Summary
Overview
Work History
Education
Skills
Timeline
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Chenita Haught

Mansfield,OH

Summary

Accomplished Medical Claims Processor and Customer Service Representative with a proven track record at CIGNA for enhancing claim processing efficiency and customer satisfaction. Skilled in HIPAA compliance and critical decision-making, adept at resolving complex issues, significantly improving interdepartmental communication, and maintaining professionalism under pressure. Recognized for superior attention to detail and organizational abilities. Experienced Medical Insurance Specialist successful at managing high caseloads in fast-paced environments. Organized, driven and adaptable with excellent planning and problem-solving abilities. Offering 7 years of experience and willingness to take on any challenge.

Overview

15
15
years of professional experience

Work History

Medical Claims Processor

CIGNA
02.2017 - Current
  • Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
  • Verified patient insurance coverage and benefits for medical claims.
  • Monitored and updated claims status in claims processing system.
  • Maintained a thorough understanding of the intricacies involved in processing medical claims for diverse healthcare specialties, enabling accurate and efficient claim adjudication.
  • Streamlined communication between departments by developing efficient methods for sharing claim status updates and relevant documentation.
  • Contributed to positive team morale through active participation in department meetings, offering constructive feedback, and supporting colleagues when needed.
  • Maintained a high level of customer satisfaction by promptly addressing inquiries and resolving issues related to medical claims.
  • Provided exceptional support during audits by supplying detailed records of claim transactions as needed, ensuring full transparency into department operations.
  • Mastered various proprietary claim processing systems quickly allowing seamless adaptation to new technology initiatives within the organization.
  • Reduced turnaround time on claim payments by proactively identifying potential roadblocks and addressing them preemptively.
  • Handled escalated claims-related issues professionally, working diligently towards resolution while maintaining strong relationships with both clients and providers alike.

Customer Service Representative

Startek
07.2009 - 02.2017
  • Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
  • Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
  • Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
  • Responded to customer requests for products, services, and company information.
  • Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
  • Developed rapport with customers through active listening skills, leading to higher retention rates and positive feedback from clients.
  • Maintained detailed records of customer interactions, ensuring proper follow-up and resolution of issues.
  • Provided coaching and mentoring to new hires, contributing to their successful integration into the team.
  • Exceeded performance metrics consistently, earning recognition as a top performer within the team.
  • Improved communication between departments by facilitating interdepartmental meetings focused on problem-solving strategies for common issues affecting customers'' experiences.
  • Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
  • Exhibited high energy and professionalism when dealing with clients and staff.

Education

Bachelor of Science - Social Work

Mount Vernon Nazarene University
Mount Vernon, OH
08.2018

Skills

  • Critical Decision-Making
  • Customer Service
  • Claim Denial Resolution
  • HIPAA compliance awareness
  • Quality of Work with clients and peers
  • Professionalism and Ethics
  • Organizational abilities
  • Organizing and Prioritizing Work
  • Reliability
  • Healthcare Billing Knowledge
  • Insurance Claims
  • Time Management
  • Attention to Detail
  • Problem-solving abilities

Timeline

Medical Claims Processor

CIGNA
02.2017 - Current

Customer Service Representative

Startek
07.2009 - 02.2017

Bachelor of Science - Social Work

Mount Vernon Nazarene University

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Chenita Haught