Summary
Overview
Work History
Education
Skills
Timeline
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Keana Knight

Jackson,MS

Summary

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Overview

3
3
years of professional experience

Work History

Claims Representative

Alight Solutions
09.2023 - Current
  • Improved customer satisfaction by providing timely and accurate information on claim status and resolution.
  • Developed strong relationships with clients, facilitating trust and open communication during the claims process.
  • Conducted detailed assessments of claims documents, ensuring accuracy and completeness before submission for approval.
  • Provided exceptional customer service, addressing concerns and resolving issues promptly to maintain client satisfaction.
  • Analyzed and addressed escalated claims to resolve issues quickly.
  • Worked productively in fast-moving work environment to process large volumes of claims.

Eligibility Specialist

MMC
05.2022 - 09.2023
  • Enhanced client satisfaction by providing timely and accurate eligibility determination for various assistance programs.
  • Streamlined application process for clients by implementing efficient case management techniques, improving overall service.
  • Collaborated with multidisciplinary teams to ensure comprehensive support for clients in need of assistance.
  • Reduced errors in eligibility determinations by maintaining thorough knowledge of program guidelines and regulations.
  • Followed guidelines when reviewing applicant data to determine eligibility for economic assistance.
  • Assisted clients with accurate eligibility form, application and document completion.

Healthcare Customer Service Representative

Humana
05.2021 - 04.2022
  • Boosted customer retention by promptly handling complaints and providing appropriate solutions.
  • Delivered exceptional support during high call volume periods by maintaining composure and professionalism under pressure.
  • Reduced patient wait times while improving satisfaction levels through efficient problem resolution skills tailored to each unique situation.
  • Stayed calm under pressure to and successfully dealt with difficult situations.
  • Providing excellent customer service by promptly answering patient inquiries.
  • Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.

Education

High School Diploma -

Murrah High School
Jackson, MS
05.2018

Skills

  • Coverage Determination
  • Interpersonal Communication
  • Time Management
  • Database Management
  • Team Collaboration
  • Conflict Resolution
  • Decision-Making
  • Customer Service
  • Data Entry
  • Flexible Schedule
  • Document Control
  • Critical Thinking

Timeline

Claims Representative

Alight Solutions
09.2023 - Current

Eligibility Specialist

MMC
05.2022 - 09.2023

Healthcare Customer Service Representative

Humana
05.2021 - 04.2022

High School Diploma -

Murrah High School

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Keana Knight