Dominic Gantt
Chattanooga,TN
Summary
To obtain a challenging position that exhibits growth opportunities and allows me to enhance my professional skills. Detail-oriented Account Specialist focused on resolving issues and maintaining customer loyalty. Strong critical thinking skills with a methodical approach. Knowledgeable about insurance practices and documentation requirements.
Overview
13
13
years of professional experience
Work History
Membership Account Specialist
BlueCross BlueShield of Tennessee
02.2018 - Current
- Responsible for over 900 groups, analyze problems and provide information/solutions
- Thoroughly document inquiry outcomes for accurate tracking and analysis
- Respond to Brokers and Group Administrators regarding billing information
- Maintain proper records of payment receipts, refunds, COBRA notifications and other transactions to assure proper audit trails for compliance purposes
- Manage member contribution allocations for HRA and HSA products
- Proactively represent the Commercial Membership Administration division and by active participation in assigned workgroups
- Act as a EDI Liaison between electronic submitters and vendors to promote and retain EDI business
- Process Commercial Member Enrollments; including but not limited to enrollments, exception decision, changes and terminations within the automated workflow system, or manually if request is in paper form within specified timeframes outlined and based on applicable documents
- Analyzed financial data and generated accurate, insightful reports for management.
- Deliver strategic guidance and technical support for special projects and key corporate initiatives
- Reconciled customer accounts and identified discrepancies for further investigation.
Sales Associate
Dilliards
10.2018 - Current
- Greeting and interacting with customers, include working closely with customers to determine their needs
- Answer their questions about our products and recommend the right solutions
- Helping procure appropriate purchases through suggestive selling.
- Worked to meet or exceed special targets around selling products in a commissionable environment.
Service Expert
Medicare Advantage Customer, BlueCross BlueShield of Tennessee
03.2014 - 02.2018
- Maintain telephone performance goals established by specified division
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
- Take appropriate action to resolve inquiries timely and accurately using first call resolution
- Provide same high quality service to walk-in inquiries that is provided for telephones inquires
- Manage personal and others coworkers' pended inquiry log to ensure timely and accurate resolutions
- Work with all departments in division or company to resolve customer service inquiry issues
- Complete special projects that are given from supervisor and team leads
Medicare Telephonic Enrollment Specialist
BlueCross BlueShield Of Tennessee
09.2013 - 12.2013
- Assisting customers in enrolling in Medicare benefits
- Interviewed applicants and explained scope of different available benefits.
- Followed guidelines when reviewing applicant data to determine eligibility for economic assistance.
Field Traffic Controller
Comcast
07.2010 - 08.2013
- Facilitated the execution of the technicians routes to ensure customers time frames were met
- Contacted customers to confirm appointments
- Performed over the phone troubleshooting with customers
- Coordinate performance improvement helping technicians met timeframe goals
Education
Chattanooga State Community College
Chattanooga, TNBrainerd High School
Chattanooga, TN05.2009
High School Diploma -
Austin Peay State University
Clarksville, TNSkills
- Written and Verbal Communication Skills
- Problem Solving Skills
- Microsoft Office Suite
- Proficient Outlook
- Excellent Leadership Skills, with approachable demeanor
- IPD Solutions Suites
- Marx
- Self-starter
- CMS Website Search
- Cactus
- Facets
- Care Advance
- Process claims using CPT/HCPCS and ICD9 coding procedures and guidelines
- IBM/BPM
- Express Scripts (ESI)
- Financial Compliance
- Contact Management Systems
- Billing Resolutions
Timeline
Sales Associate
Dilliards
10.2018 - Current
Membership Account Specialist
BlueCross BlueShield of Tennessee
02.2018 - Current
Service Expert
Medicare Advantage Customer, BlueCross BlueShield of Tennessee
03.2014 - 02.2018
Medicare Telephonic Enrollment Specialist
BlueCross BlueShield Of Tennessee
09.2013 - 12.2013
Field Traffic Controller
Comcast
07.2010 - 08.2013
Chattanooga State Community College
Brainerd High School
High School Diploma -
Austin Peay State University