
David Pius
@davidpius
Customer Service Representative at United Health Group who supported customers and clinicians and later handled claims and appeals.
What I'm looking for
At United Health Group (UHG), I delivered phone, email, and chat support to customers, clinicians, and partners. I troubleshot platform issues, helped new users get started, and shared customer feedback with product and operations teams.
After being promoted to the Claims Department, I supported claims-related work and monitored customer engagement trends. I also maintained service quality and documentation standards.
At Dependent Verification Center (DVC), I reviewed medical, pharmacy, and insurance claims for accuracy, eligibility, and policy compliance. I investigated disputed claims and helped members and healthcare providers understand claim status, appeals, and coverage.
As a freelance customer interaction provider, I assisted customers in retail and service settings and handled complaints. I’m seeking a Customer Care Service role where I can provide excellent customer support and contribute to organizational success.
Experience
Work history, roles, and key accomplishments
Freelance Customer Interaction
Self Employed
Jan 2018 - Present (8 years 10 months)
Provided assistance to customers in retail and service settings. Handled complaints and resolved issues in a professional manner.
Claims and Appeal Specialist
Dependent Verification Center
Jan 2024 - Dec 2026 (2 years 11 months)
Reviewed and processed medical, pharmacy, and insurance claims to ensure accuracy and compliance. Investigated denied claims and assisted members and providers with appeals and coverage explanations.
Customer Services Representative
United Health Group
Jan 2022 - Dec 2024 (2 years 11 months)
Delivered multi-channel support to customers, clinicians, and partners, resolving product and service-related inquiries. Onboarded new users and collaborated with product and operations teams to relay customer feedback.
Intern – Business Administration Department
Yaba College of Education
Jan 2021 - Dec 2022 (1 year 11 months)
Assisted with administrative coordination and documentation. Handled administrative tasks and responded to inquiries from students and staff.
Education
Degrees, certifications, and relevant coursework
Yaba College of Education
National Diploma, Business Administration
2019 - 2022
Grade: Upper Credit
Pursued a National Diploma in Business Administration and graduated with Upper Credit.
Florida College
West African Senior School Certificate, General Studies
Completed the West African Senior School Certificate (WASSCE) in 2018.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Salary expectations
Job categories
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