PROFESSIONAL SUMMARY
Overview
Work History
Education
Skills
Personal Information
WORK AUTHORIZATION
Timeline

DONTEZ SMITH

Elevance Health
Cincinnati,OH
17
years of professional experience

Detail-oriented insurance and customer service professional with experience supporting claims processing, medical billing, benefits inquiries, payment and denial verification, data entry, and customer account documentation.

Work History

Insurance Customer Service Representative

1 Year 1 Month
Elevance Health | 08.2025 - 09.2026

• Assisted customers with filing insurance claims accurately and efficiently while following established policies and procedures.

• Reviewed claim-related information and assisted with questions regarding benefits, payments, and claim outcomes.

• Communicated with healthcare providers to confirm payment or denial of benefits.

• Explained insurance coverage, benefits, services, and procedures to customers.

• Documented customer interactions and maintained accurate information in company systems.

• Resolved customer issues while maintaining accuracy, professionalism, and timely service.

Customer Service Associate

2 Months
Luxottica | 01.2025 - 03.2025
  • Inbound call agent, receive calls from doctors office or franchise stores to place new RX orders, Frame Orders or Stock lens orders
  • Resolve customer inquiries on the type of lens and frames and there benefits
  • Check and provide shipping information for customers and optometrist offices on current or previous orders

Tier 2 Customer Service Representative

8 Years
FIS Global Solutions | 01.2017 - 01.2025
  • Handle Inbound fraud calls and alerts for 5/3rd and other financial institutions
  • Respond quickly and accurately to meet customer needs to resolve problems regarding transactions.
  • Process claims and dispute fraudulent transactions for customers who's information has been compromised

Team Leader/Trainer

3 Years 4 Months
Best Buy | 08.2013 - 12.2016
  • Training our new staff, assist customers and Geek squad team, vendors with our current and new products
  • Restock products, handle asset protection
  • I was awarded employee of the month for the most credit card apps approved

Call Center Representative/Customer Service

11 Months
Humana | 03.2012 - 02.2013
  • Take Inbound calls, handle medical billing
  • Provided detailed information about products and services as requested by customers.
  • Used database system to record notes and call information.

Collections Representative

2 Years 4 Months
General Revenue Corp | 08.2009 - 12.2011
  • Initiated telephone contacts with delinquent customers according to departmental policies and procedures.
  • Applied knowledge of collection laws, regulations, and procedures when collecting on past due accounts.
  • Performed skip tracing activities to locate delinquent customers who had moved or changed contact information.

Education

diploma

WINTON WOODS HIGH SCHOOL | Cincinnati, OH

Skills

Claims Processing & Claims Support
Insurance Benefits Verification
Medical Billing
Payment & Denial Verification
Claims Documentation
Data Entry & Record Maintenance
Provider Communication
Insurance Policies & Procedures
Transaction Research & Resolution
Confidential Information Handling
Problem Resolution
High-Volume Customer Service

Personal Information

  • Title: CUSTOMER SERVICE REPRESENTATIVE
  • Driving License: Driver's License
  • Work Permit: True, Authorized to work in the US for any employer

WORK AUTHORIZATION

True, Authorized to work in the US for any employer

Timeline

Insurance Customer Service Representative

Elevance Health
08.2025 - 09.2026Read More

Customer Service Associate

Luxottica
01.2025 - 03.2025Read More

Tier 2 Customer Service Representative

FIS Global Solutions
01.2017 - 01.2025Read More

Team Leader/Trainer

Best Buy
08.2013 - 12.2016Read More

Call Center Representative/Customer Service

Humana
03.2012 - 02.2013Read More

Collections Representative

General Revenue Corp
08.2009 - 12.2011Read More

WINTON WOODS HIGH SCHOOL

diploma
Read More
DONTEZ SMITH