Daphne Holmes
Benefit Verification Specialist
Albany,GA
Summary
Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Benefit Verification Specialist
Continuum Global Solutions/CVS Specialty Pharmacy
10.2023 - Current
- Demonstrates remotely excellent customer service when calling patients, healthcare professionals and insurance carriers.
- Researches and analyze rejections and failure codes in order to resolve and process claims successfully.
- Obtains accurate benefits in order to qualify patients for copay or patient assistance programs offered b manufacturer.
- Verifies insurance coverage, performs benefits investigation, and obtain prior authorization in order to process claims in timely manner.
Claims Evaluator/Insurance Agent
TTEC, Bank Of America/United Healthcare
09.2022 - 09.2023
- Skilled at working remotely independent and able to collaborate in team environment
- Managed time efficiently in order to complete all tasks within deadlines
- Identified issues, analyzed information and provided solutions to problems
- Demonstrated strong organizational and time management skills while managing multiple projects
- Utilized strong analytical and problem-solving skills to develop effective solutions for challenging situations
- Paid attention to detail while completing assignments
Independent Insurance Agent
Direct Life Services
08.2017 - 09.2022
- Prepared and reviewed insurance applications to verify compliance with regulations
- Utilized CRM software to manage client relationships.
- Monitored changes in insurance industry to stay compliant with relevant laws and regulations
- Analyzed customer needs to provide customized insurance solutions.
- Responded to customer calls swiftly to resolve issues and answer questions
- Managed over 50 calls per day.
Final Expense Representative
Lincoln Heritage
09.2014 - 08.2017
- Greeted customers warmly to set tone of customer experience and provide welcoming and friendly atmosphere.
- Responded to customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility, and claims.
- Collected, arranged, and input information into database system.
- Helped meet changing demands by recommending improvements to business systems or procedures.
- Handled customer complaints quickly and professionally to restore customer confidence and prevent loss of business.
- Managed over 100 calls per day.
Education
Some College (No Degree) - Business Administration And Management
Keiser University
Tallahassee, FLSome College (No Degree) - Business Administration And Management
Troy University
AlbanySkills
- HIPAA Compliance
- Claims Processing
- Insurance Sales
- Insurance Verification
- Data Entry
- Problem-solving
- Attention to detail
- Active listening
- Microsoft Office
Certification
- Life Insurance License - 14 years
- States: Resident: GA / Non-Resident: DC, MD, MI, NC, OH, SC TX, VA
- AHIP Certified / FFM Certified
Timeline
Benefit Verification Specialist
Continuum Global Solutions/CVS Specialty Pharmacy
10.2023 - Current
Claims Evaluator/Insurance Agent
TTEC, Bank Of America/United Healthcare
09.2022 - 09.2023
Independent Insurance Agent
Direct Life Services
08.2017 - 09.2022
Final Expense Representative
Lincoln Heritage
09.2014 - 08.2017
Some College (No Degree) - Business Administration And Management
Keiser University
Some College (No Degree) - Business Administration And Management
Troy University
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