Arika Staley
@arikastaley
Customer Service professional at Optum Rx/United Healthcare who resolved complex benefits, eligibility, and claims inquiries.
United StatesWhat I'm looking for
At Optum Rx/United Healthcare, I resolved member and healthcare professional inquiries about benefits, eligibility, claims, and financial account details. I also researched complex issues across databases and explained plan options and procedures.
At United Healthcare, I maintained provider records, analyzed demographics for discrepancies, and resolved inquiries from internal stakeholders. I also conducted compliance audits and developed credential verification processes to uphold data integrity.
Experience
Work history, roles, and key accomplishments
Maintained accurate provider records and analyzed demographics to enhance data reliability. Resolved complex inquiries and conducted compliance audits to uphold data integrity.
Customer Service Advocate
Optum Rx/United Healthcare
May 2014 - Dec 2016 (2 years 7 months)
Resolved customer inquiries regarding benefits, eligibility, claims, and financial accounts. Educated members and healthcare professionals on plan options and procedures.
Extended Day Instructor
Duval County Public Schools
Nov 2012 - May 2014 (1 year 6 months)
Facilitated after-school programs providing academic assistance and recreational activities. Maintained a safe and nurturing environment for children.
Customer Service Rep
The Eastridge Group of Staffing
Dec 2008 - Feb 2012 (3 years 2 months)
Resolved customer inquiries across phone, email, and chat, processing refunds, returns, exchanges, and cancellations. Managed complaint resolution and escalated cases.
Sales Associate
Steve and Barry's University Sportswear
Nov 2006 - Nov 2008 (2 years)
Provided personalized customer assistance and product information. Maintained merchandise knowledge and contributed to inventory management.
Telephone Interviewer
Competitive Edge Research
Jul 2005 - Oct 2006 (1 year 3 months)
Conducted telephone interviews and surveys for market research, ensuring accurate data collection and documentation. Performed general office responsibilities.
Education
Degrees, certifications, and relevant coursework
National City Adult School
Certificate, General Studies
Earned a Certificate in 2011.
Mt. San Jacinto College
Associate Degree, General Studies
Earned an Associate Degree in 2010.
Garfield High School
High School Diploma, General Studies
Earned a High School Diploma in 2004.
Tech stack
Software and tools used professionally
Availability
Location
United StatesAuthorized to work in
Salary expectations
Job categories
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