NICOLE WALKER

*** ******** **. *** ** Hampton, VA 23661(P)757-***-****(E)aduq17@r.postjobfree.com Objective: As a medical insurance customer service representative, I have provided enrollment services, helped many clients with insurance claims, answered questions about their coverage, and have helped to establish general confidence and understanding about the insurance plans in which they are enrolled. As a newly licensed Health Insurance Agent, I am now looking to utilize and expand my knowledge and skills to assist individuals with what they need in the hospital setting.

Education:

• Everest College- Newport News, VA 2015-2016

Enrolled in the Medical Administrative Assistant Program. Graduated with honors and obtained a 4.0 GPA

• Allen School of Health Sciences- Brooklyn, NY 2012-2013 Enrolled into the Medical Assistant Program, completed 300 hours of clinicals, and graduated with a 3.0 GPA

• Bethel High School- Hampton, VA 1993-1997

Experience:

ELEVANCE Norfolk, VA December 2022-Present

● Worked with customers to resolve complaints, process orders, and provided information about an organization’s products.

● ALLIANZ Richmond, VA June 2022-October 2022

● Reviewed insurance claims to verify that due process was followed by claim adjuster and claimant.

COX COMMUNICATIONS Chesapeake, VA March 2022-June 2022

● Assisted new and current customers with establishing service.

● Provided information about current and upcoming products and services for cable abd/or internet.

FANEUIL HAMPTON, VA 2018-March 2022

• Provided quotes to current and/or potential members

• Completed enrollment process for current and/or new members as well as provided enrollment status for current members.

• Made adjustments to applications

• Completed search process for medical providers and facilities

• Received inbound call from clients and potential clients to grow customer base.

• Meet with potential clients regarding their needs and coverage as well as explain their potential options.

• Match insurance policies to customer needs.

• Exercises independent thinking in meeting customer expectations.

• Combines knowledge of product, effective time management skills, and excellent interpersonal skills to meet performance standards.

• Ability to handle routine customer transactions, work under time constraints and understand and apply new concepts.

• Ability to analyze information and evaluate results.

• Ability to create positive customer relationships by diffusing angry and upset customers. TTEC CHARLOTTE, NC 2020-2020

• Submitted requests for replacement cards.

• Provided claim status to members.

• Provided information about in and out of network medical providers and facilities. • Checked status of Prior Authorizations.

MAXIMUS Hampton, VA 2017-2018

• Ensured Prior Authorizations were in place for pharmaceutical purposes. • Matched providers to consumers based on their insurance plan.

• Documented inquiries, complaints, comments and any actions made on behalf of the consumer.

• Address customers inquiries and resolve problems to ensure that appropriate changes are made.

• Refer unresolved customer grievances to designated departments for further investigation.

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