Ta’Quina Washington
Sumter
Summary
Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Overview
12
12
years of professional experience
Work History
Claims Customer Service Advocate II
BlueCross BlueShield of South Carolina
08.2024 - Current
- Examine and process claims and/or non-medical appeals according to business/contract regulations, internal standards, and examining guidelines
- Determine whether to return, deny or pay claims following organizational policies and procedures
- Identify incorrect processed claims, processes adjustments, reprocessing actions according to department guidelines
- Identify and reports potential fraud and abuse situations
Chat - Technical Support Specialist
Apple, Inc.
10.2023 - 08.2024
- Experience in Accounting, Billing, and Technical Support for Apple, Inc (iOS) accounts
- Respond to a high volume of incoming chats
- Helping with billing issues, fraud management, product feature inquiries, navigating customers through various apps, data sharing & synchronization troubleshooting, verifying proper hardware and software configuration and setup, diagnosing, and resolving issues
Front Desk Coordinator
Carolina Physical Therapy and Sports Medicines
06.2023 - 10.2023
- Experience in a clinical establishment, healthcare industry, customer service, and data entry
- Receiving patient referrals, authorizations, and plan of cares from physicians, scheduling appointments, and verifying insurance benefits (such as Medicare, workers compensation, copay, coinsurance, etc.)
- Understanding of Health Care industry, including Federal & State laws related to health products
- Validate current personal and financial information
- Maintain patient charts and electronic medical records
- Collecting, posting, and depositing patient’s payments
- Faxing, filing, and performing any other duties as assigned
Advisor II, Sales
OnStar - General Motors
10.2022 - 01.2023
- Experience in customer service and sales
- Answering inbound calls, assisting customers with billing accounts, educating members on the benefits of their products and services, upsell data plans and auto renewals
- Respond to a high volume of incoming calls from members and providers
- Computer navigation and efficiently use multiple computer application systems and screens to obtain and record information
- Experience in help desk platforms and software (Salesforce, Okta, VMware, Avaya, Microsoft Office)
Sr. Advisor II - Dispute Investigations Specialist
Chime, Inc.
10.2021 - 10.2022
- Experience in Mobile Banking (online banking) within the Claims and Fraud department
- Review of fraud and non-fraud card disputes for an issuing financial institution
- Responsible for reviewing dispute details for complex and high dollar claims, performing a reasonable investigation into the reported activity, and submitting chargebacks to recover funds
- Preparing complete and accurate work, including appropriately notating accounts as required, and experience in developing and writing reports
- Experience in data entry and help desk platforms and software (Zendesk, Galileo, Okta, Admin, Microsoft Office, Google Suite)
Quality Assurance
Honda of South Carolina Manufacturing
01.2021 - 10.2021
- Data entry tasks and determining if products are within the specifications for the final decision
- Inspections and evaluating, running tests, keeping a detailed record, checking products, overseeing procedures, and submitting direct passes in computer program
- Provide frontline staff with quality evaluation feedback
- Perform assigned daily activities directed at monitoring, measuring, and evaluating frontline staff transactions
- Participate in the design and maintenance of comprehensive compliance plans that ensure adherence with performance measures, quality standards and audit requirements
Technical Support Specialist
Apple, Inc.
07.2020 - 12.2020
- Experience in Accounting, Billing, and Technical Support for Apple, Inc (iOS) accounts
- Respond to a high volume of incoming calls from customers
- Helping with billing issues, fraud management, product feature inquiries, navigating customers through various apps, data sharing & synchronization troubleshooting, verifying proper hardware and software configuration and setup, diagnosing, and resolving issues
Production Utility
Santa Cruz Nutritional
01.2020 - 07.2020
- Working an assembly line in a manufacturing facility.
- Experience as a Team Lead Assistant in the Shakeout department (identifying potential defects in products and bringing attention to the issue)
- Experience in numerous departments such as Mogul Machine Operator (batch making, cooking colors/flavors addition processing, starch depositing and curing), Sorting, Bottle Line, Packaging, and Sanitation
- Demonstrated adaptability by cross-training in multiple job functions within the warehouse.
- Boosted warehouse efficiency by consistently meeting or exceeding productivity goals for daily tasks.
- Enhanced customer satisfaction by accurately fulfilling orders within tight deadlines.
- Assisted in the training of new fulfillment associates, sharing best practices and offering support as needed.
