Summary
Overview
Work History
Education
Skills
Timeline
Generic

Ijeoma Eneh

Houston,TX

Summary

Detail-oriented and assertive professional with experience in claims negotiation and customer service seeking to leverage expertise in medical claims management at Health Advocate. Committed to enhancing member satisfaction through effective communication and negotiation strategies.

Customer-focused individual with a passion for delivering exceptional service. Strong interpersonal skills with a talent for effectively addressing concerns. Committed to improving customer satisfaction and driving positive outcomes.

Overview

4
4
years of professional experience

Work History

Customer Service Representative

Progressive
Houston
01.2023 - 12.2024
  • Provided exceptional support to members by addressing inquiries related to health benefits and claims processing.
  • - Interpreted Explanation of Benefits (EOBs) for members, clarifying coverage and payment details.
  • - Conducted follow-ups to ensure member satisfaction and resolve any outstanding issues related to claims.

Claims Negotiator

Sedgwick Claims Management
Houston, Texas
06.2021 - 01.2023
  • Maintained accurate records of all negotiated deals in order to track progress over time.
  • Testified in legal proceedings to discuss labor relations and labor contracts.
  • Assessed risk factors associated with different deal structures and provided recommendations accordingly.

  • Provided exceptional support to members by addressing inquiries related to health benefits and claims processing.
  • -Interpreted Explanation of Benefits (EOBs) for members, clarifying coverage and payment details
  • Conducted follow-ups to ensure member satisfaction and resolve any outstanding issues related to claims.

Education

Public Administration

Prairie View A&M University
Prairie View, TX
05-2025

Skills

  • - Claims Negotiation
  • - Effective Communication (Verbal & Written)
  • - Customer Service Excellence
  • - Problem Solving & Conflict Resolution
  • - Familiarity with Health Insurance Coverage Types
  • - Proficient in Microsoft Office Suite (Word, Excel, PowerPoint)
  • - Internet Research Skills
  • Data entry
  • Insurance claims
  • Excellent communication
  • Computer skills
  • Tech Savy

Timeline

Customer Service Representative

Progressive
01.2023 - 12.2024

Claims Negotiator

Sedgwick Claims Management
06.2021 - 01.2023

Public Administration

Prairie View A&M University
Ijeoma Eneh