BRANDON WILDER
Macon,GA
Summary
Customer-focused professional with a strong background in customer service, fraud prevention, and medical insurance support. Demonstrates expertise in handling complex customer inquiries, resolving issues efficiently, and maintaining high levels of customer satisfaction. Proven ability to manage multiple tasks in high-pressure environments while leveraging skills in data entry, report preparation, and policy analysis. Adept at using CRM software and applying de-escalation techniques to enhance customer interactions.
Overview
9
9
years of professional experience
Work History
Personal Care Assistant
Primecare Home Care Services
05.2024 - Current
- Provided personalized care and support to clients, enhancing daily living activities and overall well-being.
- Assisted clients with mobility and personal hygiene, ensuring comfort and dignity in care.
- Developed and implemented individualized care plans, adapting to changing client needs effectively.
- Coordinated with healthcare professionals to maintain comprehensive health records for optimal client management.
- Trained new staff on best practices for patient care, fostering a collaborative team environment.
- Monitored clients' health conditions, reporting changes to medical staff promptly for timely interventions.
- Advocated for client needs, ensuring access to appropriate resources and services within the community.
(Remote)Medicaid Customer Service
BCforward (LA Medicaid)
06.2023 - 06.2024
- Served as a liaison between customers, insurers, healthcare providers, and other stakeholders regarding matters pertaining to medical insurance policies.
- Processed applications for new medical insurance plans and reviewed existing plans for renewal.
- Negotiated terms of agreements with customers regarding coverage options and premiums.
- Resolved customer inquiries related to medical insurance plans, including eligibility, billing, and claims processing.
- Maintained detailed records of customer interactions and transactions while adhering to data privacy laws.
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
(Remote)Fraud Specialist - Contract
Global Payments
10.2022 - 02.2023
- Responded to customer inquiries via phone, email, and chat.
- Investigated and analyzed complex financial transactions for evidence of fraud.
- Assisted customers with online services, including account set up and password resets.
- Utilized automated systems for tracking, monitoring and analyzing suspicious transactions.
- Collaborated with cross-functional teams to enhance fraud detection methodologies and risk management practices.
- Analyzed transaction patterns to identify potential fraud cases and mitigate risks.
- Conducted thorough investigations on fraudulent activities, documenting findings for compliance review.
(Remote) Customer Service Representative
Blue Cross Blue Shield Of Michigan
09.2021 - 10.2022
- Answered customer inquiries and provided accurate information regarding medical insurance policies.
- Processed new policy applications and updated existing policy documents.
- Maintained detailed records of customer interactions via Salesforce.
- Researched relevant policy information to answer customer questions.
- Actively participated in training sessions to stay up-to-date on changes in regulations related to insurance policies.
- Managed customer inquiries, delivering prompt and accurate information on health insurance products.
- Resolved complaints efficiently, enhancing customer satisfaction through effective communication and problem-solving skills.
Patient Care Technician
Private Homecare
01.2017 - 03.2020
- Provided direct patient care and assistance to healthcare team members.
- Maintained accurate records of patient care, condition, progress, and concerns.
- Assisted with patient transfers from bed to wheelchair
- Provided emotional support for patients and families during difficult times.
- Delivered compassionate patient care, ensuring comfort and safety during daily activities.
- Assisted in monitoring vital signs, documenting changes for healthcare team review.
Education
GED -
CENTRAL GEORGIA TECHNICAL COLLEGE
Fort Valley, GA03.2017
Skills
- Inbound and Outbound Calling
- Customer Service
- Data Entry
- Attention to Detail
- Claims Management
- Negotiation abilities
- Policy analysis
- Fraud Specialist
- Report Preparation
- Payment Processing
- CRM Software Salesforce
- De-Escalation Techniques
- Teamwork and Collaboration
- Medical terminology knowledge
- Housekeeping tasks
- Personal hygiene assistance
- Emotional support
- Grooming assistance
Timeline
Personal Care Assistant
Primecare Home Care Services
05.2024 - Current
(Remote)Medicaid Customer Service
BCforward (LA Medicaid)
06.2023 - 06.2024
(Remote)Fraud Specialist - Contract
Global Payments
10.2022 - 02.2023
(Remote) Customer Service Representative
Blue Cross Blue Shield Of Michigan
09.2021 - 10.2022
Patient Care Technician
Private Homecare
01.2017 - 03.2020
GED -
CENTRAL GEORGIA TECHNICAL COLLEGE
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