Lori Davis
Laurel,MD
Summary
Experienced healthcare worker seeking employment opportunity with CareFirst BlueCross BlueShield that will allow utilization of developed organizational skills, good attention to detail and over 10 years of experience in customer service and serving the community.
Overview
11
11
years of professional experience
1
1
Certification
Work History
CUSTOMER SERVICE REPRESENTATIVE II
Kaiser Permanente
11.2012 - Current
- Represents Health Plan by professionally answering and documenting all incoming contacts, to determine their nature and to respond to complex calls related to specialized product lines or queues.
- Initiates contact with the appropriate Health Plan medical group and facility personnel to obtain information relevant to the concern or inquiry as needed.
- Answer all Claims calls for Providers and Members, including Claim referral Inquiry and Provider Demographic updates.
- Answer Member inquiries including Web Support, Complaints, Concierge, Post Notification Authorization, Reinstatement Requests, Premium Billing, Add/Remove Dependents, Eligibility and Benefit inquiry, Medicare and Medicaid for multiple regions, Service Billing (billing inquiry, make payments, payment plan, payment service recovery and bad debt).
- Consistently supports compliance and Principles of Responsibility (Kaiser Permanente's Code of Conduct). Maintains the privacy and confidentiality of information and protects the assets of the organization.
Education
Associate of Science in Business Administration -
Colorado Tech University
2025
High School Diploma -
Eleanor Roosevelt High School
Greenbelt, MDSkills
- Strong verbal communication and organizational skills
- Meet established deadlines and able to handle customer service demands from internal and external partners
- Motivated and enthusiastic self-starter with the ability to adapt in fast paced environments and work under pressure
- Ability to effectively use standard corporate systems for word processing, data analysis and calendar management
- Ability to research and to stay current/relevant on health and health equity
- Project management skills
PROJECTS
Open Enrollment Plan Change Escalation Project Lead
Duration: 2015-2018
- Provided leadership for team to complete outbound call campaign for multiple regions.
- Managed healthcare project plans and monitored them from start to finish.
- Developed strong relationships with Membership Administration, Project Managers and Stakeholders to interact strategically, tactically and analytically
- Assigned individual responsibilities and tasks, along with tracking to meet deadlines.
COMMUNITITES
- Women empowered at KP
- National Equity, Inclusion and Diversity
- Culture of Health Manager Successful Practices
- KP Enterprise Mentoring
- Mindful Hub
- KP Learning Conference
Certification
Available upon request
Timeline
CUSTOMER SERVICE REPRESENTATIVE II
Kaiser Permanente
11.2012 - Current
Associate of Science in Business Administration -
Colorado Tech University
High School Diploma -
Eleanor Roosevelt High School
Similar Profiles
Marie A. StevensonMarie A. Stevenson
Patient at Patient FinancialAdvisor, Kaiser Permanente Eligibility and FinancialServices, FinancialAdvisor, Kaiser PermanentePatient at Patient FinancialAdvisor, Kaiser Permanente Eligibility and FinancialServices, FinancialAdvisor, Kaiser Permanente
Edith NagunaEdith Naguna
Special Needs Program Care Mgt RN Consultant at Kaiser Permanente - Southern California Permanente Medical GroupSpecial Needs Program Care Mgt RN Consultant at Kaiser Permanente - Southern California Permanente Medical Group
MICHAEL NAVAMICHAEL NAVA
Area Director at Kaiser Permanente – The Permanente Medical GroupArea Director at Kaiser Permanente – The Permanente Medical Group
Diana IovescuDiana Iovescu
Program Manager III- Centers for Reproductive Health/IVF at Kaiser Permanente- The Permanente Medical GroupProgram Manager III- Centers for Reproductive Health/IVF at Kaiser Permanente- The Permanente Medical Group
Andrew GiglioAndrew Giglio
Assistant Manager at Bob Evans RestaurantAssistant Manager at Bob Evans Restaurant