Taniia Jones
Pearl,MS
Summary
Dedicated Health Insurance Advisor with proven success in educating clients on insurance options. Strong analytical skills and a goal-oriented approach lead to improved client satisfaction and engagement.
Overview
11
11
years of professional experience
Work History
Health Insurance Advisor
Sagility Health
08.2023 - Current
- Advised clients on health insurance options, ensuring comprehensive understanding of policies and benefits.
- Evaluated client needs, providing tailored recommendations for optimal coverage and cost-effectiveness.
- Facilitated enrollment processes, ensuring compliance with regulations and timely submissions.
- Developed training materials for new advisors, enhancing onboarding efficiency and knowledge retention.
- Analyzed market trends to adjust strategies, improving client engagement and satisfaction rates.
- Enhanced customer satisfaction by providing accurate and timely information on health insurance policies and benefits.
- Achieved consistent high levels of customer satisfaction through empathetic listening and problem-solving skills when addressing concerns or disputes.
- Collaborated with a team of Health Insurance Advisors to develop effective sales strategies, contributing to higher revenue generation.
- Answered inbound calls from existing and future policyholders to answer inquiries and discuss insurance options.
- Provided comprehensive customer service to drive client satisfaction.
- Educated clients about health insurance coverage options, benefits and costs.
Payment Processor
Conns
01.2022 - 08.2023
- Processed high volumes of payment transactions accurately and efficiently.
- Reconciled payment discrepancies to ensure financial accuracy and compliance.
- Coordinated with various departments to resolve payment-related inquiries swiftly.
- Implemented process improvements that enhanced transaction processing speed.
- Assisted in the development of training materials for new Payment Processors, ensuring a smooth onboarding process.
- Monitored outstanding balances, following up on overdue payments to minimize loss or delay in revenue collection.
- Reduced errors in payment transactions by regularly reviewing and reconciling financial records.
Member Service Representative
UnitedHealth Group
Tampa, FL
01.2021 - 02.2022
- Facilitated member inquiries, ensuring timely and accurate responses to improve satisfaction.
- Assisted in resolving complex issues, enhancing overall service quality and efficiency.
- Implemented process improvements, streamlining operations for increased productivity.
- Trained new staff on best practices, fostering a knowledgeable and effective team environment.
- Worked effectively in fast-paced environments.
- Self-motivated, with a strong sense of personal responsibility.
- Worked well in a team setting, providing support and guidance.
- Excellent communication skills, both verbal and written.
- Proven ability to learn quickly and adapt to new situations.
Healthcare Customer Service Representative
Advocate Health Care
01.2019 - 01.2021
- Resolved patient inquiries related to billing, appointments, and insurance coverage.
- Coordinated with healthcare providers to streamline patient communication processes.
- Implemented improvements in call handling procedures, enhancing response times.
- Trained new staff on customer service protocols and healthcare policies.
- Ensured compliance with HIPAA regulations when handling sensitive patient information, protecting client privacy at all times.
- Increased first-call resolution rates by carefully listening to customers'' needs and providing accurate information based on their inquiries.
- Resolved complex claims inquiries, ensuring customer satisfaction and timely issue resolution.
- Educated customers on claim processes, policies, and documentation requirements to enhance understanding.
Call Center Representative
Arise Healthcare
02.2017 - 02.2019
- Managed high-volume inbound and outbound calls to support patient inquiries and appointment scheduling.
- Resolved customer complaints efficiently by utilizing problem-solving skills and maintaining a positive demeanor.
- Documented patient interactions accurately in electronic health record systems to ensure data integrity.
- Collaborated with healthcare providers to streamline communication between patients and medical staff.
- Handled escalated calls professionally, effectively resolving complex issues and ensuring client satisfaction at all times.
- Met customer call guidelines for service levels, handle time and productivity.
- Followed up with customers about resolved issues to maintain high standards of customer service.
Caregiver
Canton Manor
Canton, MS
02.2015 - 02.2017
- Assisted residents with daily living activities, ensuring comfort and dignity.
- Administered medications according to prescribed schedules, maintaining compliance with care plans.
- Monitored residents' health conditions, reporting changes to nursing staff promptly.
- Developed strong relationships with residents, enhancing their emotional well-being and social engagement.
- Built strong relationships with clients to deliver emotional support and companionship.
- Engaged patients in meaningful conversation, socialization, and activity while providing personal care assistance.
Education
High School Diploma -
FINCH HENERY JOBCORP CENTER
Batesville, MS05-2016
Skills
- Goal oriented
- Strong analytical skills
- CRM software experience
- Policy analysis
Languages
English
Full Professional
Timeline
Health Insurance Advisor
Sagility Health
08.2023 - Current
Payment Processor
Conns
01.2022 - 08.2023
Member Service Representative
UnitedHealth Group
01.2021 - 02.2022
Healthcare Customer Service Representative
Advocate Health Care
01.2019 - 01.2021
Call Center Representative
Arise Healthcare
02.2017 - 02.2019
Caregiver
Canton Manor
02.2015 - 02.2017
High School Diploma -
FINCH HENERY JOBCORP CENTER