Summary
Overview
Work History
Education
Skills
Additional Information
Timeline
Generic

Kandais Newsome

Hampton,VA

Summary

Goal-oriented individual with extensive experience in dedicated customer service. Remains highly poised, positive and confident to thrive in fast-paced environments.

Overview

5
5
years of professional experience

Work History

Claims Representative

Humana
Remote, VA
09.2023 - 08.2024
  • Investigated insurance claims, reviewed coverage and liability, prepared reports and recommended payment or denial of claims.
  • Reviewed medical records, police reports and other documents related to claim investigations.
  • Maintained accurate documentation of all claim activity within designated system.
  • Utilized computer systems such as Microsoft Office Suite and specialized software programs used by the company.

Customer Service Representative

Optima Health Insurance
Norfolk, VA
08.2022 - Current
  • Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
  • Analyzed contracts and claim systems to apply appropriate benefit amounts.
  • Upheld quality control policies and procedures to increase customer satisfaction.
  • Reviewed history records to determine benefit eligibility for services.
  • Verified claim data correctness in preparation for processing.

Customer Service Representative

North Shore Animal League
Port Washington, NY
04.2019 - 06.2020
  • Fielded customer complaints and queries, fast-tracking for problem resolution.
  • Answered customer inquiries and provided accurate information regarding products and services.
  • Assisted customers with making payments or establishing payment plans to bring accounts current.
  • Maintained knowledge of current promotions, exchange guidelines, payment policies and security practices.

Education

Bachelor of Arts - Communications

Brooklyn College
Brooklyn
05.2017

Associate of Arts - Media

Nassau Community College
Garden City, NY
05.2015

Skills

  • Customer Support
  • Clerical support
  • Problem-solving abilities
  • HIPAA compliance
  • Patient scheduling
  • Clinical applications

Additional Information

  • Knowledgeable of CSC/Wintergrate
  • Knowlegable of JIVA
  • Knowledgable of Salesforce
  • Knowledgable of Macess
  • Knowledgable of Nice/Max Agent

Timeline

Claims Representative

Humana
09.2023 - 08.2024

Customer Service Representative

Optima Health Insurance
08.2022 - Current

Customer Service Representative

North Shore Animal League
04.2019 - 06.2020

Bachelor of Arts - Communications

Brooklyn College

Associate of Arts - Media

Nassau Community College

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Kandais Newsome