Summary
Overview
Work History
Education
Skills
Timeline
Generic

Kamesia Nichols

Fort Worth,TX

Summary

Skilled in customer advocacy, claims processing and account acquisition, I excel in roles requiring medical terminology and insurance verification. I streamlined claim reimbursements and enhanced customer support, demonstrating exceptional problem-solving abilities. My background also includes boosting credit decision accuracy, showcasing my analytical prowess and commitment to customer satisfaction.

Overview

8
8
years of professional experience

Work History

Outreach Specialist

United Healthcare
01.2024 - Current
  • Made outbound calls to employer groups, and other insurance companies to gather claim information and coordination of benefits.
  • Conducted detailed research for accurate information regarding Medicare Advantage Plans.
  • Streamlined claim processing for quicker reimbursements, diligently reviewing submitted documentation.
  • Provided exceptional support to Medicare beneficiaries, guiding them through coverage options and plan details.

New Accounts Representative

Bread Financial (Comenity Bank)
05.2021 - 12.2023
  • Processed credit applications for new customers utilizing CRM Software.
  • Increased accuracy of credit decisions by diligently reviewing financial documents and verifying information.
  • Streamlined the application process for faster approvals, ensuring a positive customer experience.
  • Maintained up-to-date knowledge of credit card products, services, and policies to provide accurate information to customers.
  • Assisted clients with activating new cards, increasing usage and strengthening relationships with the financial institution.

Senior Credit Associate

Hudson Bay Company, Saks Fifth Avenue
10.2018 - 04.2020
  • Processed credit applications for Saks Fifth Avenue customers.
  • Strengthened client retention by providing exceptional service throughout the credit application process, from initial consultation to final approval.
  • Extended credit limit increases
  • Reduced delinquency rates by proactively monitoring credit accounts and taking appropriate actions when necessary.
  • Supported sales team efforts by providing valuable insights into customer credit profiles, facilitating more informed decisions.

Medicare Claims Processor

Humana
03.2016 - 09.2018
  • Managed a high volume of insurance claims, ensuring accurate documentation and prompt processing utilizing EPIC.
  • Investigated claim details thoroughly to identify potential fraud or misrepresentation, protecting company assets.
  • Placed outbound communication to physician offices to verify claimant information.
  • Served as a liaison between policyholders and various departments within the company, facilitating clear communication for seamless claim resolution.

Education

Associate of Science - Healthcare Management

Ultimate Medical Academy - Clearwater
Clearwater, FL
10.2024

High School Diploma -

Christ Missionary Industrial
Jackson, MS
05.2015

Skills

  • Medical terminology knowledge
  • Insurance Verification
  • Claims Processing
  • Account Acquisition
  • Credit analysis
  • Application processing

Timeline

Outreach Specialist

United Healthcare
01.2024 - Current

New Accounts Representative

Bread Financial (Comenity Bank)
05.2021 - 12.2023

Senior Credit Associate

Hudson Bay Company, Saks Fifth Avenue
10.2018 - 04.2020

Medicare Claims Processor

Humana
03.2016 - 09.2018

Associate of Science - Healthcare Management

Ultimate Medical Academy - Clearwater

High School Diploma -

Christ Missionary Industrial

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Kamesia Nichols