Janayia Davis
Louisville,KY
Summary
Working knowledge of company based computer systems. Result-oriented individual with proven experience in meeting goals and deadlines. Very detailed with organization and balance skills. Seeking a position that will benefit from my customer service and dental assisting experience, positive interaction skills where my experience can improve the customer satisfaction. Obtain a position as a team-player in a people-oriented organization where I can maximize my customer service experience in a challenging environment to achieve the corporate goals.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Claims Research & Resolution Representative 2
Humana
Louisville, KY
03.2022 - Current
- The Claims Research & Resolution Representative 2 works with insurance companies, providers, members, and collection services in the settlement of claims
- Comprised of a group of calls/claims/provider associates researching the resolution to a pending call
- Decisions are typically focus on interpretation of area/department policy and methods for completing assignments
- Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction.
Consumer Service Operations Representative 3
Humana
Louisville, KY
08.2020 - 03.2022
- May perform installation, implementation, client support, client services, client administration, customer service, enrollment/disenrollment and eligibility, claims processing, and call center operations and AE pends knowledge
- Investigates and settles claims and customer service issues
- Decisions are typically focus on methods, tactics and processes for completing administrative tasks/projects
- Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and works under limited guidance due to previous experience/breadth and depth of knowledge of administrative processes and organizational knowledge.
Consumer Service Operations Representative 2
Humana
Louisville, KY
08.2019 - 08.2020
- Provide internal customer support to and with agents and brokers while performing administrative duties in assisting agents with commissions, updating demographic information, pending client concerns and issues, establishing and updating new approved client’s demographics and eligibility issues, assisting agents with providing insurance quotes and performing provider lookups.
Dental Assistant/Patient Coordinator
RUBY DENTAL AND BRACES
Louisville, KY
01.2019 - 08.2019
- Perform variety of patient care, work chair-side, and laboratory duties
- Also front office work including scanning charts, taking payments, and scheduling appointments.
Customer Resolution Specialist
Computershare
Louisville, KY
10.2017 - 08.2018
- Assist shareholders of various companies handle their stock accounts, research account information through web based systems to resolve that account issue and document all of it, assist customers with setting up payment inquiries on accounts.
Representative, Provider Services
Passport (Randstad)(TEMP)
Louisville, KY
06.2017 - 08.2017
- Respond in a timely manner to all provider and customer inquiries
- Assist with provider phone calls or correspondence regarding benefit, eligibility, and all other inquiries as well as identifying and responding to grievances and dissatisfaction
- Identifies provider/member issues and refers them to the appropriate department.
Customer Care Professional
Teleperformance Communications
Louisville, KY
09.2016 - 06.2017
- Responsible for all customer inquiries, provide excellent customer service, troubleshoot equipment and system problems, resolve issues on first call, appropriately communicate with upset customers to resolve their inquiries, thrives as a team player.
Customer Relations Representative
Charter Communications
Louisville, KY
05.2016 - 09.2016
- Provide basic customer support related to Charter services, including troubleshooting internet/phone issues and handling basic customer billing inquiries and payments, responsible for establishing and maintaining professional and positive relationships with customers on behalf of Charter and ensuring issues are addressed consistently with company policies and practices, effectively present and discuss Charter products and services, convey an image of quality, integrity and superior understanding regarding services.
Customer Service Representative
FirstSource Call Center
Louisville, KY
07.2015 - 05.2016
- Basic troubleshooting and/or how-to for hardware and software applications
- Verify proper installation and devices are reporting
- Verify proper installation and devices are reporting
- General account maintenance such as password resets, deactivation cancellation, other questions that are nontechnical
- Responsible for the day-to-day operation of the call center duties such as answer incoming calls, assist customers
- Verifies all entries and makes corrections if necessary
- Responds to customer billing and statement inquires.
Education
Certificate of Completion - Dental Assisting
The Medical Institute of Kentucky
Elizabethtown, KY03.2019
Sports Marketing -
University of Louisville
Louisville, KY01.2013
High school -
Louisville Male Traditional High School
Louisville, KY01.2013
Skills
- CUSTOMER SERVICE (8 years)
- 50 WPM
- MICROSOFT EXCEL
- MICROSOFT OFFICE
- Digital X-rays
- Room Sterilization
- Instrument Sterilization
- Mixing Alginate Impressions
- Taking Impressions
- Vitals
- Teamwork
- Dental Assistant
- Scheduling
- Sterilization
Certification
- EDDA, 10/01/18, Present
- OSHA, 01/01/19, Present
- HIPPA, 01/01/19, Present
- CPR, 12/01/18, 12/01/20
- KY Dental Radiation Safety & Techniques, 10/01/18, Present
Timeline
Claims Research & Resolution Representative 2
Humana
03.2022 - Current
Consumer Service Operations Representative 3
Humana
08.2020 - 03.2022
Consumer Service Operations Representative 2
Humana
08.2019 - 08.2020
Dental Assistant/Patient Coordinator
RUBY DENTAL AND BRACES
01.2019 - 08.2019
Customer Resolution Specialist
Computershare
10.2017 - 08.2018
Representative, Provider Services
Passport (Randstad)(TEMP)
06.2017 - 08.2017
Customer Care Professional
Teleperformance Communications
09.2016 - 06.2017
Customer Relations Representative
Charter Communications
05.2016 - 09.2016
Customer Service Representative
FirstSource Call Center
07.2015 - 05.2016
Certificate of Completion - Dental Assisting
The Medical Institute of Kentucky
Sports Marketing -
University of Louisville
High school -
Louisville Male Traditional High School