Candice Ellis
Macon
Summary
Professional service expert with significant experience in customer interaction and issue resolution. Strong focus on teamwork and achieving desired outcomes. Known for adaptability, reliability, and effective communication. Skilled in conflict resolution, problem-solving, and delivering high-quality service.
Overview
5
5
years of professional experience
Work History
Member & Provider Service Representative
WellSense Health Plan
08.2025 - Current
- Provide healthcare customer service support including benefits verification, claims inquiry assistance, and eligibility questions
- Document member interactions accurately while maintaining HIPAA-compliant communication standards
- Support provider relations by resolving account and billing-related issues
- Manage high-volume inbound calls while maintaining quality metrics and service standards
- Perform after-call work (ACW) and update CRM systems with detailed case notes
Online Contact Center Associate
Home Depot
02.2022 - 03.2025
- Handled high-volume customer service inquiries using CRM and order management systems
- Resolved billing disputes, refunds, cancellations, and delivery issues with accuracy and efficiency
- Maintained performance metrics in a fast-paced call center environment
- Provided real-time order tracking and account support while ensuring customer satisfaction
Grocery Stocker
Walmart
08.2021 - 02.2022
- Maintained inventory accuracy and product rotation in a high-traffic retail environment
- Supported customer service by assisting with product location and store navigation
- Followed safety, sanitation, and organizational standards
Education
High School Diploma -
Central High School
Macon, GeorgiaSkills
- Healthcare Customer Service Insurance Claims Support Benefits Verification Eligibility & Enrollment Support Member Services Provider Relations Call Center Operations ACW (After Call Work) CRM Systems Data Entry Accuracy HIPAA Compliance Prior Authorization Support Billing Inquiry Resolution Appeals & Grievances Support Case Documentation Customer Issue Resolution High-Volume Call Handling Conflict De-escalation Multitasking
Timeline
Member & Provider Service Representative
WellSense Health Plan
08.2025 - Current
Online Contact Center Associate
Home Depot
02.2022 - 03.2025
Grocery Stocker
Walmart
08.2021 - 02.2022
High School Diploma -
Central High School