Sheneather Burns
Sanford ,FL
Summary
Talented Insurance Customer Service Representative conferred with customers by telephone or in-person to provide information about products or services. Took or entered orders, canceled accounts and obtained details of issues. Smart individual with great communication and task prioritization talents.
Overview
4
4
years of professional experience
Work History
Member Benefits Associate
Nations Benefits
12.2023 - Current
- Ensured compliance with HIPAA regulations when handling sensitive patient information, protecting client privacy at all times.
- Managed difficult conversations with compassion and professionalism, helping deescalate tense situations while maintaining a focus on finding resolutions.
- Facilitated smooth communication between patients, insurance companies, and medical staff for seamless coordination of care.
- Developed highly empathetic client relationships and earned reputation for exceeding service standard goals.
Sales Activation I
Charter Communications, Spectrum
03.2022 - 05.2023
- Provided exceptional customer support through active listening, problem-solving, and clear communication skills.
- Maintained up-to-date knowledge of industry trends, technologies, and best practices in data processing and customer service.
- Promoted superior experience by addressing customer concerns, demonstrating empathy, and resolving problems swiftly.
- Verified accuracy of data before transcribing.
Provider Services for Molina
BroadPath Healthcare
10.2022 - 03.2023
- Streamlined operations by managing a high volume of incoming calls for medical providers seeking information or assistance.
- Facilitated smooth communication between patients, insurance companies, and medical staff for seamless coordination of care.
- Ensured compliance with HIPAA regulations when handling sensitive patient information, protecting client privacy at all times.
- Gathered information, assessed and fulfilled callers' needs and educated on important policies and procedures.
Pharmacy Help Desk (CVS Caremark)
BroadPath Healthcare
12.2021 - 10.2022
- Promoted patient confidentiality by adhering to HIPAA regulations when handling personal information during transactions.
- Proactively identified potential issues or discrepancies in medication orders, collaborating closely with pharmacists to resolve them quickly.
- Provided exceptional customer service, resolving queries and concerns with empathy and professionalism.
- Supported insurance claim processing, facilitating smoother patient transactions.
Claims Customer Service Rep (CVS Caremark)
BroadPath Healthcare
08.2020 - 12.2021
- Gained valuable insights into customer needs through active listening skills, enabling tailored recommendations for additional coverage options that align with their specific requirements.
- Contributed to a client-centric culture by consistently providing empathetic support during stressful claims experiences, reinforcing the company''s commitment to exceptional service.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
Education
No Degree - Business Administration
Valencia Community College
Orlando06.2026
No Degree - Cosmetology
HairBenders Academy
Longwood, FL06.2010
High School Diploma -
Lyman High School
Longwood06.2002
Skills
- Benefits analysis
- Healthcare Benefits
- Recruitment Assistance
- Employee Relations
- Benefits Administration
- Benefits Explanation
- Time Management
- Attention to Detail
- Problem-solving abilities
- Adaptability and Flexibility
- Effective Communication
- Interpersonal Communication
Timeline
Member Benefits Associate
Nations Benefits
12.2023 - Current
Provider Services for Molina
BroadPath Healthcare
10.2022 - 03.2023
Sales Activation I
Charter Communications, Spectrum
03.2022 - 05.2023
Pharmacy Help Desk (CVS Caremark)
BroadPath Healthcare
12.2021 - 10.2022
Claims Customer Service Rep (CVS Caremark)
BroadPath Healthcare
08.2020 - 12.2021
No Degree - Business Administration
Valencia Community College
No Degree - Cosmetology
HairBenders Academy
High School Diploma -
Lyman High School