Dominique Myers
@dominiquemyers
Senior fraud and healthcare customer service professional with 15+ years delivering compliant, empathetic support and accurate case outcomes.
What I'm looking for
I’m a healthcare and customer service professional with 15+ years of experience in high-volume call centers, Medicaid managed care, insurance support, fraud investigation, and clinical environments. I’m known for delivering empathetic, accurate, and efficient support while consistently meeting performance metrics and compliance standards.
In fraud and claims-focused roles, I investigate fraud and identity theft cases, document findings, and ensure regulatory compliance using tools like LexisNexis and Innovis. I also handle member and provider services such as eligibility and benefits verification, claims processing, prior authorizations, referrals, and escalated issue resolution.
I’ve also built strong clinical grounding as a Registered Medical Assistant, supporting patient care, documenting in EPIC and Cerner EMR systems, and maintaining HIPAA compliance. In leadership experience, I’ve led a team of 27 representatives, strengthening quality and adherence through clear accountability and coaching.
Experience
Work history, roles, and key accomplishments
Office Service Clerk
Nicor Gas
Jan 2024 - Present (2 years 5 months)
Handled high-volume inbound customer calls for billing, payments, service requests, and account changes. Processed service orders, coordinated emergency tickets and technician dispatch, and documented interactions in internal systems.
Level II Fraud Specialist
JPMorgan Chase & Co.
Jul 2022 - Mar 2024 (1 year 8 months)
Investigated fraud and identity theft claims involving credit and checking accounts while providing empathetic support during sensitive situations. Used LexisNexis and Innovis for fraud detection and documented case findings to ensure regulatory compliance.
Customer Service Assistant Manager
AT&T
Apr 2018 - Aug 2022 (4 years 4 months)
Handled high-volume inbound calls for billing, account management, and technical support, resolving escalated customer issues and service complaints. Conducted manager callbacks and customer follow-ups while supporting team performance and maintaining quality and adherence standards.
Customer Service Team Lead
KForce Solutions (IlliniCare Health Insurance)
Oct 2017 - Apr 2018 (6 months)
Provided Medicaid Managed Care and ACA member/provider support through high-volume inbound calls, verifying eligibility, benefits, referrals, and prior authorizations. Led a team of 27 representatives by processing and researching medical claims and coordinating claim resubmissions to support quality and adherence.
Customer Service Representative
Gerber Collision & Glass
Jan 2017 - Mar 2018 (1 year 2 months)
Assisted customers with insurance and self-pay estimates while scheduling appointments and coordinating technician dispatch. Managed inbound and outbound customer communication and maintained accurate service documentation and follow-up records.
Specialty Pharmacy Rep
CVS Health Specialty Pharmacy
Jan 2016 - Apr 2017 (1 year 3 months)
Managed 80–200 inbound calls daily from patients and providers for prescription refills, insurance coverage, and benefit questions. Coordinated with physician offices for prior authorizations and medication updates, maintained accurate documentation in case management systems, and conducted outbound adherence/refill follow-ups.
Education
Degrees, certifications, and relevant coursework
Dominique hasn't added their education
Don't worry, there are 90k+ talented remote workers on Himalayas
Availability
Location
Authorized to work in
Job categories
Skills
Interested in hiring Dominique?
You can contact Dominique and 90k+ other talented remote workers on Himalayas.
Message DominiqueFind your dream job
Sign up now and join over 250,000+ remote workers who receive personalized job alerts, curated job matches, and more for free!
