Latiya Davis
Harper Woods,MI
Overview
13
13
years of professional experience
Work History
Processor II
Blue Cross Blue Shield of Michigan
Detroit, MI
02.2020 - Current
- Maintained accuracy of work by completing deep research, determining members pay order, and updating information
- Outbound calls to other insurance companies to verify eligibility
- Outreach to other departments to obtain information regarding members
CSR II
Blue Cross Blue Shield
Detroit, MI
11.2016 - 02.2020
- De-escalated problematic customer concerns, maintaining calm, friendly demeanor
- Documented conversations with customers to track requests, problems, and solutions
- Fielded providers complaints and queries, fast-tracking them for problem resolution
- Uphold strict quality control policies and procedures during customer interactions
- Provided outstanding service to providers by attending closely to concerns and developing solutions
- Asked probing questions to determine service needs and accurately input information into electronic systems
- Escalated providers concern to supervisors
- More that 3yrs of customer service experience
- Answered 50+ inbound calls per day and directed to individuals or departments
- Worked with Analysts to develop customer service improvement initiatives
- Supported operational improvements and resolution of problems to deliver top-notch customer service
Claims Clerk
Blue Cross Blue Shield
Detroit, MI
04.2013 - 11.2016
- Verified claim data correctness in preparation for processing
- Processed claims according to established quality and production standards and made corrections and adjustments to solve problems
- Identified client service improvement opportunities in collaboration with team leads and managers to resolve problems
- Complied with confidentiality regulations in handling customer information
- Followed specific security rules and guidelines to protect sensitive data, including patient medical records and payment card information
Eligibility Specialist
Blue Care Network
Southfield, MI
11.2012 - 01.2013
- Performed careful reviews of applicant data to ascertain compliance with eligibility criteria for economic assistance
- Inputted all communication with applicants into computer system to facilitate future clarification and knowledgeable support
- Worked successfully with diverse group of coworkers to accomplish goals
- Prioritized and organized tasks to efficiently accomplish service goals
- Demonstrated self-reliance by meeting and exceeding workflow needs
Account Clerk
Blue Cross Blue Shield
Detroit, MI
09.2012 - 11.2012
- Performed administrative tasks to support strategic initiatives
- Uphold compliance with all established guidelines and legal requirements
- Updated and maintained account records
Timeline
Processor II
Blue Cross Blue Shield of Michigan
02.2020 - Current
CSR II
Blue Cross Blue Shield
11.2016 - 02.2020
Claims Clerk
Blue Cross Blue Shield
04.2013 - 11.2016
Eligibility Specialist
Blue Care Network
11.2012 - 01.2013
Account Clerk
Blue Cross Blue Shield
09.2012 - 11.2012