Summary
Overview
Work History
Education
Skills
Timeline
Generic
David Hudson

David Hudson

Middletown,NY

Summary

ALMOST 20 YEARS OF EXPERIENCE IN THE CLIENT-BASED SERVICE INDUSTRY. THIS INCLUDES 8 YEARS IN A FAST-PACED COMPANY AIMED AT CONSUMER SUPPORT, FINANCIAL GUIDANCE, AND FRAUD DETECTION. FLEXIBLE SELF-STARTER WITH ASSISTANT MANAGER EXPERIENCE. METICULOUS AND RESULT-DRIVEN INDIVIDUAL WITH EXCELLENT CUSTOMER SERVICE. EAGER TO LEARN AND GROW PROFESSIONALLY IN THIS INDUSTRY

Overview

19
19
years of professional experience

Work History

CONSUMER CARE SPECIALIST II DISPUTE

EXPERIAN
01.2021 - Current

•Send file disclosures to consumers

•Assist in initiating and resolving disputes for third party lenders using company procedures and FCRA guidelines and time frames.
•Process high request received by email and fax and alert leadership to trends
on consumer calls/request.
•Follow up on consumer request not immediately resolve

Performs a variety of activities to ensure consumer satisfaction, including interpreting reports, responding to general inquiries assisting with fraud alert request and processing credit and or score reports

  • Dispute and remove items from consumers report
  • Keep performance on a occupied environment (85% to 90% accuracy)

Authorization Specialist/Benefit Verification Specialist

CAREFIRST IMAGING /RADX
11.2022 - 01.2024
  • Optimized workflow processes through effective communication between departments regarding authorization needs and statuses.
  • Supported clinical staff by providing timely updates on status of prior authorizations for various services.
  • Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
  • Contributed to team goals by consistently meeting or exceeding individual productivity targets for processing authorization over 50 requests per day
  • Increased accuracy by diligently reviewing and verifying patient eligibility, coverage, and benefits information.
  • Demonstrated adaptability with changing insurance requirements, maintaining up-to-date knowledge through continuous education efforts.

CONSUMER SUPPORT SPECIALIST

PEOPLE 2.0 UNDER CLARITY SERVICES
02.2020 - 01.2021
  • Assist in initiating and resolving disputes for third party lenders using company procedures and FCRA guidelines and time frames. Receive
    and process disputes from Chex Systems through Re-investigation forms
    •Process high request received by email and fax and alert leadership to trends on consumer calls/request. complete 100 request
    •Follow up on consumer request not immediately resolved
  • Collaborated with cross-functional teams to ensure timely resolution of consumer issues, improving overall service quality.
  • Facilitated successful resolutions of escalated cases by collaborating closely with supervisors when necessary.
  • Participated in ongoing training opportunities to stay current on industry trends and best practices for consumer support.

SCHEDULING COORDINATOR

Home Advantage Under Randstad Staffing, Humana
04.2019 - 02.2020
  • Coordinate and schedule one-on-one In-Home Health Assessments with
    Clinical Providers Through

•Outbound "soft sales” •
Assist in benefit of health risk assessments and overcome objections

•Accurately and concisely documenting customer feedback and special needs
indicated during each call-in computer-based system
•Identifying and addressing the members issues and anticipating future needs

•Provide follow up calls as needed to coordinate providers and plan member
relationships

FRAUD DETECTION/ CREDIT & DEBIT MEMBER SERVICE REP II

PSCU
10.2011 - 02.2019
  • Analyze authorization patterns and respond quickly to high-risk situations. Identify changing fraud trends, document, and report through appropriate process in a timely manner to assist in reduction of fraud loss
    for credit unions
    •Utilizes discretion and sound judgment in making decisions while using a
    multitude of PC applications to address inquiries and maintain
    confidentiality of information
    •Verify account activity and take appropriate action to minimize potential fraud
    loss and member inconvenience as well as appropriately controlling calls
  • Helped large volume of customers every day with positive attitude and focus on customer satisfaction.

ASSISTANT PRODUCE MANAGER

SWEETBAY SUPERMARKET
04.2005 - 01.2011
  • Organized efficient merchandise replenishment strategies to keep shelves stocked and well-organized for customers.
  • Participated in regular department meetings to discuss performance metrics, strategies for improvement, and upcoming promotional activities.
  • Conducted daily inspections of received goods to ensure freshness and quality, addressing any discrepancies or concerns immediately with suppliers.
  • Increased customer satisfaction by providing exceptional product knowledge and assistance in the selection of fresh produce.

Education

Completed coursework towards Communications -

ST. PETERSBURG COLLEGE
ST. PETERSBURG, FL
01.2011

Skills

  • Knowledge of the FCRA
  • Extensive knowledge of Chex Systems
  • Adept in multiple applications (CallPro2, CallPro3, FDR, Star Debit, TDD, CU Scripter, Verified by Visa, NIS, CARS)
  • Microsoft Office, Excel
  • Excellent written and verbal communication skills
  • Critical Thinker
  • Detail Oriented
  • Effective in Customer Escalation Management
  • Medical terminology expertise
  • Insurance Verification
  • HIPAA Compliance
  • Prior authorization processing
  • Appointment Scheduling
  • Documentation and paperwork
  • Effective communication skills
  • Program knowledge

Timeline

Authorization Specialist/Benefit Verification Specialist

CAREFIRST IMAGING /RADX
11.2022 - 01.2024

CONSUMER CARE SPECIALIST II DISPUTE

EXPERIAN
01.2021 - Current

CONSUMER SUPPORT SPECIALIST

PEOPLE 2.0 UNDER CLARITY SERVICES
02.2020 - 01.2021

SCHEDULING COORDINATOR

Home Advantage Under Randstad Staffing, Humana
04.2019 - 02.2020

FRAUD DETECTION/ CREDIT & DEBIT MEMBER SERVICE REP II

PSCU
10.2011 - 02.2019

ASSISTANT PRODUCE MANAGER

SWEETBAY SUPERMARKET
04.2005 - 01.2011

Completed coursework towards Communications -

ST. PETERSBURG COLLEGE
David Hudson