Claims Representative Call Center

Belinda B. Bigbie

**** ********** ***** ****** ******** GA 30058**********@*****.****770-***-****

Objective: To be provided the opportunity to execute, assist and provide my vast knowledge of healthcare with over 14 years of experience.

EXPERIENCE

Centene---Provider Claims Representative---March 2022—August 2022

• Provided expected professionalism, took ownership of calls, as well as demonstrating the ability to assist providers with tactful resolution.

• Maintained relationships with contracted clients by addressing any issues or concerns providers may have experienced; remaining unbiased and maintained client's confidentiality.

• Attended conference calls, relayed updates and changes to team leads and supervisors.

Alight Solutions/Hire Dynamics---Team Lead—October 2021—January 2022

• Followed Alight company procedures and provided accurate written documentation regarding call reviews.

• Assisted in training new employees regarding learning systems and processing applications.

• Approved, reviewed employee scheduled adherence, timesheets as well as monitoring call activity.

MAXIMUS, Atlanta GA---Enrollment Counselor --- August 1995—June 2020

• Per incoming/outgoing phone calls assisted with processing daily enrollments, dis-enrollments and changes related to requests from members within the initial 90-day choice period or annual enrollment.

• Assisted call center supervisors with personnel regarding scheduling for various outreach locations within the state of Georgia.

• Established written communication with Medicaid staff concerning escalations needing state level reviews for medical emergencies approved by the Department of Community Health.

EDUCATION

Norfolk State University, Norfolk VA, B.S: Exercise Science, August 2007 - May 2002 MILITARY EXPERIENCE

US Air Force Reserve/National Guard

• 512th Misson Support AFB: Personnel Apprentice

Dover Delaware, May 1997-Aug 2000

• 203rd Red Horse Flight ARB: Hospitality Services Norfolk VA, Sept 2000-May 2002

• 116th Mission Support AFB: Hospitality Services

Warner Robbins GA, July 2002-Sept 2004

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