Dominque Nichols
Phoenix
Summary
Dynamic and motivated professional eager to leverage strong communication skills and attention to detail in an entry-level customer service or data entry role. Proven ability to handle diverse tasks efficiently while maintaining a positive attitude in fast-paced environments. Committed to delivering exceptional service and ensuring customer satisfaction through effective problem-solving and organizational skills. Prepared to contribute to team success and support organizational goals with enthusiasm and dedication.
Overview
2020
2020
years of professional experience
Work History
Medical Claims Team Lead/Trainer/Auditor
ImageNet
2024 - 2025
- Assign claims to team members based on workload and expertise
- Conduct performance reviews and provide feedback to team members
- Training new team members on outpatient claims based on training materials provided by client
- Conducting regular quality reviews of claims to identify areas of improvement
- Developed comprehensive training programs for new hires, resulting in improved productivity and job satisfaction.
- Collaborated with management to identify skill gaps and create targeted training initiatives.
Grievance Specialist
Cognizant (Aerotek)
01.2020 - 01.2020
- Effective and timely written and verbal communication with clients
- Ensured each new case had all the required elements for processing
- Maintained detailed records of all grievance cases, ensuring accurate reporting and data analysis opportunities.
- Improved customer satisfaction by efficiently handling and resolving grievances.
Trainer/Claims Processor
Cognizant (Aerotek)
01.2019 - 01.2020
- Provided adequate training on how to research and process Veteran Affairs claims and corrections
- Provided floor support and coaching
- Reviewed and researched claims while utilizing multiple systems and platforms to accurately capture client data
- Processed new day pends and claim corrections to ensure that the proper payment was applied to each claim
- Mentored new hires, resulting in stronger staff development and increased productivity.
- Provided one-on-one mentoring to help individuals reach their full potential within the organization.
Complaints & Grievances Liaison
Oscar Health Insurance (Randstad)
01.2019 - 01.2019
- Ensured each new case had all the required elements for processing
- Developed effective and professional working relationships with internal and external stakeholders
- Effective and timely written and verbal communication with clients
- Wrote and managed outbound documents, correspondence and reports in required timeframes
Data Entry Processor
Oakwood Worldwide
01.2018 - 01.2019
- Reviewed and processed invoices in sales tracking system
- Audit Lease Agreements
- Completed data entry tasks with accuracy and efficiency.
Account Manager
Discover
01.2018 - 01.2018
- Answered customer’s questions regarding their credit card accounts and offers
- Assisted customers with account updates and transactions
- Communicated products and services to potential customers
Human Resources
Wells Fargo (Randstad)
01.2017 - 01.2017
- Articulated complex health benefit options to plan participants
- Enrolled team members into their requested healthcare plan
- Assisted guest with navigating their customer profiles online
Client Service Representative
MassMutual
01.2016 - 01.2017
- Provided customer care to members with questions and concerns about pension plans
Claims Associate Representative
United Health Care
01.2012 - 01.2016
- Reviewed and researched claims while utilizing multiple systems and platforms to accurately capture client data
- Ensured that the proper benefits were applied to each claim by using the appropriate processes and procedures
- Completed on a daily basis all data entry required to document and communicate the status of claims as needed adhering to all reporting requirements
- Met the performance goals established for the position in the areas of: efficiency, accuracy, quality, member satisfaction and attendance
- Work from Home
Claims Processor
Welborn Health Plans
01.2011 - 01.2012
- Entered medical claims into Pegasys and Rumba
- Followed adjudication policies and procedures to ensure proper payment of claims
Education
Accounting
Ivy Tech Community College
Evansville, IN01.2009
Skills
- Proficient in Microsoft Office
- Coaching and mentoring
- Feedback delivery
- Employee engagement
- Team leadership and supervision
- Multitasking and organization
- Verbal and written communication
- Data entry
Accomplishments
- Honor Roll
- Ivy Tech Community College 2007-2008
- Volunteer tutor at Detroit Public School 2006-2007
- 1st place Interviewing Skills (Regional Level) 2001
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Grievance Specialist
Cognizant (Aerotek)
01.2020 - 01.2020
Trainer/Claims Processor
Cognizant (Aerotek)
01.2019 - 01.2020
Complaints & Grievances Liaison
Oscar Health Insurance (Randstad)
01.2019 - 01.2019
Data Entry Processor
Oakwood Worldwide
01.2018 - 01.2019
Account Manager
Discover
01.2018 - 01.2018
Human Resources
Wells Fargo (Randstad)
01.2017 - 01.2017
Client Service Representative
MassMutual
01.2016 - 01.2017
Claims Associate Representative
United Health Care
01.2012 - 01.2016
Claims Processor
Welborn Health Plans
01.2011 - 01.2012
Medical Claims Team Lead/Trainer/Auditor
ImageNet
2024 - 2025
Accounting
Ivy Tech Community College
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