Taliyah Rouse
Jacksonville,FL
Summary
Entry level professional with excellent communication and written skills looking to create positive client relationships with great customer service and professional knowledge of companies’ policies and products
Overview
3
3
years of professional experience
1
1
Certification
Work History
Service Advocate IV
Florida Blue
Jacksonville, FL
06.2022 - 08.2025
- Analyzed claims in detail to ensure accurate determinations, reducing error rates and meeting all deadlines
- Applied contract language to resolve disputes efficiently, minimizing escalations
- Identified, researched, and resolved overpayment related issues received
- Ensured claims process with the correct contractual agreement.
- Researched and navigated multiple systems to gather benefit information
- Processed and adjudicated Intuitional, Provider and International claims
Education
Certified Nursing Assistant - undefined
08.2025
High School Diploma - General Studies
Andrew Jackson High School
05.2024
Skills
- Strong written and verbal communication skills, including the ability to provide constructive feedback and collaborate effectively in a team setting
- Proficient with Microsoft office, problem solving, medical terminology and ability to work in a fast paced environment
Certification
Cpr certified
Timeline
Service Advocate IV
Florida Blue
06.2022 - 08.2025
Certified Nursing Assistant - undefined
High School Diploma - General Studies
Andrew Jackson High School