Dianna Dunn
Hampton,VA
Summary
Motivated employee with a strong desire for new challenges. Possessing a solid work ethic, adaptability, and exceptional interpersonal skills. Able to work unsupervised and acquire new skills quickly. Focused on customer service, multitasking, and time management. Dedicated to providing each customer with a positive and memorable experience. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
8
8
years of professional experience
Work History
Investment Services Processor
Capital Group
09.2022 - Current
- Accurate, timely and efficient processing of all investment activities Reviews investment requests to verify that each submission includes all appropriate documentation and is titled properly to ensure ownership through client's self-directed IRA
- Handle activities related to financial planning, investing, and managing a portfolio for individuals or organizations.
- Processing up to 40-50 investments per day.
- Reduced errors with meticulous attention to detail and thorough review of documentation.
Seasonal Customer Service Associate
Medvantx Pharmacy Services
06.2021 - 11.2021
- Assisted with setup of delivery for patients’ medication
- Contacted Healthcare providers to submit Rx refills
- Processed payments
- Sent/Received Faxes
- Assisted customers via live chat.
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
- Processed orders accurately and efficiently, ensuring timely delivery of products or services to customers.
Seasonal Benefits Enrollment Specialist
CVS Health
03.2021 - 05.2021
- Answering incoming calls about products and services
- Explaining to colleagues, documents needed to process benefits application
- Assisting colleagues with enrolling in healthcare benefits.
- Explained benefits to plan participants in easy-to-understand terms in order to educate each on available options.
- Provided exceptional customer service to employees, addressing concerns regarding their benefits packages.
Customer Service/Claims Specialist
WPS Health Solutions
09.2017 - 03.2020
- Receive telephone, written, fax, and e-mail inquiries concerning TRICARE eligibility, benefits determinations, and claims adjudication questions or billing problems
- Educate providers on billing requirements of TRICARE to reduce claim problems
- Respond to inquirer using various forms of communication (written letter, telephone, web, or email) within time frames to exceed contractual standards
- Submit claims for adjudication, correction, payment, or review as appropriate
- Complete research and provide final resolution to inquiries within contractual requirements.
- Collaborated with cross-functional teams to optimize claims handling procedures, resulting in improved productivity.
- Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
Member Service Representative
Sutherland Global Services
08.2016 - 09.2017
- Professional agents answer inbound calls to provide exceptional support to customers
- These calls could include questions regarding benefits, coverage, plan options, claims, payments, and other general questions
- Consistently meet established productivity, schedule adherence, and quality standards
- Provide excellent customer service
- Consistently meet cycle time/productivity goals that are aligned with corporate objectives
- Ability to consistently meet cycle time/productivity goals
- Ability to interpret and comprehend Current Procedural Terminology Codes (CPT) and International Classification of Diseases (ICD-10).
Education
High School Diploma -
Kecoughtan High School
Hampton, VA06.2001
Skills
- Claim Processing
- Multi-line Phone Systems
- Benefits Administration
- Document Review
- Multitasking and Organizing
- Data Entry
- Information Protection
- Critical Thinking
- Payments Posting
- Claims Processing
- Insurance Terminology
- Information Verification
- Microsoft Office
- Appointment Scheduling
- Medical Terminology
Timeline
Investment Services Processor
Capital Group
09.2022 - Current
Seasonal Customer Service Associate
Medvantx Pharmacy Services
06.2021 - 11.2021
Seasonal Benefits Enrollment Specialist
CVS Health
03.2021 - 05.2021
Customer Service/Claims Specialist
WPS Health Solutions
09.2017 - 03.2020
Member Service Representative
Sutherland Global Services
08.2016 - 09.2017
High School Diploma -
Kecoughtan High School