Kiyomi Flake
@kiyomiflake
Motivated professional with expertise in claims processing and customer support.
United StatesWhat I'm looking for
I am a motivated and adaptable professional with a strong background in claims processing, customer support, administration, and retail leadership. Currently, I work as a Claims Research & Resolution Representative at Humana, where I investigate medical and pharmacy claim discrepancies to ensure timely resolutions. My experience has equipped me with the ability to manage provider and patient accounts effectively while coordinating with various teams to maintain claims accuracy.
Throughout my career, I have held various roles that have honed my skills in customer service and administrative support. From my time as a Dental Receptionist at Smile Avenue to my role as a Video Tech Consultant at Conduent, I have consistently demonstrated my ability to resolve complex issues and provide exceptional service. I thrive in fast-paced environments and am always eager to learn and grow in my professional journey.
Experience
Work history, roles, and key accomplishments
Claims Research & Resolution Representative
Humana
Feb 2021 - Present (4 years 4 months)
Investigated medical and pharmacy claim discrepancies for timely resolution. Managed provider and patient accounts, coordinating with providers and internal teams to ensure claims accuracy. Utilized CI and CRM platforms for documentation and communication.
Dental Receptionist
Smile Avenue
Oct 2018 - Feb 2021 (2 years 4 months)
Scheduled patient appointments and verified insurance coverage. Processed intake forms and coordinated billing information. Provided friendly and professional front desk service.
Video Tech Consultant
Conduent (Cox Communications)
May 2016 - Oct 2018 (2 years 5 months)
Provided technical support for streaming and internet-connected devices. Troubleshot software, hardware, and connectivity issues. Maintained detailed customer interaction records in CRM.
Administrative Assistant
Resource Staffing
Aug 2013 - May 2016 (2 years 9 months)
Supported office staff with clerical duties including document preparation and scheduling. Maintained records, organized files, and performed data entry tasks. Acted as the first point of contact for visitors and phone inquiries.
Store Manager
Cato's Fashion
Jun 2011 - Aug 2013 (2 years 2 months)
Led store operations including staffing, sales, and customer satisfaction. Trained and supervised employees while ensuring operational compliance. Managed inventory, scheduling, and daily financial reporting.
Education
Degrees, certifications, and relevant coursework
TCTARRANT COUNTY COLLEGE
Unknown, General Studies
Details about the field of study and specific achievements at Tarrant County College are not provided in the given text. The focus was on foundational learning.
Tech stack
Software and tools used professionally
Availability
Location
United StatesAuthorized to work in
Job categories
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