KIYA WILLIAMS
MCDONOUGH,US
Summary
Customer service professional with experience in health insurance, effectively verifying coverage details and educating members on their benefits. Possesses strong problem-solving, multitasking, and navigation skills to ensure efficiency and member satisfaction. Committed to advocating for members and fostering a supportive environment.
Overview
2
2
years of professional experience
Work History
MEMBER SERVICES REPRESENTATIVE
Alorica Inc.
07.2023 - 12.2024
- Thoroughly investigated health insurance coverage issues and resolved disputes by reaching out to providers on members' behalf.
- Provided empathetic support to members through the use of active listening, ensuring clear communication and understanding of their benefits.
- Verified coverage details and educated members on any additional programs they may have qualified for.
- Fulfilled requests for member materials promptly and accurately via service requests.
MEMBER SERVICES REPRESENTATIVE
Conduent Inc.
06.2023 - 01.2024
- Maintained accurate records of member interactions, allowing for seamless and effective follow-up service requests.
- Educated members on account alerts, benefit changes, and any additional relevant programs they may have qualified for.
- Thoroughly investigated health insurance coverage issues and resolved disputes by reaching out to providers on members' behalf.
- Assisted members in navigating online portals and mobile applications to promote self-service options and enhance member engagement.
Education
AAS - MARKETING MANAGEMENT
Atlanta Technical College
Atlanta, GASkills
- Customer Service
- Call Center Operations
- Attention to Detail
- Telephone Etiquette
- Microsoft Office
- HIPAA Compliance
- Multitasking
- De-escalation
- Empathy
- Problem Solving
- Communication
Timeline
MEMBER SERVICES REPRESENTATIVE
Alorica Inc.
07.2023 - 12.2024
MEMBER SERVICES REPRESENTATIVE
Conduent Inc.
06.2023 - 01.2024
AAS - MARKETING MANAGEMENT
Atlanta Technical College