KATRINA TUCKER
Las Vegas
Summary
Detail-oriented Healthcare Claims and Customer Support Specialist with 6+ years of experience supporting members, processing claims, verifying data accuracy, and resolving complex inquiries. Proven ability to interpret policies, manage high-volume workloads, and maintain accuracy while meeting performance metrics. Recognized for professionalism, clear communication, and efficiency in remote and fast-paced environments.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Customer Advocate
Concentrix (United Healthcare)
07.2024 - 02.2026
- Support healthcare members with benefits, eligibility, and claims inquiries
- Resolve complex provider and member issues with high satisfaction ratings
- Interpret coverage policies and document claim interactions accurately
- Manage multiple systems simultaneously in fast-paced environment
Seasonal Operations Specialist
Teleperformance
11.2024 - 02.2025
- Coordinated client account support and resolved service concerns
- Handled high-volume calls while navigating multiple systems
- Maintained accurate documentation and workflow efficiency
Customer Service Representative
24-7 InTouch
03.2023 - 12.2023
- Resolved account and tax-related inquiries accurately and professionally
- Reduced resolution times by 30% through analytical troubleshooting
- Maintained compliance and detailed account documentation
Direct Support Professional
Journeys Community Services
01.2022 - 11.2023
- Supported residents with daily care and documented health updates
- Implemented behavior strategies improving cooperation by 20%
- Coordinated with healthcare teams to support individualized care plans
Dispatch/Data Entry Specialist
Security Partners
03.2017 - 12.2019
- Maintained accurate records and reduced entry errors by 15%
- Improved response efficiency by 25% through workflow adjustments
- Handled high-volume inquiries while ensuring data accuracy
Education
Esthetics Certification -
Avalon Institute
High School Diploma - undefined
Rio Mesa High School
Skills
- Medical Claims Processing
- Claims Review & Adjudication
- CPT & ICD-10 Familiarity
- Insurance Policy Interpretation
- Appeals & Denials Handling
- HIPAA Compliance Awareness
- Electronic Health Records (EHR)
- CRM & Call Center Systems
- Data Entry Accuracy
- Quality Assurance
- Documentation & Reporting
- Member & Provider Support
- Multitasking in Dual-Screen Environments
- Remote Work Productivity Tools
- Problem Solving
- Time Management
- Attention to Detail
- Upselling strategies
- Customer services
Certification
- CPR
- First Aid
- Certified Home Health Aide
- QIDP
- QMHP
- CompTIA Security+
Timeline
Seasonal Operations Specialist
Teleperformance
11.2024 - 02.2025
Customer Advocate
Concentrix (United Healthcare)
07.2024 - 02.2026
Customer Service Representative
24-7 InTouch
03.2023 - 12.2023
Direct Support Professional
Journeys Community Services
01.2022 - 11.2023
Dispatch/Data Entry Specialist
Security Partners
03.2017 - 12.2019
High School Diploma - undefined
Rio Mesa High School
Esthetics Certification -
Avalon Institute