Summary
Overview
Work History
Education
Skills
Timeline
Generic

Tiffany Price

Hampton,VA

Summary

I have been in customer service in many capacities in the last ten years. I have been able to take what I learn in each roll to help me grow. I am a strong team player and also work great independently.

Overview

11
11
years of professional experience

Work History

Cashier

CitiTrends Incorporated
08.2024 - Current
  • Processing cash, debit, credit, and check transactions using a cash register or point-of-sale system.
  • Interacting with customers.
  • Balancing the cash register.
  • Determining change.
  • Recording purchases.
  • Processing returns.
  • Scanning items for sale.
  • Counting the contents of the register drawer at the end of each shift.
  • Maintaining receipts, records, and withdrawals.

Pharmacy Benefits Specialist

Anthem Incorporated
10.2022 - 11.2024
  • Handles drug claim adjudication issues
  • Prescription prior authorization
  • Pharmacy benefit inquiries from members
  • Benefit inquiries from physicians and pharmacies

Export Booking Representative

CMA CGM
11.2021 - 10.2022
  • Make new bookings and modifications per customer's request via email, phone and INTTRA.
  • Research, follow-up and resolve problems in a timely manner.
  • Communicate and follow up with customers, overseas agents and internal departments to resolve problems.
  • Reduce services failures and cost by providing accurate information in a timely manner.
  • Provide information to customers related to sailing schedules, equipment availability, routings, and rates.
  • Conduct 'root cause' analysis to find out what caused the customer's problem.
  • Rate bookings using information provided by customers as well as utilizing our rate retrieval systems.

OHI Verification Specialist

Anthem Incorporated
01.2021 - 11.2021
  • Responsible for researching and investigating other coverage for GBD Medicaid membership.
  • Ensuring members Other Health Insurance (OHI) information investigation results are applied accurately into appropriate systems for claims coordination and recovery efforts.
  • Conduct on-line or phone research to verify member's coverage with other carriers.
  • Maintain knowledge of state or carrier specific processing rules.
  • Collaborate with multiple internal departments to verify OHI leads and analyze requests in combination with current system data to ensure records are updated accurately.
  • Interface with members via external mailings to obtain needed information.

Enrollment Data Analyst II

Anthem Incorporated
07.2019 - 01.2021
  • Responds to enrollment verification requests and updates applications accordingly.
  • Research and resolve eligibility inquiries for various markets.
  • Verify basic enrollment/eligibility information to ensure that the enrollment database reflects the correct data.
  • Address membership discrepancies identified through monthly quality reports.
  • Responsible for routine maintenance, updates, and reconciliation of enrollment databases for assigned markets.
  • Resolve fundamental enrollment issues and escalations.
  • Analyze moderate to complex errors resulting from automated file updates.
  • Respond to enrollment mailbox requests daily.

Customer Care Representative I

Anthem Incorporated
08.2017 - 07.2019
  • Provide member specific plan information using computer-based resources.
  • Answer inbound calls from members who needed assistance with their health plan.
  • Always provided exceptional customer service to members.
  • Maintaining a positive relationship with our members to help them with whatever challenges they are facing.
  • Analyze data to help advise members on the next course of action and place follow-up calls or emails routinely.

Customer Service Representative

QVC
01.2015 - 01.2017
  • Implement reasonable customer suggestions.
  • Answer inbound calls always providing exceptional customer service.
  • Served as the team 'go-to' for team members who needed assistance.
  • Research information to solve member discrepancies and/or track payments.
  • Process member payments and returns as needed.

Education

Political Science, Sociology

Norfolk State University

High School Diploma -

Heritage High School
Newport News, VA

Skills

  • Time management skills
  • Customer relations
  • Payment processing
  • Reports and documents
  • Proficient in software
  • Multitasking and organization
  • Data entry
  • Data entry

Timeline

Cashier

CitiTrends Incorporated
08.2024 - Current

Pharmacy Benefits Specialist

Anthem Incorporated
10.2022 - 11.2024

Export Booking Representative

CMA CGM
11.2021 - 10.2022

OHI Verification Specialist

Anthem Incorporated
01.2021 - 11.2021

Enrollment Data Analyst II

Anthem Incorporated
07.2019 - 01.2021

Customer Care Representative I

Anthem Incorporated
08.2017 - 07.2019

Customer Service Representative

QVC
01.2015 - 01.2017

Political Science, Sociology

Norfolk State University

High School Diploma -

Heritage High School

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