Deseray Armstrong

• Process average of 150 member inquires per week, achieving 98% satisfaction rate through efficient problem resolution and proactive communication.
• Facilitate/lead/participate in meetings with my peers for Net Promoter Scores open opportunities resulted in a 6% increase in positive post surveys.
• Manage and or updating customer and provider records, ensuring data accuracy.
• Provide excellent customer service by addressing inquiries and resolving issues for healthcare providers.
• Act as a liaison between Untied Health Group and providers to assist with corporate claims handling for medical ensure billing processed accordingly under members current policy.
• Ensure compliance with HIPAA and other regulatory requirements, safeguarding information and maintaining confidentiality.

• Collaborated with cross-functional teams to enhance overall security posture and develop proactive strategies against emerging fraud trends resulted in 10% detection rate.

• Implement and monitor additional security measures to prevent unauthorized access and mitigate potential risks.

• Submitted fraud cases for debit and credit card fraud , out of $100,000 lost to fraudulent charges , $70,000 recovered, with recovery rate of $70,000.