Benefits Analysts

Janile Griffith

Newark, DE ***** linkedin.com/in/janile-griffith-85435141 610-***-**** *********.**@*****.***

Professional Summary

Commitment Passion Integrity

Highly motivated Customer Service Professional with over 18 years of experience. Possesses as unwavering ability to build productive relationships and win customer loyalty. Excellent time management skills with high attention to detail. Possesses effective planning, organization, presentation and interpersonal skills. An effective team member with an unwavering ability to strive for results driven outcomes. Experience with claims processing software as well as the Microsoft Office 2016 suite and QuickBooks.

Areas of Skill

Customer Service

Team Building

International Customer Service

Claims

Training

Finance Management

Fraud Analyst

Medical Terminology

Payroll Administration

Professional Experience

Benefits Analyst Cigna Global Health Benefits Wilmington, DE 03/2014 to 6/2018

Prepared and reviewed domestic and international health insurance claim forms or related documents.

Reviewed, investigated and processed international and domestic claims for payment in accordance with the terms and conditions of the policy holder’s benefits within established company deadlines and objectives.

Analyzed claims using extensive knowledge of medical terminology and diagnosis of treatment procedures.

Determined claim eligibility, coordination of benefits and workman’s compensation association to the claim.

Evaluated claims for fraud, country sanctions and termination of coverage.

Regularly selected by supervisors to engage in special projects due to exceeding production and quality team metrics.

Supported the team by training new associates and served as Subject Matter Expert (SME) for seasoned associates on established departmental procedures, HIPPA regulations and corporate policies.

Customer Service Associate Cigna GLOBAL HEALTH Benefits Wilmington, DE 3/2008 to 3/2014

Demonstrated excellent customer service via phone and email.

Responded to expatriate and inpatriate customers, providers, client managers and policy holders.

Resolved grievances complaints and appeals ranging from routine to severe complexity.

Acted as a liaison between the Client Advocate Team and the Dedicated Customer Service Team.

Supported the Dedicated Customer Service Team by training and cross training new and seasoned associates.

Always exceeded individual and team metrics.

Awarded the Cigna Champion award for creating a Dedicated Customer Service Associate Manual which decreased average handle time, after call work and increased customer satisfaction.

Finance Assistant Eternal Hope of Glory Chester, PA 1/2013 to 5/2017

Developed internal control policies, guidelines and procedures for activities such as budget administration, cash and credit management and accounting

Maintained current knowledge of organizational policies and procedures, federal and state policies and directives and current accounting standards.

Prepared financial information and filed annual tax returns.

Received cash and checks from donors and made weekly deposits.

Recorded revenues and expenses as well as administered payroll.

Cultivated strong and positive relationships with internal and external customers and vendors.

Led staff training and development for budgeting and financial management.

Education

Life Coach Certification Delaware County Community College – Media, PA

Associate of Business Administration Goldey Beacom College- Wilmington, DE

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