Summary
Overview
Work History
Education
Skills
Timeline
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Danesha Williams

Sacramento,CA

Summary

Enthusiastic client services professional with strong background directly interfacing with industry customers. Well-versed in products, services and consumer trends. Dependable achiever committed to holding highest ethical standards and maintaining customer trust.

Overview

3
3
years of professional experience

Work History

Member Level Processors

Blue Shield of CA
Sacramento, CA
08.2023 - 11.2023
  • Working with large accounts or brokers on updating enrollment requests (not speaking with individuals on the plan directly)
  • Making changes to account like adding or removing a spouse/child
  • Requests come in via email or paper (no phone work)
  • Process member level data and information using automated systems within established production and quality standards. Process new member additions, eligibility updates and reports within established production and quality standards. Reviews accuracy of data entered against source documents. Identifies and resolves issues with enrollment information and member eligibility.
  • Regularly contacts internal and external customers and business partners to verify or obtain additional information to complete processing work and verify member eligibility/data

Fact Finder

Maximus
Remote
12.2021 - 03.2023
  • Proofread documents carefully to check accuracy and completeness of all paperwork
  • Granted, modified, denied, or terminates assistance based on key information and eligibility determination.
  • Review employer protest of unemployment claims of potential eligibility issues.
  • Collaborate with subject matter experts to address unique issues.
  • Analyze claim information to determine the cause of standing issues.

Customer Service Representative

Faneuil
US
11.2020 - 04.2021
  • Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and
    resolving concerns.
  • Provided primary customer support to internal and external customers in fast-paced environment.
  • Scanned, received and sent faxes to appropriate departments, including insurance claims, co-pay assistance information and patient documentation.
  • Verified insurance coverage by telephone and online to guarantee proper reimbursement of benefits and estimate patients' financial responsibilities.
  • Performed needs analysis to obtain information required to make appropriate health insurance product recommendations.
  • Verified patient information on claims paperwork, checking for and preventing mistakes.

Education

High School Diploma -

Sheldon High School
05.2016

Skills

  • Document Management
  • Multitasking and Organizing
  • Microsoft Excel
  • Document Review
  • Customer Service
  • Data Entry Experience
  • Account Updating
  • Call Management
  • Typing Proficiency
  • Proofreading
  • Active Listening
  • Attention to Detail
  • Research Proficiency

Timeline

Member Level Processors

Blue Shield of CA
08.2023 - 11.2023

Fact Finder

Maximus
12.2021 - 03.2023

Customer Service Representative

Faneuil
11.2020 - 04.2021

High School Diploma -

Sheldon High School

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Danesha Williams