TUTania User
@taniauser2
Dedicated customer service advocate with expertise in health insurance.
ZimbabweWhat I'm looking for
I am a dedicated customer service advocate with extensive experience in the health insurance sector. Over the past several years, I have honed my skills at UnitedHealth Group, where I excelled in resolving customer inquiries and processing claims efficiently. My role has allowed me to develop a deep understanding of Medicaid and the intricacies of health benefits, ensuring that I provide accurate information and support to clients.
In addition to my work at UnitedHealth Group, I have contributed as a State of Florida Vaccination Specialist, where I coordinated vaccine appointments and assisted clients with medical accommodations. My academic background, including a Master of Public Health from Columbia University, complements my practical experience, equipping me with the knowledge to navigate complex health-related issues effectively.
Experience
Work history, roles, and key accomplishments
Customer Service Advocate / Data Entry and Claims Processor
UnitedHealth Group
Mar 2015 - Present (10 years 3 months)
Responded to and resolved customer service inquiries and issues on the first call, identifying caller needs related to benefits, eligibility, and claims. Recorded data into corresponding systems, specifically handling Medicaid-related balance billings.
State of Florida Vaccination Specialist
Inktel
Jan 2021 - May 2021 (4 months)
Resolved customer service inquiries regarding eligibility criteria for various COVID-19 vaccines and booked appointments for the State of Florida. Coordinated assistance for clients requiring medical accommodations at vaccination sites.
Research Assistant
Florida International University
Jan 2019 - Jul 2020 (1 year 6 months)
Conducted temperament coding by rating observations using a specific coding system to score temperament dimensions of children's behavior. Utilized the Laboratory Temperament Assessment Battery (Lab-TAB) to assess temperament dimensions through a series of events measuring preschooler's emotionality.
Licensed Enrollment Agent
Convey Health Solutions
Sep 2017 - Dec 2017 (3 months)
Received inbound and made outbound calls from beneficiaries enrolled in MAPD and Part D programs, assisting with account updates and plan information. Educated beneficiaries on plan benefits, claims, and cost-sharing, while also verifying medication coverage and explaining formulary details.
Licensed Enrollment Agent
Convey Health Solutions
Aug 2014 - Feb 2015 (6 months)
Assisted beneficiaries with updating account information, providing plan details, and resolving utilization issues for MAPD and Part D programs. Educated clients on plan benefits, claims, and cost-sharing, and verified medication coverage on formularies.
Customer Representative
Convey Health Solutions
Jan 2014 - Feb 2014 (1 month)
Handled inbound and outbound calls from beneficiaries enrolled in PDP or MAPD programs, assisting with account updates and plan information. Researched premium billing discrepancies and prescription claims, educating beneficiaries on plan benefits and medication coverage.
Sales Associate
Goodwill Industries of South Florida
Nov 2011 - Dec 2012 (1 year 1 month)
Organized the store and greeted customers, maintaining clean and orderly checkout areas. Processed merchandise returns and exchanges, handled payments by cash, check, and credit cards, and accounted for registers.
Education
Degrees, certifications, and relevant coursework
Columbia University
MPH, Public Health
Grade: Magna Cum Laude
Completed a Master of Public Health degree at Columbia University's Mailman School of Public Health. Graduated Magna Cum Laude, focusing on public health principles and practices.
Florida International University
B.A., Psychology
Grade: 4.0 Summa Cum Laude
Earned a Bachelor of Arts in Psychology from Florida International University, graduating Summa Cum Laude. Maintained a perfect GPA of 4.0 while enrolled in the Honors College.
Miami Dade College
Associate in Arts, Teaching (Exceptional Student Education) - Special Education K-12
Obtained an Associate in Arts degree with a focus on Teaching (Exceptional Student Education). Specialized in Special Education for grades K-12.
National Online Insurance School
Certificate, Life, Health and Variable Annuities Insurance (2-15)
Completed a program in Life, Health and Variable Annuities Insurance. Obtained an active license (Number: W211926) in this field.
Tech stack
Software and tools used professionally
Availability
Location
ZimbabweAuthorized to work in
Job categories
Interested in hiring Tania?
You can contact Tania and 90k+ other talented remote workers on Himalayas.
Message TaniaFind your dream job
Sign up now and join over 85,000 remote workers who receive personalized job alerts, curated job matches, and more for free!
