Kiara McCarthy
@kiaramccarthy
Customer Service Representative with 12+ years supporting healthcare and benefits call centers.
United StatesWhat I'm looking for
I’m a customer service professional with 12+ years of experience delivering top-tier support through inbound calls, claim reviews, scheduling, and data entry across fast-paced environments. I’m known for strong verbal and written communication, quick learning, and a solutions-focused approach that helps me exceed expectations while navigating multiple systems at once.
In healthcare and benefits roles, I’ve supported members with benefit explanations, processed and reviewed claim requests, and handled escalations with care and accuracy. I also contributed beyond day-to-day support through quality assurance, peer training and mentorship, performance coaching, and process improvement—helping teams improve call quality and customer outcomes.
Experience
Work history, roles, and key accomplishments
Customer Service Representative
Everise
Dec 2024 - Present (1 year 6 months)
Provided customer support to program members by handling inbound calls, reviewing claim requests, scheduling appointments, and placing orders while navigating multiple systems. Delivered top-tier service through strong verbal/written communication and accurate data entry (40–45 WPM).
Handled call center operations for dental insurance, assisting members with benefit explanations, reviewing dental claims, and processing reprocessing referrals. Managed escalations and maintained quality through active listening and adaptable member support.
Customer Service Representative
RTI International
Jan 2018 - Apr 2022 (4 years 3 months)
Supported customers while acting as a team lead by assigning work, running weekly meetings, and mentoring peers. Managed detailed medical billing record abstraction and performed data entry to fulfill client needs, including client appointment setup and customer surveys.
Served as a customer service representative with a focus on professional communication and accurate data entry. Completed member enrollment into health plans, handled inbound calls, and reviewed claims to fulfill client needs (Perfect Attendance).
Education
Degrees, certifications, and relevant coursework
North Carolina Central University
Bachelor of Science, Family and Consumer Sciences
2011 - 2019
Earned a B.S. in Family and Consumer Sciences with a concentration in Apparel and Textiles.
Availability
Location
United StatesAuthorized to work in
Job categories
Skills
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