Summary
Overview
Work History
Education
Skills
Timeline
Generic

TAKIA WILSON

BEAUMONT

Summary

Dedicated and empathetic customer service professional with over 3 years of experience in high-volume call centers. Proven track record in delivering exceptional client experiences through active listening, critical thinking, and effective problem-solving. Strong written and verbal communication skills, with the ability to manage complex inquiries and troubleshoot technical issues efficiently. Adept at building positive client relationships and collaborating with team members to enhance service quality.

Overview

4
4
years of professional experience

Work History

Medical Claims Representative

Express Scripts
Remote
12.2023 - 06.2025
  • Review and process medical claims for accuracy, completeness, and eligibility.
  • Verify insurance coverage and ensure proper documentation is submitted.
  • Investigate and resolve denied or rejected claims.
  • Communicate with healthcare providers, insurance companies, and patients regarding claim status.
  • Maintain compliance with HIPAA and company policies.

Retirement Employee Benefits Specialist

ERS
Austin
04.2023 - 12.2023
  • - Managed and responded to employee inquiries regarding benefits, ensuring a high level of service and accuracy in information provided.
  • - Applied troubleshooting techniques to resolve complex benefits-related issues, collaborating with other departments to find timely solutions.
  • - Developed strong relationships with clients by providing clear explanations of benefits programs and maintaining consistent follow-up.
  • - Streamlined benefits inquiry process, reducing response time and enhancing employee satisfaction through data-driven improvements.
  • Remote

CUSTOMER RETENTION SPECIALIST

Spectrum
Beaumont
09.2021 - 04.2023
  • - Engaged with customers to resolve service issues and enhance satisfaction, utilizing a solution-focused approach to drive client retention.
  • - Excelled in navigating multiple systems to access and update customer information, ensuring a seamless experience.
  • - Provided feedback to improve service processes and contributed to a collaborative team environment to achieve performance goals.Led cross-functional team to streamline operations, resulting in substantial cost savings and improved efficiency. Implemented data-driven strategies for measurable growth.

Education

High School Diploma - undefined

Beaumont United High school
Beaumont, Tx
06.2020

Skills

  • High volume call handling (Expert), Customer Service, Conflict Resolution, Active listening, Problem solving empathy, Strong computer skills, CRM systems, troubleshooting, multi-system navigation, Excellent written and verbal skills, Effective planning, Ability to work independently and as part of a team to achieve goalsMedical Claims Processing
    Insurance Verification & Authorization
    Claims Adjudication
    HIPAA Compliance
    Denial Management & Appeal

Timeline

Medical Claims Representative

Express Scripts
12.2023 - 06.2025

Retirement Employee Benefits Specialist

ERS
04.2023 - 12.2023

CUSTOMER RETENTION SPECIALIST

Spectrum
09.2021 - 04.2023

High School Diploma - undefined

Beaumont United High school