Nekita Morris

Ensures treatment decisions are made within state-mandated timelines (e.g., 5 business days for prospective review).

Serves as the primary point of contact between injured employees, providers, and insurance claims adjusters.

Communicates approval or denial information regarding medical treatment to relevant parties.

Collects and processes medical records, faxes, and correspondence related to the claim.

• Processed high-volume healthcare claims, ensuring accuracy and compliance with established policies and regulations.
• Investigated and resolved discrepancies, which led to a reduction in processing errors and enhanced customer satisfaction.
• Analyzed claim trends to identify areas for process improvement, supporting strategic decision-making.

Respond to incoming calls from our customers on issues related to benefit eligibility questions and prescription status
inquiries.

Guide and educate callers on their prescription benefits, use of plan, formulary, premiums and status of orders and
claims or inquiries.

Ask appropriate questions and listen actively while documenting required information in computer systems.

Make outbound calls to customers on prescription orders and payment issues.

• Verified borrower employment and insurance documentation to ensure loan accuracy and compliance.
• Coordinated appraisals, ordered 4506-T tax transcripts, and utilized The Work Number for employment verification.
• Supported loan officers by managing documentation and ensuring timely loan closings.

• Reviewed and validated loan documentation for completeness and regulatory compliance, ensuring accuracy and adherence to guidelines.
• Handled customer inquiries across multiple channels, including phone, email, and chat, ensuring prompt and effective issue resolution.
• Collaborated with cross-functional teams to expedite loan processing and manage escalations efficiently.