Emmele Nicholas
Overland Park,KS
Summary
Dedicated team player adept at managing customer service and claims processing for policyholders. Looking for a long-term position with a growth-oriented company.
Overview
1
1
year of professional experience
1
1
Certification
Work History
Claims and Benefits Customer Service
Cobalt Medplans
Overland Park, KS
08.2023 - Current
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
- Worked with cross-functional teams to achieve goals.
- Prioritized and organized tasks to efficiently accomplish service goals.
- Identified needs of customers promptly and efficiently.
- Conducted research into medical terminology related to healthcare claims processing activities.
- Documented changes in claim statuses using specialized software systems.
- Collaborated with other departments to resolve billing disputes or address customer concerns quickly.
- Provided clear explanations of benefits, eligibility requirements, and applicable laws when communicating with customers.
- Adhered to strict guidelines pertaining to confidentiality while handling sensitive personal information.
Education
Master of Arts - Social Work
University of Missouri Kansas City
Kansas City, MO05-2008
Skills
- Data management
- Calm under pressure
- Organizational skills
- Teamwork and collaboration
- Verbal communication
- Self-Directed
- Customer service
- Researching
Affiliations
- Toast Maters 2021 - 2022
Certification
Billing Specialist, Spectrum, Colorado Springs 2022 - 2023
General Office Assistant, California Casualty, Colorado Springs 2021 - 2022
Medicare Insurance Broker, Colorado Springs 2016 - 2022
Health Insurance Broker, Health Markets, Colorado Springs 2014 - 2016
Mental Health Counselor, Aspen Point Counseling, Colorado Springs 2013 - 2014
Clinical Assessment Counselor, Ceder Springs, Colorado Springs 2012 - 2013
CPC Certified Professional Coder
Formerly Licensed Social Worker
Formerly Licensed Substance Abuse Counselor
Formerly Licensed Health/Life Insurance, Colorado
Timeline
Claims and Benefits Customer Service
Cobalt Medplans
08.2023 - Current
Master of Arts - Social Work
University of Missouri Kansas City