Tobyah Walters
Greenville,North Carolina
Summary
Experienced customer service and operations specialist with a background in unemployment insurance, retirement and college savings accounts, and Medicaid provider enrollment. Strong in claims processing, eligibility analysis, data accuracy, and regulatory compliance, with a proven ability to deliver high-quality service in complex, high-volume environments.
Overview
5
5
years of professional experience
Work History
Senior Assistant Business Process Services
Gainwell Technologies
08.2024 - Current
- Review, evaluate, and process Medicaid provider enrollment applications, revalidations, and maintenance updates for compliance with state and federal regulations (e.g., CMS screening rules).
- Assist provider billing staff and internal stakeholders with claims-related questions tied to enrollment status, eligibility mismatches, credentialing issues, and claims submission requirements.
- Monitor and respond to provider compliance risks, including screening results (e.g., background checks or fingerprinting when required), and document findings for audit or review.
Agility Associate
Ascensus College Savings & Retirement Services
07.2022 - 07.2024
- Provide exceptional customer service to 529 plan participants, retirement program participants, employers, financial advisors, and internal partners.
- Accurately document customer interactions and case details in internal systems to support trend analysis and business improvements.
- Assist with back-office tasks such as data entry, account maintenance, correspondence preparation, and basic administrative processing.
Unemployment Claims Specialist
Accenture
08.2020 - 06.2022
- Assist in adjudicating disputed claims by preparing documentation and summarizing relevant information for supervisors or hearing officers.
- Provide clear, professional customer service and information to the public, claimants, and employers regarding unemployment insurance processes, benefits, and responsibilities.
- Interview claimants and employers by telephone or other communication channels to gather details regarding eligibility and employment history.
Education
High School Diploma -
Wilson Community College
Wilson, NC06-2026
High School Diploma -
YHWH's Lil Scholars
Homeschooled06-2020
Skills
- Administrative duties
- Data confidentiality
- Problem-solving
- Time management
- Verbal and written communication
- Workload management
Timeline
Senior Assistant Business Process Services
Gainwell Technologies
08.2024 - Current
Agility Associate
Ascensus College Savings & Retirement Services
07.2022 - 07.2024
Unemployment Claims Specialist
Accenture
08.2020 - 06.2022
High School Diploma -
Wilson Community College
High School Diploma -
YHWH's Lil Scholars