Claudia Mkhetshane

I’m an Experienced Healthcare Customer Service Specialist with a strong background in Medicare Advantage, health insurance, and member support services. I focus on accurate, empathetic, and compliant support that keeps customer satisfaction high.

In my roles across the UnitedHealthcare Campaign (Foundever) and Humana Campaign (EXL), I handle high-volume inbound calls and explain complex benefits in a clear, member-friendly way. I also resolve claims, authorization, and eligibility inquiries while coordinating with providers when needed.

Previously, I worked as a Customer Service Agent at British Gas (WNS), where I handled billing and customer queries in a high-volume environment. I also supported logistics and shipment inquiries with DHL (Telus), strengthening my ability to troubleshoot questions quickly and effectively.

I bring disciplined HIPAA Compliance practices, strong CRM Systems experience, and a steady commitment to compliance and accuracy. I’m supported by a Grade 12 (Matric) education from Oscar Mpetha High School and I’m ready to continue delivering reliable healthcare customer service.