Summary
Overview
Work History
Education
Skills
Certification
Additional Information
Professional Development
References
Timeline
59

K. Nicole King

Morrow,Georgia

Summary

Customer service and claims specialist with over seven years of experience in client relations and insurance processing. Proven expertise in managing inquiries, resolving claims, and enhancing membership services in healthcare and insurance. Proficient in CRM systems and multi-channel communication, consistently improving customer satisfaction and operational efficiency. Licensed in multi-line insurance with strong skills in conflict resolution, data entry, and policy management, ensuring effective task completion and positive client interactions.

Overview

13
13
years of professional experience
1
1
Certification

Work History

Business Owner / Nail Technician

Nailed By A Mermacorn
Atlanta, GA
04.2021 - 12.2024
  • Established and managed successful small business in personal care services, leveraging social media for client acquisition.
  • Oversaw financial operations and inventory management, ensuring optimal resource utilization.
  • Implemented marketing strategies that increased client retention and boosted service bookings.

Membership Services Representative

Rose International
Gwinnett, GA
01.2024 - 11.2024
  • Provided exceptional support for inquiries regarding benefits, ID cards, reinstatement, and disenrollment.
  • Processed billing services and payments with strict adherence to regulatory compliance.
  • Managed escalated service recovery cases, collaborating across departments to enhance service delivery.
  • Utilized membership systems, including CM and SPAS, for enrollment management and updates across regions.

Customer Service Specialist

TTEC
Atlanta, GA
07.2021 - 08.2023
  • Guided clients through health insurance plans and enrollment processes during Open Enrollment and Annual Enrollment Periods.
  • Managed auto and health insurance inquiries, resolving policy changes and processing payments efficiently.
  • Facilitated onboarding and training initiatives for new hires, promoting seamless integration into customer service operations.

Customer Support Representative

Rose International
Atlanta, Georgia
09.2020 - 02.2021
  • Delivered real-time support to consumers and contract drivers, enhancing service efficiency.
  • Managed refunds, replacements, and complaints while achieving high customer satisfaction ratings.
  • Collaborated with multiple departments to resolve customer escalations and implement process improvements.

Enrollment Counselor

Rose International
Atlanta, GA
09.2019 - 04.2020
  • Assisted clients in selecting and enrolling in healthcare plans based on eligibility and needs.
  • Explained plan benefits comprehensively to facilitate informed client decisions.
  • Maintained accurate records and updated enrollment databases per regulatory compliance.

Appointment Center Consultant

Rose International
Gwinnett, GA
09.2019 - 12.2019
  • Scheduled patient appointments and managed referral documentation with high accuracy.
  • Facilitated effective communication between patients and healthcare providers to optimize appointment availability.
  • Ensured precision in patient records, enhancing overall operational efficiency.

Claims Associate

State Farm Mutual Insurance
Dunwoody, GA
10.2016 - 09.2018
  • Conducted thorough investigations of auto claims to assess coverage, liability, and damages.
  • Managed loss reports, coordinated third-party assessments, and documented claim notes for policyholder requests.
  • Assisted in training new employees to enhance claims processing efficiency.

Education

High School Diploma -

Jonesboro High School
Jonesboro, GA
05-2003

Bachelor of Arts - Mass Communications (Concentration: Public Relations)

Savannah State University
Savannah, GA

Skills

  • Customer service and client management
  • Insurance claims processing
  • Call center operations
  • Healthcare enrollment services
  • Payment and billing assistance
  • Appointment scheduling
  • Conflict resolution and recovery
  • Verbal and written communication
  • CRM and VOIP systems
  • Multi-state insurance licensing
  • Business development and acquisition
  • Microsoft Office Suite proficiency
  • Membership management
  • Data entry and documentation
  • Health insurance navigation
  • Attention to detail
  • Effective communication skills
  • Problem solving under pressure
  • Adaptability and teamwork
  • Active listening skills
  • Following scripts and protocols
  • Customer education strategies
  • Phone etiquette and professionalism

Certification

Multi-Line Insurance License, Resident State: 3075171

Additional Information

Open to remote and on-site opportunities., Available for customer service, insurance support, and claims processing roles., Passionate about delivering exceptional service and fostering client relationships.

Professional Development

  • Customer Service Excellence Training – TTEC
  • Advanced Claims Processing Workshop – State Farm
  • Healthcare Enrollment & Policy Management – Kaiser Permanente

References

References available upon request.

Timeline

Membership Services Representative

Rose International
01.2024 - 11.2024

Customer Service Specialist

TTEC
07.2021 - 08.2023

Business Owner / Nail Technician

Nailed By A Mermacorn
04.2021 - 12.2024

Customer Support Representative

Rose International
09.2020 - 02.2021

Appointment Center Consultant

Rose International
09.2019 - 12.2019

Enrollment Counselor

Rose International
09.2019 - 04.2020

Claims Associate

State Farm Mutual Insurance
10.2016 - 09.2018

High School Diploma -

Jonesboro High School

Bachelor of Arts - Mass Communications (Concentration: Public Relations)

Savannah State University

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