Rashequa Lane
Jacksonville,FL
Summary
Versatile professional with a robust background in customer service, claims processing, insurance claims processing, benefits verification, and customer service. Skilled in reviewing medical claims, resolving discrepancies, and ensuring compliance with healthcare policies. Proven ability to handle high-volume workloads while maintaining accuracy and delivering excellent member support. Recognized for strong verbal and written communication skills, adept at managing high-stress situations and ensuring compliance, ready to elevate service quality and efficiency.
Overview
7
7
years of professional experience
Work History
Customer Service Representative
Voya Financial
Remote
04.2024 - Current
- Resolved customer inquiries and issues through effective communication and problem-solving skills.
- Processed transactions accurately, ensuring compliance with company policies and procedures.
- Assisted customers with account management, providing clear guidance on services offered.
- Maintained detailed records of customer interactions to improve service quality and response times.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Processed employee 401(k) contributions and distributions accurately and efficiently.
- Assisted in compliance audits to ensure adherence to regulatory requirements.
- Maintained sensitive information with strict confidentiality and modeled ethics, professionalism and service orientation in employee interactions.
- Managed customer inquiries via email, ensuring timely and accurate responses to enhance satisfaction.
Claims Benefit Specialist
CVS/caremark
Remote
09.2019 - 03.2025
- Analyzed and processed claims to ensure timely and accurate benefit disbursement.
- Collaborated with healthcare providers to resolve discrepancies in claim submissions.
- Reviewed policy documents to maintain compliance with regulatory requirements.
- Trained new team members on claims processing protocols and software usage.
- Processed benefit claims efficiently, maintaining high levels of accuracy and attention to detail.
- Analyzed claims data to ensure compliance with company policies and regulations.
Education
High School Diploma -
Penn Foster Career School
Scranton, PA04-2017
Skills
- Customer service
- Active listening
- Critical thinking
- Data entry
- Call center experience
- Conflict resolution
- Complaint handling
- Microsoft Excel
- Payment processing
- Microsoft outlook
- Scheduling
- Product knowledge
- Appointment scheduling
- Order processing
- Microsoft PowerPoint
- Claims analysis
- Confidentiality handling
- Time management
- Attention to detail
- Multitasking Abilities
- Verbal and written communication
- Claims processing
- Teamwork skills
- AS400
- PeopleSoft experience
- ICD-10 coding proficiency
- Medical terminology proficiency
Timeline
Customer Service Representative
Voya Financial
04.2024 - Current
Claims Benefit Specialist
CVS/caremark
09.2019 - 03.2025
High School Diploma -
Penn Foster Career School