Summary
Overview
Work History
Education
Skills
Hobbies and Interests
Certification
Timeline
Generic

Sha'kheema Covington

Dillon,SC

Summary

General Laborer with a warm and friendly demeanor always! Skilled at conflict resolution. Team builder who is acutely attentive to employer's and customers' needs. Punctual problem solver and avid multitasker. Track record of being an essential part of every employer mentioned and instrumental in providing effective solutions that produce immediate impact and contribute to the establishment's long-term success.

Overview

11
11
years of professional experience
1
1
Certification

Work History

Medicaid Eligibility Specialist

DHHS
06.2023 - Current
  • Maintained up-to-date knowledge of relevant laws, regulations, and policy changes affecting Medicaid eligibility determinations.
  • Improved customer service experience for applicants, providing clear explanations of eligibility requirements and addressing concerns promptly.
  • Enhanced Medicaid eligibility determinations by thoroughly analyzing applicants'' financial and personal information.
  • Resolved eligibility discrepancies by carefully reviewing regulations and collaborating with relevant parties to reach accurate determinations.
  • Collaborated with other specialists to ensure consistent interpretation of Medicaid regulations and policies.
  • Assisted in the development of internal policies and procedures related to Medicaid eligibility processes, contributing valuable insights from hands-on experience.
  • Coordinated closely with other social service agencies, fostering collaboration to ensure comprehensive support for clients.
  • Reduced errors in eligibility decisions with meticulous attention to detail and thorough documentation of applicant information.
  • Developed strong relationships with healthcare providers, coordinating services effectively to best serve eligible clients.
  • Conducted thorough assessments of potential fraud or abuse cases, ensuring proper investigation and resolution when warranted.
  • Assisted clients with completion of applications and paperwork.
  • Interviewed applicants and explained scope of different available benefits.
  • Scheduled appointments with applicants to gather information and explain benefits processes.
  • Used computer-aided guidance packages such as skills assessment tools, career planners, psychometric tests, and personal inventories to assist clients in determining strengths and weaknesses.

Customer Services Agent

ResultsCX
12.2020 - 03.2023
  • Assist with Health Insurance Benefits
  • Help create account
  • Enter data about each Client
  • Assist with healthy choices
  • Order food for client
  • Transfer to them to Health care provider
  • Transportation line
  • Guide them to the correct places
  • Listen to their concerns and Do what they need within the ability
  • Teach them how to use mobile app and how to navigate through the system.
  • Demonstrated empathy in handling difficult situations, fostering trust and loyalty among customers.
  • Enhanced customer satisfaction by efficiently resolving inquiries and addressing concerns.
  • Effectively managed escalations from dissatisfied customers, working closely with management to ensure timely resolutions that maintained brand reputation.
  • Maintained a high level of professionalism when interacting with customers, ensuring positive experiences.
  • Expedited resolution times by effectively prioritizing and managing multiple cases simultaneously.
  • Contacted customers to return routine and general calls promptly.
  • Responded to customer calls and emails to answer questions about products and services.
  • Educated clients on account services and resolved client inquiries regarding statement information and account balances.
  • Evaluated customer information to explore issues, develop potential solutions, and maintain high-quality service.

General Laborer

Smithfield Foods
08.2013 - 12.2018
  • Inventory and order business supplies
  • Responsible for boxing and packaging items
  • Admin tasks as needed including entering data on a spreadsheet.

Education

Skills

  • Budget Management
  • Excellent listener
  • Friendly, courteous, and service oriented
  • Poised under pressure
  • Staff Training & Coaching
  • Recruiting and Hiring Talent
  • Quality Assurance
  • Solid written and verbal communicator
  • Eligibility Determination
  • Medicaid knowledge
  • Application processing
  • Documentation and paperwork
  • Appointment Scheduling
  • Schedule Management
  • Application support
  • Payment Collection
  • Application Review
  • Telephone Etiquette
  • Proficiency in Software
  • Data Compilation
  • Resource information
  • Fraud investigation
  • Referral Coordination
  • Applicant engagement
  • Program knowledge
  • Knowledgeable in Software
  • Policy Interpretation
  • Effective communication skills

Hobbies and Interests

  • Parenting
  • Hosting Women Empowerment event
  • Speaking when lead
  • Travel
  • Great food
  • Food pantry volunteer

Certification

  • Licensed Job Title - Timeframe
  • Area of certification Training - Timeframe

Timeline

Medicaid Eligibility Specialist

DHHS
06.2023 - Current

Customer Services Agent

ResultsCX
12.2020 - 03.2023

General Laborer

Smithfield Foods
08.2013 - 12.2018

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Sha'kheema Covington