Keiyana Eagans
Dallas,TX
Summary
I have honed a skill set that enables me to excel in delivering exceptional service during my routine telephone interactions. By embodying a friendly disposition, a dedication to professionalism, and a proactive attitude, I contribute substantial worth to any team. Equipped with strong communication and interpersonal skills, I excel in team environments while also showcasing independence as necessary. My unwavering commitment and consistent performance underscore my ability to make a positive difference in any organization.
Overview
3
3
years of professional experience
1
1
Certification
Work History
Patient Care Specialist
Cigna
, Texas
03.2023 - 05.2024
- Handle incoming calls from policyholders, providers, and pharmacies regarding coverage, claims, and benefits.
- Assist policyholders with online account access, billing inquiries, and routine account maintenance.
- Handle escalated situations with professionalism, aiming for timely resolutions.
- Collaborate with internal teams such as claims processing and enrollment to promptly resolve customer concerns.
- Participate in ongoing training to stay current on changes in health insurance industry policies, procedures, and regulations.
Customer Service Representative
Lumeris
Dallas, Texas
03.2022 - 10.2022
- Offering customer support through phone and email for a range of products and services.
- Helping customers with questions about plan coverage, benefits, claims, and enrollment.
- Addressing customer complaints and escalating issues as necessary for prompt resolution.
- Recording all interactions and keeping precise records of customer queries and resolutions.
- Supporting team objectives by meeting and surpassing individual performance goals.
Insurance Claims Adjuster
Alacrity
Dallas, Texas
02.2021 - 02.2022
- Conduct thorough investigations on auto insurance claims to ascertain coverage, liability, and the extent of damages.
- Scrutinize policy terms and relevant regulations meticulously to ensure precise evaluation of claims and determine coverage adequacy.
- Engage with clients, agents, and external partners to acquire essential data and paperwork efficiently.
- Facilitate claims payments and disburse checks to customers and repair facilities.
- Coordinate with internal teams including underwriting and legal departments to address intricate claims matters.
- Uphold meticulous documentation of claim procedures and maintain comprehensive records within the organization's claims management
system.
Education
High School Diploma -
Lancaster High School
Lancaster, TX06-2019
Skills
- Healthcare software expertise
- Medical terminology knowledge
- Quality Improvement
- HIPAA Compliance
- Problem-solving abilities
- Problem-Solving
- Teamwork and Collaboration
- Time Management
- Decision-Making
Certification
LICENSE
State: Texas
All-Lines Adjuster License
Status: Active
Timeline
Patient Care Specialist
Cigna
03.2023 - 05.2024
Customer Service Representative
Lumeris
03.2022 - 10.2022
Insurance Claims Adjuster
Alacrity
02.2021 - 02.2022
High School Diploma -
Lancaster High School
LICENSE
State: Texas
All-Lines Adjuster License
Status: Active
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