TOMEIKA MOORE
Columbia
Summary
Possessing strong problem-solving abilities, a passion for learning, and exceptional communication skills, this candidate is ready to make valuable contributions to team success and achieve positive outcomes. They are prepared to take on new challenges and advance organizational goals with unwavering dedication and enthusiasm. As an accomplished achiever focused on results, they have a proven track record of surpassing targets and driving success in fast-paced settings. By combining strategic thinking with practical experience, they consistently deliver impactful solutions that enhance organizational performance.
Overview
7
7
years of professional experience
Work History
Claims Customer Service Representative
BlueCross BlueShield of SC
01.2025 - 03.2025
- Reduced errors in claim submissions by providing clear guidance to policyholders on required documentation and information needed for processing.
- Ensured accurate documentation and record-keeping, adhering to company policies and industry regulations.
- Enhanced customer satisfaction by efficiently resolving claims and addressing policyholder concerns.
- Streamlined claims processing for quicker resolutions, utilizing thorough investigation techniques and attention to detail.
- Contributed to a client-centric culture by consistently providing empathetic support during stressful claims experiences, reinforcing the company''s commitment to exceptional service.
Eligibility Specialists
SCDHHS
01.2024 - 01.2025
- Ensuring that customer service representatives adhere to quality assurance standards and processes while troubleshooting customer issues
- Conducting training sessions for customer service representatives to improve their skills and knowledge of the products and services the company offers
- Resolved discrepancies with client applications to verify eligibility.
- Monitoring and reporting on customer service representative performance metrics including call volumes, response times, customer satisfaction levels, and first-call resolution
- Assisted clients with accurate eligibility form, application and document completion.
- Ensuring customer service representatives have access to necessary software tools, phones, and other necessary resources to provide exceptional customer service
Customer Service Representative
Continuum
01.2020 - 12.2023
- Providing support to Customers by answering their inquiries, addressing concerns, and resolving issues related to any services, account related, or personal billing
- Verifying customers information and coverage to ensure accurate billing and eligibility
- Educating customers about their account benefits, explaining details, and assisting with account inquiries
- Assisting customers with questions, clarifying charges, and resolving payment-related concerns
- Customers with appointment scheduling, rescheduling, and ensuring smooth coordination between providers and customers
- Enhanced customer loyalty by offering personalized solutions tailored to individual needs.
Customer Service Lead
Kelly Services
10.2017 - 01.2020
- Enhanced customer satisfaction by resolving complex issues and providing timely solutions.
- Resolved customer service issues using company processes and policies and provided updates to customers.
- Established strong relationships with clients, leading to repeat business and positive feedback.
- Coordinated schedules, assignments, and daily tasks for team members, optimizing resource utilization.
- Responded to customer requests for products, services, and company information.
Education
Graduate Certificate - Medical Assistant
Fortis College
Columbia, SC12-2025
Skills
- Friendly, positive attitude
- Teamwork and collaboration
- Customer service
- Problem-solving
- Dependable and responsible
- Excellent communication
- Computer skills
- Organizational skills
Timeline
Claims Customer Service Representative
BlueCross BlueShield of SC
01.2025 - 03.2025
Eligibility Specialists
SCDHHS
01.2024 - 01.2025
Customer Service Representative
Continuum
01.2020 - 12.2023
Customer Service Lead
Kelly Services
10.2017 - 01.2020
Graduate Certificate - Medical Assistant
Fortis College
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