Qualiyah Williams
Leesburg,FL
Summary
Diligent Claims Processor versed in insurance processes and claims procedures. Offers great attention to detail and time management abilities to successfully handle large volume of claims. Highly accurate and thorough with focus on completing error-free work in line with processing guidelines.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Patient Care Advocate
Cigna
04.2023 - Current
- Kept meticulous records of all relevant documentation within the electronic health record system for easy access by healthcare providers.
- Educated patients on medication management and self-care techniques, promoting adherence to treatment plans.
- Assisted physicians with procedures and diagnostic tests, ensuring accurate results and minimal discomfort for patients.
- Coordinated charitable, government, and community resources for patients.
- Collected and entered patient demographic and insurance data into a computer database to establish patient's medical records.
Claims Associate
Teleperformance
03.2022 - 03.2023
- Followed up with customers on unresolved issues.
- Interviewed policyholders to verify the information and obtain additional details.
- Collaborated with internal departments and external vendors to achieve fast resolution of claims.
- Examined reports, accounts, and evidence to determine the integrity and accuracy of information.
- Managed approximately 30 incoming calls, emails and faxes per day from customers
Credit Card Specialist
TTEC
01.2021 - 02.2022
- Improved understanding of financial statements, which helped in assessing risk.
- Created credit policies, processes and procedures to maintain compliance with banking regulations.
- Conducted thorough credit analysis on potential clients, ensuring responsible lending decisions were made based on established guidelines.
- Researched and resolved customer complaints and disputes related to credit card accounts.
Health Insurance Agent
Sutherland Healthcare Solutions
07.2019 - 01.2021
- Collected premiums on or before the effective date of coverage.
- Educated clients on insurance policies and procedures.
- Implemented time-saving administrative processes, maximizing efficiency within the workplace.
- Consistently exceeded sales targets by thoroughly understanding each client's unique needs and providing tailored solutions.
Collections Agent
Alorica
10.2018 - 06.2019
- Maximized revenue recovery through diligent research, verification of debtor information, and persistent contact efforts.
- Researched accounts and completed due diligence to resolve collection problems.
- Enhanced client relationships by consistently maintaining clear communication and promptly addressing concerns.
- Prepared and submitted legal documents to initiate court proceedings.
Property and Casualty Insurance Agent
Kforce
09.2016 - 09.2018
- Provided expert advice on property and casualty insurance options, ensuring clients were well-informed to make educated decisions.
- Recommended type and amount of coverage based on analysis of customers' circumstances using persuasive sales techniques.
- Determined financial needs by assessing existing coverage and aligning new products and services with long-term goals.
- Established strong rapport with clients through consistent communication, building trust as their trusted advisor on insurance matters.
Internet Technical Support Representative
Comcast
08.2015 - 09.2016
- Championed customer retention efforts by providing consistently exceptional service, resulting in increased loyalty and positive feedback from clients.
- Boosted first-contact resolution rates through skillful assessment of client needs and identification of appropriate solutions.
- Enhanced team performance by sharing expertise and collaborating on challenging cases to achieve successful outcomes.
- Assisted customers in identifying issues and explained solutions to restore service and functionality.
Education
College Diploma -
Florida Career College - Miami
Miami, FL09.2016
Skills
Decision-Making
Customer Service
Insurance Coverage Verification
Information Verification
Accuracy and Precision
Interpersonal
Adaptability
Attention to Detail
Friendly, Positive Attitude
Active Listening
Certification
- CNP - Certified Notary Public
Timeline
Patient Care Advocate
Cigna
04.2023 - Current
Claims Associate
Teleperformance
03.2022 - 03.2023
Credit Card Specialist
TTEC
01.2021 - 02.2022
Health Insurance Agent
Sutherland Healthcare Solutions
07.2019 - 01.2021
Collections Agent
Alorica
10.2018 - 06.2019
Property and Casualty Insurance Agent
Kforce
09.2016 - 09.2018
Internet Technical Support Representative
Comcast
08.2015 - 09.2016
College Diploma -
Florida Career College - Miami
Similar Profiles
Micheal D. OvuedeMicheal D. Ovuede
Sr. GRC Consultant at CignaSr. GRC Consultant at Cigna
JAMIE LAVALLEYJAMIE LAVALLEY
Account Installation Senior Representative at CignaAccount Installation Senior Representative at Cigna
Kristina Nestor WalkerKristina Nestor Walker
HCC Coder and Quality Review Audit Analyst at CignaHCC Coder and Quality Review Audit Analyst at Cigna