Summary
Overview
Work History
Education
Skills
Timeline

Janaejhia James

Cigna (Remote)
Phenix city,AL
10
years of professional experience

Seasoned Skyes with more than and Half years of experience in fast-paced at Home. Excellent Customer service and Typing skills. Dedicated Customer Service Specialist providing skills to prioritize and multi-task in fast-paced working environment. Successfully works as part of team to reach personal and business goals. Known for successfully handling escalated customer support issues. Customer-oriented, strategic-thinking sales management professional successful in cultivating partnerships, retaining top accounts and growing profit channels. Multi-tasking and self-motivated leader with expertise in expanding network connections and persuasively introducing products. Well-versed in implementing pricing models, managing vendor relations and expanding territory.

Work History

Customer Service Representative

4 Years 1 Month
Cigna (Remote) | 06.2022 - 07.2026

• Answered customer inquiries and provided accurate information

regarding products and services.

• Provided excellent customer service to resolve customer complaints in a

timely manner.

• Gathered customer feedback through surveys and used the data to

improve customer service.

• Assisted customers with product selection, ordering, billing, returns,

exchanges and technical support.

• Maintained detailed records of customer interactions, transactions and

comments for future reference.

Appointment Scheduling Respresentative

2 Years 10 Months
MDF Federal | 08.2019 - 06.2022

•Assisted with creating new policies related to scheduling procedures. Communicated changes in policy

or procedure updates to customers.

•Performed administrative duties such as filing paperwork and faxing documents.

•Trained new staff members on scheduling processes and protocols.

Provided information regarding medical services, fees, and payment options.

•Followed up with patients regarding upcoming appointments. Inputted billing information into database

system accurately.

•Adjusted schedules as needed due to cancellations or delays. Monitored patient wait times to ensure

timely service delivery.

Fraud Analyst

3 Years 4 Months
Total System Services | 03.2016 - 07.2019

• Monitored customer accounts and identified any discrepancies or irregularities in account activity.

• Performed detailed analysis of financial transactions to identify suspicious activity.

• Collaborated with other departments on investigations as needed to review evidence, analyze data,

and prepare reports for management.

• Evaluated internal control systems to ensure compliance with applicable laws and regulations related

to fraud prevention.

• Utilized specialized software tools designed for detecting patterns associated with fraudulent activity.

• Identified areas where additional controls could be implemented to prevent future fraud incidents.

Education

High School Diploma

Carver High School | Columbus, GA

Skills

• Appointment scheduling
• Billing information input
• Electronic claims processing
• Document management
• HIPAA compliance
• Customer service
• Patient communication
• Meeting coordination
• Data entry proficiency
• Strategic planning
• Ancillary services
• Claims processing
• Delivery scheduling
• Conflict mediation
• Administrative support
• Call center experience
• Complaint resolution
• System implementation
• Call management
• Live chat support
• Researching
• Call center operations
• Microsoft Office Suite

Timeline

Customer Service Representative

Cigna (Remote)
06.2022 - 07.2026Read More

Appointment Scheduling Respresentative

MDF Federal
08.2019 - 06.2022Read More

Fraud Analyst

Total System Services
03.2016 - 07.2019Read More

Carver High School

High School Diploma
Read More
Janaejhia James