Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
12
12
years of professional experience
Work History
Retention Specialist
American Income Life
Remote
07.2024 - Current
Addressed inquiries and cancellations from active policyholders regarding their insurance benefits.
Clarified policy terms, premiums, and coverage options.
Drafted business correspondence, ensuring clear communication.
Handled outbound communication aimed at recovering outstanding premiums from established clients.
Enhanced client satisfaction by explaining policy advantages.
Utilized specialized methods to improve policyholder retention rates.
Followed up with customers to ensure that their requests have been addressed satisfactorily.
Member Escalation Team Supervisor
ResultsCX - Wellcare
08.2022 - 07.2024
Assisted members with appeals, benefits, enrollment, scheduling appointments and claims processing.
Asked probing questions and offered solutions to resolve customer issues.
Aided plan participants by explaining benefits information to ensure educated selections.
Provided detailed information about benefits and limitations of different policies and programs.
Provided training and support to new employees to ensure they understand their job responsibilities.
Led team by answering questions and solving complex problems daily.
Billing Customer Service Representative
Focus Services
11.2019 - 08.2022
Handled customer inquiries and complaints regarding billing issues via telephone, email, and other communication channels.
Provided detailed information to customers about their accounts, including payment history and current balance due.
Performed data entry tasks related to customer accounts including updating account status and payment information.
Followed established guidelines while handling confidential information related to customer accounts.
Collected deposits or payments and arranged for billing.
Correctional Officer
Bertie Correctional Institution
08.2019 - 11.2020
Maintained order in the prison by monitoring inmate behavior and intervening when necessary.
Enforced prison rules and regulations while maintaining a safe environment for inmates and staff.
Interacted with inmates in an effort to reduce tension between them and maintain a peaceful atmosphere within the facility.
Investigated incidents involving prisoners or staff to determine who was responsible for any violations of policies or procedures.
Group Home Manager
Solid Foundation
10.2012 - 08.2019
Developed, implemented, and monitored individual service plans to ensure that the clients received quality care.
Provided crisis management interventions as needed to address behavioral issues in a timely manner.
Collaborated with other healthcare professionals such as psychiatrists, psychologists, therapists., to provide comprehensive care services for clients.
Created work schedule in advance, promoting adequate coverage for shifts.
Communicated with families or advocates to discuss resident needs and progress.
Maintained accurate records of client attendance, progress notes, medications, and incident reports.
Education
High School Diploma -
Bertie High School
Windsor, NC
06-2010
Skills
Microsoft Excel
Critical thinking
Claims review
Claims processing
Medical terminology Documentation skills Background in insurance