Laihin Hurt
Sacramento,CA
Summary
Detail-oriented individual with exceptional communication and project management skills. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Recognized for taking proactive approach to identifying and addressing issues, with focus on optimizing processes and supporting team objectives.
Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.
Overview
13
13
years of professional experience
Work History
Customer Care Lead
Anthem Blue Cross
02.2022 - Current
- Daily role of leading and providing support for Anthem's Provider Services Phone's unit. This Phone's team is composed of 44 CSR and a leadership Team.
- This role entails supporting CSR in a fast pace environment. Daily Inbound calls can range from 800 to 1000 calls per day.
- This role also supports in requesting all system access as well as training others on how to use those systems platform.
- Skilled and effective in de-escalating supervisor calls. I have a natural personality in mediating and finding solutions.
- Knowledgeable in JAA line of business and claims pricing.
- Several years of experience with working with Anthem's TPA, which requires calling, emailing and processing JAA TPA claims.
- Skilled and proficient in training CSR in their daily roles on call etiquette, claims process, and benefit quoting.
Claims Examiner II
Anthem Blue Cross
11.2015 - 02.2022
- Daily task of Processing and Adjusting claims that are subject to performance guaranteed accuracy and timeframe.
- Knowledgeable in reviewing correspondence request and corrected claim review.
- Proficient in keying facility and professional medical claims.
Customer Service Representative
Anthem Blue Cross
08.2013 - 11.2015
- Assisting member call inquiry in understanding their benefits and claim processing
- Extensive knowledge in benefit quoting and benefit application.
- Facilitating calls with providers to gathered missing medical information to aid in claims processing
- Excellent call care review and results
Education
Bachelors of Arts in Sociology - Sociology
California State University Sacramento
Sacramento, CA05-2012
Associate of Arts in Sociology - Sociology
Sacramento City College
Sacramento, CA07-2010
Undergraduate - Political Science and Government
California State University Los Angeles
Los Angeles, CA07-2008
Skills
- Friendly, positive attitude
- Teamwork and collaboration
- Customer service
- Problem-solving
Timeline
Customer Care Lead
Anthem Blue Cross
02.2022 - Current
Claims Examiner II
Anthem Blue Cross
11.2015 - 02.2022
Customer Service Representative
Anthem Blue Cross
08.2013 - 11.2015
Undergraduate - Political Science and Government
California State University Los Angeles
Bachelors of Arts in Sociology - Sociology
California State University Sacramento
Associate of Arts in Sociology - Sociology
Sacramento City College