Customer Service & Enrollment Specialist Expert

Location:

Posted:

May 23, 2026

Teshemia Newman

Beaumon, TX *7701 832-***-**** *******.***@*****.***

Professional Summary

Focused customer service professional skilled in lead generation, customer

relationship development and sales. Accomplished in providing unsurpassed support

to demanding customers. Offering six years of experience in related roles, as well as

passion for always improving numbers, enhancing knowledge and exceeding

expectations.

Experience

Enrollment Specialist/ Wellcare Insurance 09/2025-02/2026

·Help patients complete enrollment forms (insurance, Medicaid/Medicare, hospital programs)

·Verify that applications are complete and accurate

·Submit applications and track their status

·Check if patients qualify for programs (income, residency, medical criteria)

·Review supporting documents like ID, proof of income, or medical records

·Communicate eligibility decisions or next steps

Behavioral support specialist/ Spindletop 01/2024-02/2025

·Provide behavior and academic support to youth while they are attending class;

·Assist teachers with de-escalation of behavior issues that may arise during learning

·Coach and guide youth to resolve issues using techniques and strategies to

·Decrease stress and behavior challenges in compliance with youth’s

·Provide direct supervision and observation of all youth while in their living space

Claim benefits specialist/ Aetna 01/2022-01/2024

lReview and process pended claims within 5 days of initial review

lProvides effective, timely investigations and follow up on all internal customer

lrequests and special projects

lIdentify trends related to appeals processing

lParticipates in the development/achievement of action plans and goals

Education

Westbrook High School, Beaumont, Texas 1990

High School Diploma

Skills & abilities

·Attention to detail

·Building customer loyalty

·Problem solving

·MS Excel, Word

·Time management

·Clear communication