Summary
Overview
Work History
Education
Skills
Education and Training
Certification
Timeline
Generic

Justice Knox

Dayton,OH

Summary

Member Service Specialist with extensive experience at CareSource Medicaid, focusing on customer engagement and policy analysis. Demonstrated success in enhancing service delivery and meeting sales targets through strategic relationship building. Skilled in navigating complex insurance regulations while ensuring compliance and maintaining high attention to detail.

Overview

4
4
years of professional experience
1
1
Certification

Work History

Member Service Specialist

CareSource Medicaid
Dayton, OH
07.2024 - Current
  • Answered inbound calls from wide range of members, welcoming callers.
  • Utilized wide range of technical systems and company equipment to optimize operations and workflow.
  • Explained various types of accounts available to customers in order to meet their individual needs.
  • Improved product knowledge on continuous basis to provide optimal service and achieve sales quotas.
  • Recommended improvements in products, service and billing methods to management to prevent future problems.

Licensed Health Insurance Agent

Health Plan One
07.2023 - 05.2024
  • Resolved customer complaints by providing prompt solutions or referring them to the appropriate departments.
  • Educated customers on available insurance plans and demonstrated knowledge of healthcare reform initiatives related to Medicare coverage options.
  • Provided Medicare customers with guidance and assistance in selecting the most appropriate insurance plans.
  • Conducted research to ensure compliance with applicable regulations and laws governing Medicare insurance.
  • Evaluated applicant data to determine eligibility for economic assistance, maintaining a high level of respect and patience when engaging with individuals from various cultural backgrounds daily.

Support Associate

Pure Ohio Wellness
Dayton, OH
04.2021 - 09.2023
  • Answered incoming calls, took messages, and transferred calls to appropriate departments or personnel; scheduled and confirmed appointments.
  • Assisted in maintaining office supplies inventory by checking stock to determine inventory level; anticipating needed supplies; placing orders for supplies; and verifying receipt of supplies.
  • Provided administrative support to staff members including typing, filing, scanning, and copying documents, and maintained an organized filing system of confidential client information in compliance with state policy.
  • Processed customer payments in accordance with company policies and procedures using cash registers or point-of-sale terminals.
  • Updated and maintained client accounts by recording and updating customer information.

Education

Licensing - Health And Accident Insurance NPN#20618045

Xcel Solutions Online
Remote
03-2023

Certification - Certified Customer Service/Sales Specialist

AmeriCorp/YouthBuild
Dayton, OH
08-2021

High School Diploma -

Meadowdale High School
Dayton, OH
05-2014

Skills

  • Policy analysis
  • Goal oriented
  • Needs assessment
  • Compliance knowledge
  • Document preparation
  • File management
  • Collecting information
  • Verifying data accuracy
  • Insurance knowledge
  • Sales reporting
  • Customer engagement
  • Continuous improvement
  • Relationship building
  • Attention to detail
  • Customer follow-up

Education and Training

other,other,other

Certification

  • Health and Accident Licensing NPN #20618045- 03/2023
  • NFR Foundation- Certified Customer Service and Sales Specialist- 04/2020

Timeline

Member Service Specialist

CareSource Medicaid
07.2024 - Current

Licensed Health Insurance Agent

Health Plan One
07.2023 - 05.2024

Support Associate

Pure Ohio Wellness
04.2021 - 09.2023

Licensing - Health And Accident Insurance NPN#20618045

Xcel Solutions Online

Certification - Certified Customer Service/Sales Specialist

AmeriCorp/YouthBuild

High School Diploma -

Meadowdale High School

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