Professional Summary
Work History
Overview
Education
Skills
Timeline

TaJasha Hawkins

Pacific Life Insurance
Dayton ,OH
TaJasha Hawkins

Work History

Business Operations Associate

1 Year 1 Month
Pacific Life Insurance | 2025.09 - Current

● Processed Life Insurance annuity policy servicing requests, including beneficiary, ownership, withdrawal, and distribution changes.

● Reviewed documents and account information for accuracy, completeness, and compliance.

● Researched policy issues and resolved servicing discrepancies.

● Supported policyholders and financial professionals with annuity account inquiries.

● Documented transactions and maintained accurate records while protecting confidential information.

● Coordinated with internal teams to resolve complex cases and meet processing requirements.

Member Service Representative

1 Year 4 Months
CalOptima Health | 2024.05 - 2025.09
  • Assisted California Medi-Cal members with benefits, eligibility, enrollment, and healthcare coverage inquiries.
  • Researched complex cases and resolved member concerns through cross-departmental collaboration.
  • De-escalated grievance calls using empathy, active listening, and conflict-resolution skills.
  • Explained health plan policies and helped members navigate available healthcare services.
  • Maintained accurate case documentation while protecting confidential member information.
  • Managed high-volume inquiries while maintaining professionalism, accuracy, and service quality.

Family Caregiver

7 Months
Myself | 2023.06 - 2024.01
  • After dedicating time caring for terminally ill family member, I am pleased to share that this situation has now been resolved. With a renewed sense of purpose, I was eager to reenter the workforce and apply my valuable skills, training, and experience.
  • Ensured safety and comfort for patients through meticulous attention to detail in administering medications, hygiene assistance, and mobility support.

Member Service Specialist

3 Years 6 Months
Caresource Health Insurance | 2019.12 - 2023.06
  • Offered support to Ohio, Indiana and Georgia Medicaid recipients and addressed their needs.
  • Handled delicate situations diplomatically to maintain positive relationships between organization and its valued members.
  • Upheld productivity and quality standards
  • Met customer call guidelines for service levels, handle time, accuracy and productivity.
  • Investigated and resolved customer inquiries and complaints quickly.
  • Participated in team meetings and training sessions to stay informed about product updates and changes.
  • Responded to inquiries, questions, and concerns from members and providers regarding eligibility, enrollment, status of claims or authorizations, the interpretation of benefits, and over the phone referrals and authorizations for medical care.
  • Developed strong relationships with clients, leading to increased loyalty and repeat business.

Catering Staff Member

1 Year
Elite Catering & Events | 2019.02 - 2020.02
  • Arranged furniture and added decorations to assist in setting up for catering events.
  • Helped chefs prepare and present food to event guests with strong attention to detail and presentation expertise.
  • Achieved safe food handling practices by following all necessary guidelines and procedures.
8
Years of experience

Customer service and insurance operations professional with 6+ years of experience in healthcare member services, insurance support, case resolution, and administrative processing. Skilled in assisting members with benefits and eligibility, resolving complex concerns, maintaining accurate records, and protecting confidential information. Known for strong communication, attention to detail, and delivering professional, member-focused service.

Education

Diploma

Wayne High School | Huber Heights, OH

Skills

Member Advocacy
Benefits & Eligibility
Medicaid/MediCal Knowledge
Grievance De-escalation
Conflict Resolution
Case Research
Needs Assessment
Healthcare Navigation
Accurate Documentation
HIPAA Compliance
Critical Thinking
Active Listening
Team Collaboration
Customer Relationship Management
Data Entry Accuracy
Quality Assurance
Appointment Coordination
Professional Communication
Adaptability & Flexibility
Call Center Experience
Member Care Support
Telephone Assistance
Resource Referrals

Timeline

Business Operations Associate

Pacific Life Insurance
2025.09 - CurrentRead More

Member Service Representative

CalOptima Health
2024.05 - 2025.09Read More

Family Caregiver

Myself
2023.06 - 2024.01Read More

Member Service Specialist

Caresource Health Insurance
2019.12 - 2023.06Read More

Catering Staff Member

Elite Catering & Events
2019.02 - 2020.02Read More

Wayne High School

Diploma
Read More
TaJasha Hawkins