Luzairia Clarke
Orlando,FL
Summary
Customer Care Representative with experience supporting Medicare Part D members in Illinois and Connecticut. Skilled in claims resolution, benefits explanation, and prescription refill coordination, with a strong focus on HIPAA and CMS compliance.
Known for clear communication, patience, and empathy when assisting older adults, achieving an 84% member satisfaction rating in a high-volume,Fast-pace environment
Overview
2
2
years of professional experience
Work History
GS Customer Care Representative - Solon Care
CVS health
Pine Hills
09.2023 - Current
- Specialize in Medicare Part D prescription coverage for Illinois and Connecticut members.
- Assist members with benefits inquiries, claim resolution, medication coverage, and prescription refill coordination.
- Maintain compliance with HIPAA and CMS regulations while delivering accurate, clear, and empathetic service to an older member population.
- Achieved above an 80% member satisfaction survey
Education
Evans High School
Skills
- Medicare Part D knowledge (coverage, eligibility, formulary)
- Claims resolution & benefits explanation
- HIPAA & CMS compliance
- Prescriptions refill coordinator
- Active listening, patience, and empathy with older adults
- Conflict resolution & problem-solving
- Clear communication of complex information
- High-volume call management & multitasking
- Data entry accuracy & attention to detail
- Adaptability to policy and procedure changes
Timeline
GS Customer Care Representative - Solon Care
CVS health
09.2023 - Current
Evans High School