MALYIAH PINKNEY
Sumter
Summary
Detail-oriented professional driven to resolve claims fairly while representing interests of employer. Conducts thorough and informed investigations, precisely evaluates losses and negotiates settlements that satisfy diverse parties. Builds and maintains professional and productive relationships and works to understand potentially conflicting points of view. All while possessing great customer service skills, allowing me to build long lasting relationships and rapport with clients.
Overview
7
7
years of professional experience
Work History
Behavioral Health Benefits and Claims Specialist
TTEC
Sumter
02.2025 - 12.2025
- Improved customer satisfaction by providing timely and accurate information on claim status and resolution.
- Collaborated with cross-functional teams to expedite complex claims investigations and resolutions.
- Explained benefits to plan participants in easy to understand terms in order to educate each on available options.(Behavioral Health & Sub. Abuse)
- Scheduled appointments and provided referrals that accurately fit members needs.
- Maintained compliance with federal regulations regarding FMLA, ADA, HIPPA and other relevant laws governing employee benefits.
- Collaborated with payroll department to ensure accurate deductions related to employee benefits plans were processed correctly each pay period.
- Streamlined data entry processes for improved efficiency and increased productivity.
Data Entry(Seasonal)
TTEC
Sumter
10.2024 - 01.2025
- Enhanced customer satisfaction by promptly addressing and resolving inquiries and issues.
- Assisted with the ordering of members prescription medications directly to their home.
- Inputting data related to disputes/complaints.
- Responded to chats sent by coworkers to assist with calls.
- Developed strong product knowledge to provide informed recommendations based on individual customer needs.
Tax Support Specialist(Seasonal)
Sitel
01.2023 - 05.2023
- Maintained complete records of client tax returns and supporting documentation in secured areas.
- Reviewed clients tax filing papers thoroughly to determine eligibility for additional tax credits or deductions.
- Maintained compliance by adhering to current tax laws and regulations.
- Identified potential audit red flags to minimize risk of IRS audits.
- Provides customer support by phone, email or instant message to business customers. Serves as primary contact for inbound customer issues. Escalates more technical product-related issues to proper Product Support department.
- Tracks and documents inbound support requests and ensures proper notation of customer problems or issues.
- Updates customer information and ensures accurate entry of contact information.
Child and Youth Program Assistant
Shaw Afb CDC
12.2020 - 12.2021
- Communicated frequently with students and parents to meet student needs and achieve high satisfaction ratings.
- Created safe, fun environment for children.
- Assisted with youth development and other to improve quality of camper experience.
- Explained and enforced rules and regulations of the center.
- Complete and file paperwork.
- Train new employees by teaching them the rules and regulations of the center.
Assistant Rural Carrier
USPS
11.2020 - 03.2021
- Delivered mail and packages to customers on prescribed route while processing check submissions, money orders and stamp purchases in field.
- Sorted mail according to order of address appearance for easy access in field.
- Signed and received mail with signature requirements upon delivery and loading.
- Maintained records on customers with mail forwarding and change of address requests.
Cashier Team Lead
Food Lion
01.2020 - 11.2020
- Trained team members on cash register operation and cash handling.
- Quickly and accurately counted drawers at start and end of each shift.
- Communicated with customers and team members to solve problems.
- Operated POS cash register and equipment to collect payments.
- Assisted customers with needs around the store.
- Greeted customers walking in and out.
Customer Service Agent
SYKES
03.2019 - 05.2020
- Helped large volume of customers every day .
- Educated clients on account services and resolved client inquiries regarding statement information and account balances.
- Entered customer interaction details in sales system to track requests, document problems and record solutions offered.
- Assisted in fraud prevention efforts by closely monitoring customer accounts and reporting suspicious activity as required.
- Processed daily cash transactions accurately while adhering to security protocols, minimizing risk exposure for the bank and its customers.
- Provided training to new customer service representatives, ensuring high standards of service.
- Organized, sorted, and checked input data against original documents.
Education
High School Diploma -
Sumter High School
Sumter, SCSkills
- Maintaining Client Records
- Money Management Assistance
- Detail-Oriented
- Claims processing
- Inventory Stocking
- Microsoft Office/Excel/Windows
- Time-Management
- New Hire Training
- Strategic Planning
- Problem Identification
- Data entry workflow optimization
- Medical terminology
Timeline
Behavioral Health Benefits and Claims Specialist
TTEC
02.2025 - 12.2025
Data Entry(Seasonal)
TTEC
10.2024 - 01.2025
Tax Support Specialist(Seasonal)
Sitel
01.2023 - 05.2023
Child and Youth Program Assistant
Shaw Afb CDC
12.2020 - 12.2021
Assistant Rural Carrier
USPS
11.2020 - 03.2021
Cashier Team Lead
Food Lion
01.2020 - 11.2020
Customer Service Agent
SYKES
03.2019 - 05.2020
High School Diploma -
Sumter High School