Cadaeja Nelson
Birmingham
Summary
Customer-focused Healthcare Operations Professional experienced in insurance verification, enrollment processing, benefits administration, and customer account resolution within fast-paced environments. Achieved operational efficiency through meticulous documentation, effective resolution of complex inquiries, and adherence to HIPAA compliance. Compensation and Benefits Specialist with a proven track record in developing competitive compensation structures and innovative benefit programs that enhance employee satisfaction and retention while aligning with organizational objectives.
Overview
4
4
years of post-secondary education
5
5
years of professional experience
Work History
Benefit Program Specialist
TEKsystems
09.2025 - Current
- Verify insurance eligibility and benefits information to support timely member enrollment and service delivery.
- Processed healthcare enrollment applications, ensuring accuracy and adherence to productivity and quality standards.
- Maintained detailed documentation of member interactions and enrollment records, ensuring compliance with HIPAA regulations.
- Researched and resolved customer account issues through effective communication and problem-solving.
Technical Advisor
VXI Global Solutions
06.2024 - 08.2025
- Resolved complex customer issues through detailed account research and tailored solutions, enhancing customer satisfaction.
- Met and exceeded productivity and quality metrics in high-volume call center, contributing to overall customer satisfaction.
- Documented customer interactions and resolutions in CRM, facilitating effective follow-up and service continuity.
Online Pickup & Delivery Associate
Walmart
04.2021 - 10.2023
- Processed high volume of customer orders with exceptional accuracy and attention to detail, ensuring timely fulfillment.
- Resolved customer concerns efficiently, contributing to overall customer satisfaction and service quality.
- Collaborated with team members to consistently meet daily productivity goals in a fast-paced environment, enhancing team effectiveness.
Education
High School Diploma -
Wenonah High School
Birmingham, AL 08.2018 - 06.2022
Skills
- Benefit Eligibility Support
- Insurance eligibility
- Benefits administration
- Enrollment Processing
- Claims resolution
- HIPAA Compliance
- Healthcare Terminology
- Data quality assurance
- Case Documentation
- CRM Systems
- Microsoft Office Suite
- Customer Service Excellence
- Phone, Email & Chat Support
- Time Management
- Cross-Functional Collaboration
- Virtual Collaboration
- Performance Evaluation
Timeline
Benefit Program Specialist
TEKsystems
09.2025 - Current
Technical Advisor
VXI Global Solutions
06.2024 - 08.2025
Online Pickup & Delivery Associate
Walmart
04.2021 - 10.2023
High School Diploma -
Wenonah High School
08.2018 - 06.2022