Kadidjri Lahab

Member Service Specialist

Profile

I’ve had 12 years of experience in member services. I possess research and problem-solving skills to reach optimal end results, while focusing on team goals and customer satisfaction.

Contact Information

250 Samburu Street

Pontiac, MI 48341

Phone: 248-***-****

ady444@r.postjobfree.com

Core Competencies

Customer Focus

Training and Development

Critical and Creative-thinking

Research and Resolution

Appeals Processing

Organization and Attention to Detail

Multitasking

Interpersonal Awareness

Excellent Writing Skills

Conflict Resolution

Dependability

Technical Skills

Microsoft Office Suite

Microsoft Outlook

Share Points

Power Point

Adobe Illustrator and Photoshop

Knowledge on both Mac and PC

Additional Skills

Public Speaking

Writing

Editing

Education

Diploma, Cass Technical High School, Detroit, MI

B.A., Journalism, Oakland University, Rochester Hills, MI

B.S., Biology, University of Arizona, Tucson, AZ

Professional Experience

Operations Specialist III - Closing, United Wholesale Mortgage, Pontiac, MI

September 14, 2020 to present

Researching and resolving routine to moderately complex

telephone, written inquiries from brokers and title agents

in a call center environment

Initiate IT tickets for files requiring technology

investigation

Resolve auto-fired system escalations to progress client.

loans from closing to funding.

Educate brokers and title agents on use of the company.

Engage with multiple UWM departments to resolve loan

Issues.

Auction Coordinator, Volkswagen Group of American Auburn Hills, Southfield, MI

January 2019 to May 31,2020

Procured vehicles for buy back under Lemon Law

Coordinated with dealerships in repair and transport.

Manage correspondence, maintained records of vehicles.

Collected and verified accuracy titles, repair orders,

branding &r reimbursement checks.

Composed full disclosure documentation for potential.

under U.S. Lemon Law guidelines.

Follow-up Billing Representative, R1 RCM Southfield, MI

June 2018 to Dec 31 2018

Researched, resolved, and billed escalated workman compensation and auto insurance claims for hospitals.

Collected tens of thousands of dollars in revenue for Providence Hospitals in Birmingham, Mobile and DC per month

Disability Claims Representative, Sedgwick, Southfield, MI

January 2018 to June 2018

Processed disability claims for corporate clients

Member/Provider Services, Molina Healthcare, Troy, MI

March 2016 to January 2018; department eliminated because of corporate restructuring.

Promoted from Member Services to Provider Services in April 2017

In Provider Services, researched and resolved claims payment and non-payment issues.

Educated providers on the authorization requests and appeal process for uncovered services per member’s plan.

For Member Services, advised enrollees of benefits and programs.

Instructed in network pharmacists of correct codes to process patient’s Rx claims.

Connected members with physicians, case workers, nurses and home caregivers.

Set-up physician appointments and transportation to a from medical offices and facilities.

Advised patients of eligibility for durable medical equipment and nearest DME providers.

Customer Representative, Fortegra/Protect Cell, Novi, MI

November 2015 to March 2016

Answered 50-80 calls per day in an inbound call center.

Educated members and cell phone provider representatives on terms and conditions of insurance.

Mortgage Loan Coordinator, Citibank, Ann Arbor, MI

May 2012 to June 2014; department closed in response to market conditions.

Liaised with sales team to meet collective $20 million sales goals.

Closed $300K to $2 million home refinance loans for 30-40 borrowers within 45-60 days.

Customer Service Representative, Edcor Data Service, Troy, MI

August 2010 to April 2012

Cleared 150 client’s employees seeking tuition what documents were needed receive reimbursements.

Reduced employee escalation calls by 95%

Internship, Metro Parent Magazine, Ferndale, MI

August 2008 to July 2009, Internship

Promptly completed feature stories of interests to parents of teens and infants

Contributed to life-style articles for African American Family Magazine

Editor of the monthly events calendar for BLAC Magazine covering Metro-Detroit area Internship

Volunteer writer, WDET 101.9 FM Public Radio, Detroit, MI

October 2007 to July 2008

Researched and obtained news stories for feature stories in Metro Detroit

Checked AP newswire for national stories and developed angels relevant to local listening audience.

Voiced on-air stories for NPR’s Morning edition’s newscast.

Interviewed high profile politicians, professional athletes and city officials.

Appointment Scheduler, Life Style Lift Marketing, Troy, MI

October 2008 to December 2008

Managed high-volume client calls

Explained details of consultations and advantage of Life Style Lifts over other procedures.

Successfully scheduled 30-45 consultations within a two- week period to make commission and bonuses

Seasonal Associate, Life Style Lift Marketing, Troy, MI

October 2007 to March 2008

Efficiently restocked merchandise to increase sales of items to customers.

Expedited the purchases and returns of clients.

Contact this candidate