Summary
Overview
Work History
Education
Skills
Timeline
Generic

Tamika Franklin

MADERA,CA

Summary

Excellent recordkeeping, mathematical and data reporting competencies. Exceptional telephone etiquette with 19 years' track record of success managing health insurance claims and inquiries. Familiar with computerized insurance records systems. Dedicated employee known for punctuality, pursuing employment options where good customer service and positive attitude will make a difference. Enthusiastic client services professional with strong background directly interfacing with industry customers. Well-versed in products, services and consumer trends. Committed and professional Service Advisor with proven ability to effectively manage customer inquiries, provide accurate advice and ensure customer satisfaction. Excellent communication and problem-solving skills for providing customers with best possible service.

Overview

22
22
years of professional experience

Work History

Service Advisor

MultiPlan
01.2023 - Current
  • Educated customers regarding provider contracts and credentialing procedures.
  • Assisted in training new Service Advisors, sharing best practices for effective communication and problem-solving skills.
  • Assisted members with locating providers.
  • Handled customer issues with confidence, using complex problem solving to provide effective resolution..
  • Consistently met or exceeded monthly metric expectations.
  • Assisted with special IDR projects.

Customer Service Representative

Gap, Inc.
10.2021 - 12.2021
  • Answered incoming calls and emails, providing frontline customer support or assistance with product and service transactions.
  • Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
  • Demonstrated excellent communication skills in resolving product and consumer complaints.

Senior Claims Benefit Specialist

Aetna, a CVS Health
10.2002 - 07.2021
  • Collaborated with fellow team members to manage large volume of claims
  • Complied with confidentiality regulations in handling customer information
  • Precisely calculated refunds, premiums, and adjustments
  • Worked closely with team members to deliver project requirements, develop solutions and meet deadlines
  • Juggled multiple projects and tasks to ensure high quality and timely delivery.

Education

High School Diploma -

Madera Adult School
09.2002

Skills

  • Documentation review
  • Coverage assessments
  • Outstanding clerical abilities
  • Exceptional recordkeeping abilities
  • Number-savvy
  • Organization
  • People skills
  • Team management
  • Supervision
  • Active listening
  • Communication
  • Decision-making
  • Verbal and Written Communication
  • Conflict Resolution
  • Microsoft Office
  • Data Management
  • Customer Service
  • Computer Skills
  • Multitasking and Organization

Timeline

Service Advisor

MultiPlan
01.2023 - Current

Customer Service Representative

Gap, Inc.
10.2021 - 12.2021

Senior Claims Benefit Specialist

Aetna, a CVS Health
10.2002 - 07.2021

High School Diploma -

Madera Adult School
Tamika Franklin