DaNesha Bledsoe
Birmingham,AL
Summary
Dynamic Customer Service Representative with extensive experience at Third Party Verification, TPV, excelling in problem resolution and relationship building. Proven ability to navigate complex insurance systems while ensuring HIPAA compliance. Skilled in active listening and data entry, delivering empathetic support to health insurance members and consistently meeting productivity metrics.
Overview
6
6
years of professional experience
Work History
Customer Service Representative (Health Insurance)
Third Party Verification, TPV
11.2024 - Current
Third-Party Call Center / Client Services
Remote / Hybrid
- Provided inbound customer support for health insurance members, including Blue Cross Blue Shield and UnitedHealthcare plans
- Assisted members with benefit questions, eligibility, claims status, authorizations, and general account inquiries
- Navigated multiple insurance systems while maintaining HIPAA compliance and data accuracy
- Documented member interactions thoroughly using CRM and insurance platforms
- Resolved escalated concerns while meeting call quality and productivity metrics
- Delivered professional, empathetic service in a remote call center environment
Customer Service Representative
Wireless & Insurance Support Programs
07.2020 - 08.2023
- Supported customers across multiple client programs, including healthcare-related accounts
- Maintained strict confidentiality standards and compliance requirementsCommunicated complex information clearly to members and customers
- Participated in virtual training and ongoing system updates
Education
Associate of Science - Health Care Administration
Colorado Technical University
Colorado Springs, COHigh School Diploma - Healthcare And Technology
Parker High School
Birmingham, AL05.2016
Skills
- Customer service
- Active listening
- Critical thinking
- Data entry
- Customer relations
- Problem resolution
- Relationship building
- Microsoft Excel
- Scheduling
- Customer relationship management (CRM)
- Live chat support
- Multi-line phone talent
Proofreading
Timeline
Customer Service Representative (Health Insurance)
Third Party Verification, TPV
11.2024 - Current
Customer Service Representative
Wireless & Insurance Support Programs
07.2020 - 08.2023
Associate of Science - Health Care Administration
Colorado Technical University
High School Diploma - Healthcare And Technology
Parker High School