Summary
Overview
Work History
Education
Skills
Timeline
Generic

SIANI NELSON

Philadelphia

Summary

Empathetic and highly skilled healthcare customer service professional with extensive experience supporting patients and members in insurance, benefits, and medical claims environments. Proven ability to handle high-volume inquiries with professionalism, accuracy, and compassion. Strong knowledge of HIPAA compliance, healthcare systems, and cross-functional communication with providers, hospitals, and case managers.

Overview

7
7
years of professional experience

Work History

Benefits Counselor

Aon
09.2024 - 11.2024
  • Guided patients and employees through open enrollment and benefits selection.
  • Resolved coverage questions and explained plan options and eligibility.
  • Managed sensitive information with strict adherence to privacy regulations.
  • Supported individuals through appeals and claim resolution processes.

Service Center Representative

IRS
06.2023 - 06.2024
  • Provided accurate, policy-based assistance to callers regarding tax law and account inquiries.
  • Investigated and explained discrepancies in payment or filing records.
  • Helped individuals navigate IRS systems to access documents or status updates.
  • Maintained complete and confidential records in compliance with federal standards.

Service Center Representative

Sedgwick
02.2022 - 10.2022
  • Handled inbound/outbound communications regarding workers' compensation and disability claims.
  • Verified benefits, assisted in documentation collection, and communicated claim status.
  • Maintained up-to-date records in CRM and ensured compliance with claims protocols.
  • Educated claimants on coverage details and timelines for resolutions.

CNA

Deer Meadows Nursing Home
06.2017 - 04.2022
  • Assisted patients with daily living activities, promoting independence and dignity.
  • Checked patient vitals such as temperature, blood pressure, and blood sugar levels.
  • Promoted good oral and personal hygiene by aiding patients with shaving, bathing, and teeth brushing.
  • Enhanced patient satisfaction by providing compassionate and attentive care.

Education

Certificate - Nursing

Local 1199c Training Fund
Philadelphia, PA
03.2016

High School Diploma - undefined

Northeast Highschool
Philadelphia, PA
06.2013

Skills

  • Healthcare Customer Service
  • Member Relations & Patient Communication
  • Benefits & Claims Support
  • Patient Placement Coordination
  • HIPAA & Regulatory Compliance
  • Microsoft Excel, Word, Outlook
  • High-Volume Call Handling
  • Team Collaboration
  • Empathy & Active Listening
  • CRM & Call Center Systems

Timeline

Benefits Counselor

Aon
09.2024 - 11.2024

Service Center Representative

IRS
06.2023 - 06.2024

Service Center Representative

Sedgwick
02.2022 - 10.2022

CNA

Deer Meadows Nursing Home
06.2017 - 04.2022

High School Diploma - undefined

Northeast Highschool

Certificate - Nursing

Local 1199c Training Fund

Similar Profiles

CREATE PROFILE
SIANI NELSON