At WellSense Health Plan, I support members and providers with claim, payment, denial, and account questions through high-volume inbound calls.
I research CPT codes, claim notes, denial information, contracts, and internal policies to identify issues and explain available resolutions. I document determinations clearly and coordinate with internal teams to verify information and escalate cases when needed.
Previously, I helped customers choose pest-control plans at Fox Pest Control and home-security products and services at ADT Security. I used clear phone consultations, needs assessment, accurate CRM records, and follow-up to address questions and recommend options that fit customer needs and budgets.
I also supported sales development at Speed Stairs through prospect research, CRM maintenance, follow-up, presentations, and product explanations. I'm fluent in English and Haitian Creole and am pursuing a Bachelor of Science in Information Technology.
