LADIPO HENRY ADEYEMI

RICHMOND TX ***** · 281-***-****

ad23h7@r.postjobfree.com

Analytical, organized, and detailed oriented provider customer service representative with experience and expertise in the full spectrum of Supply Chain Management, Business Management, Customer Service, and Healthcare, seeking to secure position in a leadership role, or future advancement within a growing Company. Collaborative team player with ownership mentality and track record of delivering highest quality strategic solutions to resolve challenges with provider claims and build loyalty by leveraging interpersonal abilities and propel business growth.

SKILLS

●Problem Solving

●Product knowledge

●Technical Proficiency

●Positive attitude

●Attention to detail

●Quality focus

●Patience

●Documentation skills

●Empathy

●Time Management

●Adaptability

EXPERIENCE

Everise

CUSTOMER SERVICE REPRESENTATIVE 07/2021-08/2023

ILLINOIS MERIDIAN PROVIDER AND MEMBER SERVICES

●Responded to telephone correspondence inquiries from provider, hospitals, and clearing houses for the State of IL Meridian Medicaid plan.

●Explained insurance policies

●Processed claims: researched, investigated, and resolved claim denials, assisting providers with navigation of provider portal and verifying account information, as well as assisting with submission, review, and understanding of claim denials, prior authorizations, and appeals.

●Resolved customer complaints related to insurance claims, policies, and payments and investigate the issue, and work to resolve it to the customer's satisfaction

●Escalated issues: if an issue cannot be resolved I escalate it to a supervisor for further action.

●Maintained a positive image of the company in all interactions with customers

●Utilized current reference materials such as HFS fee schedule, OMNI, provider portal, Meridian website, keeping up with State guidelines and CMS.gov guidelines,

●Documented all activities for quality and metrics reporting.

STARTEK

CUSTOMER CARE REPRESENTATIVE 04/2021- 07/2021

COVID VACCINATION REPRESENTATIVE

●Provided support to customers with information of where to get the COVID vaccines.

●Provided information about the available type of vaccine

●Assisted customers to locate the nearest vaccination centers

●Assisted with setting up appointments.

●Supported customers in resolving any issues with their services.

●Remained courteous and calm at all times, even during moments of intense customer displeasure.

Ttec

CUSTOMER SERVICE REPRESENTATIVE 09/2020-03/2021

Schwan's Home Delivery

●Served customers by providing product and service information and resolving product and service problems.

●Attracted potential customers by answering product and service questions and suggesting information about other products and services.

●Maintained customer records by updating account information.

●Resolved product or service problems by clarifying the customer's complaint, determining the cause of the problem, selecting and explaining the best solution to solve the problem, expediting correction or adjustment, and following up to ensure resolution.

●Information and analyzing customer needs.

●Prepared product or service reports by collecting and analyzing customer information.

●Contributed to team effort by accomplishing related results as needed.

EDUCATION

Bsc. Banking and Finance

Olabisi Onabanjo University Ago Iwoye

Ogun State Nigeria

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