Jemika Moore
Rockwall,TX
Summary
Highly motivated team member ready to tackle new responsibilities.,Demonstrated strong work ethic and flexibility in diverse situations.,Effectively Learned new skills and completed tasks independently.
Overview
7
7
years of professional experience
Work History
Patient Care Advocate
Cigna Group
Rockwall, TX
11.2025 - 08.2026
- Facilitated communication between patients and healthcare providers to resolve concerns efficiently.
- Assisted in navigating complex insurance processes to improve patient understanding of coverage options.
- Educated patients on health plan benefits, enhancing overall satisfaction and engagement with services.
- Coordinated care plans with multidisciplinary teams to ensure comprehensive patient support and follow-up.
Claims Rep-Remote
AAA
Mesquite, TX
12.2021 - 09.2025
- Processed claims by reviewing policy details and customer information.
- Communicated with clients to gather necessary documentation for claims.
- Evaluated claims to determine coverage and eligibility based on company policies.
- Provided support to clients through clear explanations of claims processes.
- Handled customer inquiries regarding insurance policy coverage details and payment status updates.
- Analyzed claim data to identify trends, improving accuracy and reducing processing times.
Member Service Rep
NCD Dental
Mesquite, TX
04.2019 - 11.2021
- Assisted customers with account inquiries and service requests.
- Processed member applications and maintained accurate account records.
- Resolved conflicts by addressing customer concerns promptly and effectively.
- Conducted follow-up calls to ensure member satisfaction with services provided.
- Answered incoming calls regarding membership benefits and services.
- Provided support to members regarding account inquiries, processing transactions, and resolving issues.
- Assisted in resolving member issues, ensuring prompt and effective solutions to enhance satisfaction.
Education
Associates Degree -
Eastfield College
Mesquite, TX2025
High School -
West Mesquite H.S
Mesquite, TX05.2015
Skills
- Medical terminology
- Communication skills
- Problem resolution
- Team collaboration
- Attention to detail
- Insurance verification
- Healthcare software navigation
- HIPAA compliance
- Customer service
- Product knowledge
- Return policies
- Inbound call answering
- CRM management
- Conflict resolution
Timeline
Patient Care Advocate
Cigna Group
11.2025 - 08.2026
Claims Rep-Remote
AAA
12.2021 - 09.2025
Member Service Rep
NCD Dental
04.2019 - 11.2021
Associates Degree -
Eastfield College
High School -
West Mesquite H.S