Vivi Blake
Akron
Summary
Dedicated professional with experience in claims processing and customer service. Skilled in training team members and resolving inquiries, ensuring compliance and satisfaction. Committed to fostering relationships and improving service quality in the healthcare sector.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Claims Representative
Caresource Health Plan
Akron, OH
09.2023 - 10.2025
- Processed claims efficiently, ensuring compliance with policy guidelines and regulatory requirements.
- Reviewed and analyzed claim submissions for accuracy, addressing discrepancies promptly to uphold service quality.
- Collaborated with healthcare providers to resolve claim issues, fostering strong professional relationships.
- Trained new team members on claims processing procedures and system navigation to enhance team performance.
Customer Service Representative
OKS Ameridial
Canton, OH
02.2023 - 09.2023
- Resolved customer inquiries through effective communication and active listening techniques.
- Provided product information and support, enhancing customer satisfaction and retention rates.
Customer Service Representative
Plusone Solutions
Akron, OH
01.2019 - 05.2022
- Assisted in training new team members on customer service protocols and best practices.
- Spanish Speaking Representative for online telehealth service,
- Scheduling, Claims, Eligibility, Benefit information, Enrolling, Pharmacy issues.
- Problem Solving.
Education
High School Diploma -
Elizabeth High School
Elizabeth, NJSkills
- Microsoft office
- Insurance claims review
- Claims investigation
- Time management
- Bilingual Representative for Spanish speaking customers
Certification
Employee of the month
Languages
Spanish
Full Professional
Timeline
Claims Representative
Caresource Health Plan
09.2023 - 10.2025
Customer Service Representative
OKS Ameridial
02.2023 - 09.2023
Customer Service Representative
Plusone Solutions
01.2019 - 05.2022
High School Diploma -
Elizabeth High School