NYOMI KALOKO
Sicklerville,New Jersey
Summary
Professional in customer support with strong communication and problem-solving skills. Adept at managing inquiries, resolving issues, and ensuring customer satisfaction. Known for teamwork, adaptability, and achieving results under changing conditions. Skilled in conflict resolution, empathy, and time management.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Patient Advocate
Ro Healthcare
10.2025 - Current
- Enhanced patient-provider communication, effectively addressing individual healthcare needs.
- Empowered patients by educating them on rights and healthcare options available.
- Streamlined insurance navigation, facilitating access to essential medical services.
- Collaborated with multidisciplinary teams to create tailored patient care plans.
Remote Claims Specialist
CSAA Insurance Group
02.2024 - 11.2025
- Achieved 98% claims accuracy, minimizing errors and ensuring compliance with regulations.
- Investigated and resolved over 100 claims weekly, ensuring thorough coverage and liability assessments.
- Reduced claims processing time by 20% through optimized cross-functional workflows and teamwork.
- Resolved 95% of disputed claims through proactive communication and effective negotiation tactics.
Remote Enrollment Advisor
Symetra
08.2021 - 02.2024
- Achieved 40% conversion rate by fostering client relationships and clear communication.
- Guided 100+ clients monthly through enrollment, clarifying eligibility and program details.
- Contributed to 95% satisfaction rate by providing accurate program and financial information.
Remote Chat Specialist
Alorica
02.2021 - 11.2023
- Resolved 100+ customer issues daily, adhering to service-level agreements.
- Achieved 95% customer satisfaction through clear and empathetic communication.
- Enhanced response times by 20% through optimized workflows and effective multitasking.
Remote Inbound Customer Service Representative
Inspiritce
05.2019 - 07.2023
- Achieved 98% satisfaction score by resolving inquiries efficiently and thoroughly.
- Managed over 80 daily inbound calls regarding account inquiries and service claims.
- Enhanced department productivity by 20% through mentoring and training new hires.
Remote Sales Support Specialist
Teleperformance
09.2016 - 07.2020
- Increased quarterly sales by 25% through efficient order processing and data entry.
- Ensured accuracy and compliance by processing over 50 sales orders weekly.
- Enhanced sales strategies by 20% through detailed performance report generation.
Education
High School Diploma -
Delran High School
Delran, NJSkills
- Claims Expertise: Claims Handling, Claim Investigation, Coverage Determination, Risk Assessment, Settlement Negotiation
- Customer & Policyholder Communication: Dispute Resolution, Relationship Management, Customer Satisfaction Optimization
- Technical & Compliance Skills: Claims Systems, Documentation, Data Accuracy, Insurance Regulations, Regulatory Compliance
- Remote Work Proficiency: CRM Systems, Policy Administration Software, Virtual Collaboration Tools (Zoom, Slack, MS Teams)
- Patient rights
- Proactive problem-solving
- Resource utilization
- Organized nature
Certification
Pursuing Billing and Coding Certification (Expected Nov 2024) to expand technical and regulatory expertise.
Timeline
Patient Advocate
Ro Healthcare
10.2025 - Current
Remote Claims Specialist
CSAA Insurance Group
02.2024 - 11.2025
Remote Enrollment Advisor
Symetra
08.2021 - 02.2024
Remote Chat Specialist
Alorica
02.2021 - 11.2023
Remote Inbound Customer Service Representative
Inspiritce
05.2019 - 07.2023
Remote Sales Support Specialist
Teleperformance
09.2016 - 07.2020
High School Diploma -
Delran High School
Professional Development & Personal Growth
- Completed targeted coursework in insurance regulations, risk assessment, and claims processing to prepare for advanced claims roles.
- Managed complex personal responsibilities that strengthened time management, adaptability, and problem-solving.
- Volunteered in community administrative roles, applying documentation and organizational skills in service-oriented projects.