Nichole Daniels
Cincinnati,Ohio
Summary
Meticulous Customer Service Representative in 19 years of experience working with Healthcare Insurance. Extensive knowledge in the areas of Customer Service and claims. Skilled in project and time management, along with multitasking capabilities. Committed to maintaining and developing professional relationships with members and clients while always maintaining a focused approach on achieving bottom line goals and objectives.
Overview
20
20
years of professional experience
Work History
Customer Care Rep II, Multi
Anthem
Cincinnati, USA
10.2016 - Current
- Built long-term, loyal customer relations by providing outstanding service and detailed order, account and service information
- Enrollment
- Updated, entered and reviewed customer data
- Made contact with insurance carriers to discuss policies and individual patient benefits
- Social Security Letters
- Coordination of Benefits
- Helped in Open Season Health Fairs.
- Mentoring
- Helped with training classes
Grievance and Appeals Rep
Anthem
Mason, USA
04.2011 - 10.2016
- Sorted incoming mail and faxes and expedited urgent correspondence for immediate attention
- Received incoming calls and messages and addressed or triaged phone requests
- Triaged cases
- Sent out acknowledgement letters
- Audited front line cases
- Training
Customer Care Associate
Anthem
Cincinnati, USA
01.2005 - 03.2011
- Educated customers about billing, payment processing and support policies and procedures
- Worked with sales, marketing and management teams to develop solutions and accomplish shared objectives
- Assisted customers by listening closely, finding solutions to problems and making recommendations based on extensive product knowledge
- Responded to customer requests for products, services and company information
- Enrollment and Billing
- Claims
Skills
- Pega
- WGS
- Direct
- CSA
- Refund Appl
- Blue link
- Patient contact
- Project support
- Organization
- Performance tracking and evaluations
- Confidentiality
- Team liaison
- Resolving discrepancies
- Assisted with training classes
- Auditing
- Mentoring
- Helped with training classes
Affiliations
African American Professional Exchange (APEX), Member, 01/01/16, Current
Leadership Experience
Co-Leader of the Community Service team
Timeline
Customer Care Rep II, Multi
Anthem
10.2016 - Current
Grievance and Appeals Rep
Anthem
04.2011 - 10.2016
Customer Care Associate
Anthem
01.2005 - 03.2011
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