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Nathan Gaines

Nathan Gaines

Customer Service Representative/Sales

Insurance

Pueblo, Pueblo

Social

About Nathan Gaines:

Detailed-oriented with proficient technical skills, and the ability to learn concepts quickly. I am focused and experienced with customer service. Most of my work experience has been in customer service-based industries. With this being said I am articulate and have great interpersonal skills. I also have experience in sales and would enjoy pursuing possible opportunities in this area as well.

 

Experience

Customer Service Representative 

Kaiser Permanente/Apex Systems 

October 2022- Current

 

  • Provided accurate, consistent, and timely information to members, patients, and providers.
  • Assisted with member inquiries regarding web support, facility information, eligibility, and Kaiser Permanente.
  • Assisted with member inquiries regarding benefits and eligibility, internal regional requests, adding and removing dependents, correspondence
  • Premium Billing assisted members with billing inquiries, making payments, EFT, reinstatement, refund, and billing adjustment requests.
  • Assisted with inquiries regarding 1095 forms, and SLP on exchange billing
  • Documenting all incoming contacts to determine the nature of their inquiries and responding to complex calls and inquiries. 
  • Documented information in accordance with the established procedure
  • Followed established procedures to ensure customer/member needs were met effectively.

Education

3rd year BA in Philosophy with a concentration in Pre-Law

University of New Mexico - Albuquerque, NM

September 2015 to September 2020

National Society of High School

2020

High school Diploma

Centennial High School - Pueblo, CO

2015

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