Post Job Free

Resume

Sign in

Customer Service Representative

Location:
Dayton, OH
Posted:
July 23, 2018

Contact this candidate

Resume:

Donnetta C. Boykin

*** *. ********* **

Trotwood, OH 45426

937-***-****

ac6dya@r.postjobfree.com

Objective

I am aspiring to make a career change that will provide opportunities for growth and development. I have worked in the insurance field for over 15 years and would love to use my knowledge as a foundation for new horizons.

Professional Summary

I have over 15 years of experience in the insurance field which spans the following business areas: Commercial Medical, Medicaid, Medicare and Property Loss. I developed Project Management skills through participating in and orchestrating various projects for all areas of business. I have acquired over 15 years of Customer Service experience in various positions from Call Center Representative to Provider Liaison. My system experience includes, but is not limited to, CS90, Medisys, Facets, EPIC and Xcel. I am also an herbalist and avid gardener.

Professional Experience

9/2017 Present Human Arc Cleveland, Ohio

Patient Service Representative II

I initiate reimbursement for the hospital through effective phone or face to face screening. I work with hospital staff and teammates to interview patients and conduct an analysis of potential eligibility. I am an intermediary for the client, accounts representatives and managers.

2/2013 9/2017 Assurant Specialty Property Springfield, Ohio

Loss Draft Resolution Specialist

I was responsible for processing property loss drafts claims, which included processing checks and documents; ordering and reviewing inspections; working loss draft queues and evaluating exceptions; while handling inbound calls. I met and/or exceeded all quality standards set for telecommuting employees.

06/2009 1/2013 Wellpoint, Inc Mason, Ohio

Grievance/Appeals Representative II

I provided resolution for inquiries, grievances and appeals within a specified time frame established by either regulatory/accreditation agencies or the customer’s need. I supplied quality customer service as well as accurate benefit information in written and verbal correspondence with members and/or provider offices. I consistently met and exceeded quality standards set by the management team of the Medicare Senior Business Division.

Education

5/2015 10/2016 Sky House School of Herbalism Silver Spring, Maryland



Contact this candidate