- Contributed to a safe work environment by adhering to safety protocols and promptly addressing potential hazards.
- Experience in power equipment such as Electric Walkie Pallet Jack
Customer Service Associate
Lowe’s
03.2018 - 01.2020
- Communicate information to customers regarding all stocks, special order merchandise and projects, feature benefits, credit applications, and warranty information related to the programs
- Assist in handling numerous payment types, operates in sales, and data entry in executing projects, contracts, and scheduling appointments
- Uses the point-of-sale terminals to process walk up, phone, email, and online orders
- Calls vendors to verify product availability and cost as needed
- Experience in Cherry Picker, electric pallet jack, etc.
Fulfillment Associate
Amazon (CAE-3)
03.2017 - 03.2018
- Working an assembly line in a book manufacturing warehouse
- Working safely on the assembly line, picking orders with handheld devices, packing shipments in a timely efficient manner, and shipping/receiving products.
- Demonstrated adaptability by cross-training in multiple job functions within the fulfillment center.
- Boosted warehouse efficiency by consistently meeting or exceeding productivity goals for daily tasks.
- Enhanced customer satisfaction by accurately fulfilling orders within tight deadlines.
- Assisted in the training of new fulfillment associates, sharing best practices and offering support as needed.
- Contributed to a safe work environment by adhering to safety protocols and promptly addressing potential hazards.
- Experience in electric pallet jack
Customer Representative
Sykes
03.2016 - 03.2017
- Call center experience for Bank of America
- Assisting members with their banking accounts, detecting fraudulent transactions, and providing information to the account holder
- Respond to a high volume of incoming calls from members and providers
- Inserting the document correctly in the database to keep track of costumer’s request through data entry
Supervisor
Subway - Army and Air Force Exchange Services
08.2012 - 02.2016
- Responsible for recruiting and interviewing new employees
- Offer support and training to new and existing members of staff
- Managing inventory, staff work schedules, funds deposits, and managing complaints or queries in a prompt manner
- Data entry and analyzes business records to increase sales
Education
Bachelor of Science - Business Administration
University of Arkansas Grantham
04.2023
Diploma -
Sumter High School
06.2010
Skills
- Management
- Business knowledge
- Coaching
- Finance
- Resource management
- Data Entry
- Accounting
- Digital Communication
- Microsoft Office
- Verbal & Written communication
- Teamwork and Collaboration
- Time Management
- Attention to Detail
- Multitasking Abilities
- Organizational Skills
- Active Listening
- Problem Resolution
- Problem-Solving
- Flexible and Adaptable
Timeline
Claims Customer Service Advocate II
BlueCross BlueShield of South Carolina
08.2024 - Current
Chat - Technical Support Specialist
Apple, Inc.
10.2023 - 08.2024
Front Desk Coordinator
Carolina Physical Therapy and Sports Medicines
06.2023 - 10.2023
Advisor II, Sales
OnStar - General Motors
10.2022 - 01.2023
Sr. Advisor II - Dispute Investigations Specialist
Chime, Inc.
10.2021 - 10.2022
Quality Assurance
Honda of South Carolina Manufacturing
01.2021 - 10.2021
Technical Support Specialist
Apple, Inc.
07.2020 - 12.2020
Production Utility
Santa Cruz Nutritional
01.2020 - 07.2020
Customer Service Associate
Lowe’s
03.2018 - 01.2020
Fulfillment Associate
Amazon (CAE-3)
03.2017 - 03.2018
Customer Representative
Sykes
03.2016 - 03.2017
Supervisor
Subway - Army and Air Force Exchange Services
08.2012 - 02.2016
Diploma -
Sumter High School
Bachelor of Science - Business Administration
University of Arkansas Grantham
Similar Profiles
Natalie CobbsNatalie Cobbs
Application Development Manager, Information Systems at BlueCross BlueShield of South CarolinaApplication Development Manager, Information Systems at BlueCross BlueShield of South Carolina
Britton EllisorBritton Ellisor
Human Resources Coordinator at BlueCross BlueShield Of South CarolinaHuman Resources Coordinator at BlueCross BlueShield Of South Carolina
CORINA SAMUELCORINA SAMUEL
Compensation Analyst at BlueCross BlueShield Of South CarolinaCompensation Analyst at BlueCross BlueShield Of South Carolina