DARNEA PINKETT
Fort Washington,MD
Summary
Results-driven profession with over 4 years’ experience in the insurance industry. Adept at working remotely, managing tasks independently, and collaborating with cross-functional teams to ensure accurate and timely contract processing. Known for a strong service mindset, excellent organizational skills, and the ability to thrive in fast-paced, high-volume environments.
Overview
4
4
years of professional experience
Work History
Benefit Advocate/Complex Customer Care Representative
UnitedHealthGroup
12.2025 - Current
- Resolved 50+ member inquiries daily regarding medical, dental, and pharmacy benefits with 98% accuracy, improving customer satisfaction scores.
- Facilitated communication with providers and third-party administrators to resolve claim discrepancies, reducing turnaround time by 15%.
- Guided customers through appeals process, ensuring complete and accurate documentation submission.
- Coordinated prior authorization requests with healthcare providers, improving approval efficiency.
- Supported team quality audits to maintain compliance and service excellence.
Merchandiser
Hallmark
10.2021 - 12.2025
- Managed product displays across multiple store locations, ensuring compliance with corporate merchandising standards.
- Utilized company-issued devices to track inventory and maintain accurate stock levels.
- Collaborated with store teams to resolve discrepancies and align with brand guidelines.
- Conducted routine audits to remove outdated products, enhancing customer experience.
Education
High School Diploma -
Elizabeth Seton High School
Bladensburg, MD05-2009
Associate of Science - Health Information Management
Prince George's Community College
Upper Marlboro, MDSkills
- Document management expertise: OnBase, Jacada, Ariel, Doc 360
- Customer Service: Conflict Resolution, Communication, Problem-Solving
- Operational Skills: Data Entry, Quality Audits, Prior Authorization Coordination
- Medical coding proficiency: ICD-10, CPT, HCPCS
Accomplishments
Promoter Score Program
Timeline
Benefit Advocate/Complex Customer Care Representative
UnitedHealthGroup
12.2025 - Current
Merchandiser
Hallmark
10.2021 - 12.2025
High School Diploma -
Elizabeth Seton High School
Associate of Science - Health Information Management
Prince George's Community College