Summary
Overview
Work History
Education
Skills
Accomplishments
Accomplishments
Timeline
Generic

Randeel Graham

Maitland

Summary

Enthusiastic and service-driven professional with over 5 years of experience delivering high-quality support in healthcare, insurance, and call center environments. Known for creating positive customer experiences through empathy, quick thinking, and clear communication. Thrives in fast-paced, team-oriented settings and adapts quickly to changing needs. Committed to providing friendly, reliable service that reflects the values of Southwest Airlines.

Overview

5
5
years of professional experience

Work History

Customer Service Representative

Navitus
04.2024 - Current
  • Provide exceptional service by assisting patients with prescription refills, insurance inquiries, and OTC product support.
  • Manage high-volume inbound calls with accuracy and professionalism, facilitating communication between patients, providers, and insurance companies.
  • Maintain patient confidentiality while processing prescriptions and managing sensitive information in compliance with HIPAA regulations.
  • Resolve customer issues by verifying insurance coverage, coordinating with pharmacy staff, and addressing medication concerns.
  • Accurately process prescription orders and maintain organized records to support operational efficiency.
  • Collaborate with pharmacists and healthcare providers to clarify prescriptions, verify dosages, and prevent medication errors.

Case Manager

Mckesson
07.2022 - 03.2024
  • Handled a high volume of inbound and outbound calls to provide patient support for pharmaceutical needs.
  • Coordinated access to prescribed treatments by managing patient cases and communicating with insurers and providers.
  • Maintained comprehensive clinical and program-specific documentation to ensure continuity of care.
  • Liaised with policyholders, medical professionals, and internal teams to manage complex cases and expedite claim resolution.

Qualifying Healthcare Specialist

Quantum 3 Media
08.2020 - 04.2022
  • Recommended personalized Medicare/Medicaid insurance options to meet individual customer needs.
  • Performed accurate data entry, maintaining up-to-date records and billing information.
  • Delivered professional and friendly customer service, building rapport and trust with clients.

Education

High School Diploma -

Boyd Anderson
Lauderdale Lakes
06.2021

Skills

  • Customer Service & Call Handling
  • Case Management & Patient Support
  • HIPAA Compliance
  • Data Entry & Documentation
  • Microsoft Office Suite (Word, Outlook, Excel)
  • Problem-Solving & Conflict Resolution
  • Organizational & Time Management Skills
  • CRM & Data Management Software
  • Insurance Verification & Benefit Coordination
  • Typing Speed & Accuracy (High Proficiency)
  • Team Collaboration & Communication
  • Sales & Retail Experience

Accomplishments

  • Successfully resolved 95% of customer inquiries on the first call, leading to increased satisfaction and reduced follow-up workload for the team.
  • Recognized by supervisors for consistently maintaining a positive attitude and exceeding monthly call quality targets in a high-volume environment.

Accomplishments

  • Successfully resolved 95% of customer inquiries on the first call, leading to increased satisfaction and reduced follow-up workload for the team.
  • Recognized by supervisors for consistently maintaining a positive attitude and exceeding monthly call quality targets in a high-volume environment.

Timeline

Customer Service Representative

Navitus
04.2024 - Current

Case Manager

Mckesson
07.2022 - 03.2024

Qualifying Healthcare Specialist

Quantum 3 Media
08.2020 - 04.2022

High School Diploma -

Boyd Anderson

Similar Profiles

CREATE PROFILE