Kayinsola Abdulahi
Missouri City,TX
Summary
Organized and detail-oriented Investigator dedicated to improving efficiency, productivity and profitability through continuous process improvement. Analytical thinker skilled at developing innovative solutions to complex problems.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Member Service Representative
BroadPath Healthcare
09.2023 - Current
- Engage with clients via inbound and outbound calls, providing guidance and education relaying to Program eligibility.
- Conduct benefit verification and obtain insurance determination, and qualify income to ensure eligibility for supported programs
- Accurately document all client interactions and activities using CRM software, maintaining up-to-date records for over 200 clients per month.
- Ensure compliance with company policies by regularly reviewing and updating program guidelines, resulting in a 95% adherence rate during internal audit.
- Participate in ongoing training to stay informed about program changes, industry regulations, and best practices.
Claims Adjuster
GEICO
10.2021 - 08.2023
- Investigated and analyzed insurance claims to determine coverage, liability, and damages.
- Conducted thorough interviews with customers, claimants, witnesses, and third parties to gather essential information
- Provide excellent customer service by addressing inquiries, explaining coverage, and guiding policyholders through the claims process.
- Optimized Salesforce for customer relationship management, contributing to 30% increase in sales progress tracking.
- Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
Claims Trainee
Partners In Health
09.2020 - 09.2021
- Assisted senior claims adjusters in processing and managing insurance claims.
- Conducted initial investigations, gathered evidence, and prepared comprehensive claim files.
- Maintained confidentiality of patient finances, records, and health statuses.
- Communicated with clients, policyholders, and external stakeholders to facilitate the resolution of claims.
- Compiled and maintained documentation to support claims processing and reporting.
Sales Development Representative
Neiman Marcus Group Ltd
08.2019 - 09.2020
- Established relationships with prospects and customers to promote product understanding and drive sales growth.
- Developed and maintained positive relationships with key decision-makers and influencers.
- Utilized Omnichannel to manage sensitive client information and update existing and new client profiles.
- Conduct outbound prospecting through calls, emails, and networking, resulting in a 30% increase in the sales pipeline.
- Collaborate with the sales team to create targeted outreach strategies and campaigns, contributing to a 25% improvement in lead conversion rates.
Sales Representative
Dillard's
02.2014 - 06.2018
- Managed customer accounts to secure customer satisfaction and repeat business.
- Trained and mentored new sales representatives.
- Retained excellent client satisfaction ratings through outstanding service delivery.
- Developed and maintained comprehensive understanding of products, services and competitors to enhance sales presentations.
Education
BBA - Business Administration
Cameron University
Lawton, OK05.2017
Associate of Science - Health Administration
Cameron University
Lawton, OK05.2015
Skills
- Documentation and Record-Keeping
- Customer Service
- Attention to Detail
- Analytical Thinking
- Client Engagement
- Benefit Verification
- CRM Software
- Cross-functional Collaboration
- Training and Development
Certification
- Customer Success Foundation Certificate| Aspireship.
- Saas Sales Foundation Certificate| Aspireship.
- Atlassian Jira.
Timeline
Member Service Representative
BroadPath Healthcare
09.2023 - Current
Claims Adjuster
GEICO
10.2021 - 08.2023
Claims Trainee
Partners In Health
09.2020 - 09.2021
Sales Development Representative
Neiman Marcus Group Ltd
08.2019 - 09.2020
Sales Representative
Dillard's
02.2014 - 06.2018
BBA - Business Administration
Cameron University
Associate of Science - Health Administration
Cameron University
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