Jarvian James
@jarvianjames
Detail-focused dental & pharmacy benefits representative delivering accurate data entry and claims support.
United StatesWhat I'm looking for
I’m a detail-oriented Dental & Benefits Representative with over 11 years of experience in customer service, technical support, and healthcare benefits administration. I’m known for high-volume, accurate data entry, claims processing, and eligibility verification—supporting member and provider needs while maintaining HIPAA compliance. In fast-paced remote environments, I consistently meet or exceed productivity, quality assurance, and SLA standards.
Most recently as a Dental, Pharmacy Benefits & Data Entry Specialist supporting UnitedHealthcare and CVS Caremark, I verify coverage details (network status INN/OON, frequencies, limitations, and procedure eligibility) and research claims and benefit discrepancies to prevent processing delays or denials. I document interactions clearly and thoroughly in Salesforce OneCRM and use Jira to track service issues, escalations, and internal requests while navigating multiple systems simultaneously for timely claim resolution. Earlier, I served as a Team Lead & Customer Service Representative, coaching 8–10 agents, implementing workflow improvements that reduced average handle time by 15%, and acting as Tier-2 escalation for complex technical and policy-related issues.
Experience
Work history, roles, and key accomplishments
Dental & Pharmacy Benefits Rep
Everise
Aug 2024 - Present (1 year 7 months)
Provided dental and pharmacy benefits support for UnitedHealthcare and CVS Caremark members and providers, completing high-volume, accurate data entry for eligibility and claims documentation. Verified coverage details, researched discrepancies to prevent processing delays, and documented interactions in Salesforce OneCRM with strict HIPAA compliance while meeting SLA and QA targets.
Dental & Pharmacy Benefits Specialist
Everise
Aug 2024 - Present (1 year 7 months)
Provided dental and pharmacy benefits support for UnitedHealthcare and CVS Caremark members and providers, completing high-volume, accurate data entry for eligibility, claims documentation, and provider records. Researched and resolved benefit/claims discrepancies, documented interactions in Salesforce OneCRM with HIPAA compliance, and met SLA and QA targets in a fast-paced remote environment.
Team Lead & Customer Service Rep
IBEX Global
Jan 2018 - Jan 2020 (2 years)
Supervised and coached a team of 8–10 agents handling warranty and insurance inquiries, ensuring documentation accuracy and compliance. Implemented workflow improvements that reduced average handle time by 15% and served as a Tier-2 escalation point for complex technical and policy issues.
Delivered technical troubleshooting for DirecTV satellite receivers and DVR systems, accurately documenting service interactions and resolutions in internal systems. Reduced technician dispatches by 12% through effective remote diagnostics.
Technical Support Customer Service Rep
Sutherland Global
Jan 2016 - Jan 2018 (2 years)
Provided technical troubleshooting for satellite receivers and DVR systems, accurately documenting service interactions and resolutions in internal systems. Reduced technician dispatches by 12% through effective remote diagnostics.
Customer Service Representative
Sutherland Global
Jan 2015 - Jan 2016 (1 year)
Assisted customers with billing, account setup, and service issues while entering service requests and account updates with high accuracy. Coordinated technician dispatches and follow-ups to drive timely resolutions.
Customer Service Sales & Support Rep
Alorica
Jan 2009 - Jan 2013 (4 years)
Handled inbound customer inquiries and account changes for Cricket Communications and AT&T while performing device troubleshooting and maintaining accurate service documentation. Met sales and customer satisfaction targets consistently.
Handled inbound customer inquiries and processed account changes for Cricket Communications and AT&T, including device troubleshooting and service documentation. Met sales and customer satisfaction targets consistently.
Education
Degrees, certifications, and relevant coursework
University of the West Indies
Bachelor’s degree (coursework only)
Completed 20 courses toward a Bachelor’s degree at the University of the West Indies, with no degree conferred.
Dinthill Technical High School
High School Diploma, Secondary Education
Earned a High School Diploma from Dinthill Technical High School in Jamaica.
University of the West Indies
Undergraduate coursework toward Bachelor's degree (no degree conferred)
Completed 20 courses toward a bachelor’s degree at the University of the West Indies in Jamaica; no degree was conferred.
Tech stack
Software and tools used professionally
Availability
Location
United StatesAuthorized to work in
Job categories
Skills
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