Brittani Gabriel
Charlotte
Summary
Accomplished Financial Services Representative with a proven track record at TTEC, adept in policy interpretation and delivering exceptional customer service. Excelled in accuracy, navigating healthcare regulations, and enhancing client experiences across various roles. Demonstrated expertise in resolving complex coverage issues and negotiating claims, significantly improving operational efficiency.
Experienced with handling patient inquiries and providing support in healthcare setting. Utilizes strong communication skills and empathy to resolve issues and ensure patient satisfaction. Knowledge of healthcare protocols and procedures, contributing to efficient and effective service delivery.
Overview
4
4
years of professional experience
Work History
Benefits Verification Specialist
CareMetx
09.2024 - 02.2025
- Patient Data Entry: Accurately inputting patient demographic information and insurance details into company systems.
- Coverage Analysis: Reviewing patient benefits to determine eligibility for specific medications and identify potential coverage limitations.
- Prior Authorization Support: Assisting with the prior authorization process by providing necessary documentation to insurance companies.
- Problem-Solving:Resolving complex coverage issues by researching plan details and collaborating with internal teams to find solutions.
Client Experience Specialist
Anywhere Works
01.2024 - 09.2024
- Answering inbound customer calls and responding to emails or chat messages.
- Providing accurate information about products and services.
- Handling customer complaints and inquiries effectively.
- Identifying customer needs and addressing them appropriately.
- Processing orders, account updates, and other customer requests.
- Maintaining detailed records of customer interactions.
Claims Adjuster
Wipro Limited - Gate 1
03.2022 - 12.2023
- Policy analysis: Interpreting insurance policy terms to verify coverage for the claimed loss.
- Damage evaluation: Assessing the extent of property damage or personal injury to determine the appropriate claim amount.
- Claim negotiation: Negotiating settlements with claimants or their legal representatives to reach a fair resolution.
- Fraud detection: Identifying potential fraudulent claims and taking necessary steps to investigate further.
- Documentation: Maintaining detailed claim files with all relevant documentation, including investigation reports, photos, and communication records.
- Communication: Interacting with claimants, policyholders, repair shops, legal counsel, and other parties involved in the claims process.
- Claims reserving: Estimating the potential cost of a claim and setting aside appropriate reserves.
Financial Services Representative
TTEC
01.2021 - 02.2022
- Assess needs: Understand customers' financial goals and needs
- Recommend products: Suggest accounts, investments, and other financial services
- Open accounts: Set up new deposit and lending accounts
- Process applications: Research and evaluate loan applicants
- Provide advice: Recommend solutions for debt management, business expansion, and other financial goals
- Prepare documentation: Complete loan and credit applications and documentation
- Handle transactions: Conduct transactions, order checks, and answer questions about accounts
- Provide customer service: Explain billing statements and help customers understand their financial responsibilities
Education
High School Diploma -
Penn Foster Career School
Scranton, PA02-2025
Skills
- Accuracy and precision
- Healthcare regulations
- Policy interpretation
- Verbal and written communication
Timeline
Benefits Verification Specialist
CareMetx
09.2024 - 02.2025
Client Experience Specialist
Anywhere Works
01.2024 - 09.2024
Claims Adjuster
Wipro Limited - Gate 1
03.2022 - 12.2023
Financial Services Representative
TTEC
01.2021 - 02.2022
High School Diploma -
Penn Foster Career School
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