DeShauna Harris
Charlotte,NC
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
Work History
Pharmacy Benefits Manager
CVS Pharmacy
05.2023 - Current
- Delivered high-quality customer service through prompt resolution of inquiries from members, providers, or other parties involved in the delivery of pharmacy benefits services.
- Developed comprehensive drug formularies, ensuring access to safe, effective, and affordable medications for members.
- Educated members about their prescription drug coverage options, empowering them to make informed decisions about their healthcare needs.
Senior Fraud Specialist
Wells Fargo
12.2022 - 04.2023
- Tracked fraud cases and monitored trends to develop strategies for prevention.
- Contacted customers directly to notify of fraudulent activity and minimize impacts.
- Evaluated customer data to identify and prevent fraudulent activities.
- Reviewed transactions and receipts to identify any suspicious activity.
Senior Benefits Specialist Team Leader
Humana
08.2020 - 05.2022
- Handled contacts from existing clients and escalated calls to customer service centers for completion.
- Held weekly team meetings to inform team members on company news and updates.
- Developed and updated tracking spreadsheets for process monitoring and reporting.
- Conducted training and mentored team members to promote productivity, accuracy, and commitment to friendly service.
- Managed leave requests and absences and arranged covers to facilitate smooth flow of operations.
- Monitored team performance and provided constructive feedback to increase productivity and maintain quality standards.
- Monitored time and attendance, enforcing compliance with company procedures relating to absenteeism.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Analyzed and addressed escalated claims to resolve issues quickly.
- Checked documentation for accuracy and validity on updated systems.
- Verified client information by analyzing existing evidence on file.
- Collaborated with internal departments and external vendors to achieve fast resolution of claims.
- Followed up with customers on unresolved issues.
- Coordinated with contracting department to resolve payer issues.
Medicare Sales Agent
GoHealth
07.2019 - 07.2020
- Collected information from clients about financial resources and needs to better understand their situations and select the best products
- Promoted plans by skillfully explaining features and advantages and turning objections around to complete sales
- Finalized sales and collected necessary deposits.
- Educated clients on insurance policies and procedures.
Business Phone Banker II
Wells Fargo
06.2018 - 03.2019
- Guided customers through banking services and mobile banking tools to promote products and increase efficiency with lower face-to-face burden
- Consistently met sales quotas by discussing bank products with customers, including loans, credit cards and lines of credit
- Complied with applicable banking laws and regulations and followed company security and operational procedures.
- Helped customers complete online banking services and assisted with user access problems such as forgotten passwords.
- Completed transactions for customers and capitalized on opportunities to cross-sell products and services.
- Used CRM system daily to maximize service opportunities and enhance communication.
Medicare Sales Agent
UnitedHealthcare
07.2016 - 01.2018
- Finalized sales and collected necessary deposits.
- Educated clients on insurance policies and procedures.
- Collected premiums on or before effective date of coverage.
- Monitored customer feedback and identified areas of improvement.
- Calculated premiums and established payment methods for sales.
Education
DIPLOMA - Medical Science
Phillip O Berry Academy Of Technology
Charlotte, NC06.2013
Skills
- Overseeing Daily Activities
- Daily Workflow Improvement
- Sales Expertise
- Coaching and Mentoring
- Insurance Terminology
- Critical Thinking
- Accounts Payable and Accounts Receivable
Timeline
Pharmacy Benefits Manager
CVS Pharmacy
05.2023 - Current
Senior Fraud Specialist
Wells Fargo
12.2022 - 04.2023
Senior Benefits Specialist Team Leader
Humana
08.2020 - 05.2022
Medicare Sales Agent
GoHealth
07.2019 - 07.2020
Business Phone Banker II
Wells Fargo
06.2018 - 03.2019
Medicare Sales Agent
UnitedHealthcare
07.2016 - 01.2018
DIPLOMA - Medical Science
Phillip O Berry Academy Of Technology