procedures and payment schedules
Resolved invoicing issues within required time frames and posted on accounts receivable reports
Carried out invoicing procedures via mail, electronic delivery and web billing
Obtained relevant policies, reviewed wording to validate coverage and escalated issues to facilitate claims process.
Business Service & Sales Specialist II
Bank of America
Listen carefully and connect with customers to understand their top financial priorities to uncover products and solutions that will benefit them
Accurately and efficiently process transactions such as sales orders and submit for processing
Trained new employees regarding sales tactics, product features and customer engagement
Handled customer complaints following company procedure
Reviewed, verified and identified customer transactions to detect and prevent financial crime activity, mitigating and recovering losses.