Lai Pham

Member Advocate at ClaimDOC
  • Claim this Profile
Contact Information
us****@****om
(386) 825-5501
Location
Des Moines, Iowa, United States, US

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Bio

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Experience

    • United States
    • Insurance
    • 1 - 100 Employee
    • Member Advocate
      • Feb 2023 - Present

      ▪️Initiating outbound phone calls to members submitting provider nominations and updating accordingly on information from providers ▪️Answer incoming calls from members covered by our client company health benefit plans and identify type of assistant members need, like accessing a provider, scheduling appointments/procedures, interpreting an EOB or understanding an invoice received from a medical provider ▪️Ask appropriate questions and listen actively on specific questions or issues about their health insurance while documenting required information in computer systems ▪️Assist and educate care providers (doctor’s offices) on behalf of member about benefit health plan, appointments, contracting opportunities and building connections with provider specialists ▪️Research complex issues across multiple databases to resolve member issues and use support resource to resolve escalated issues ▪️Own problem through to resolution on behalf of member in real time or through comprehensive and timely follow-up with the member ▪️Meet performance goals in efficiency, call quality, provider satisfactory, first call resolution and attendance Show less

    • United States
    • 1 - 100 Employee
    • Executive Assistant
      • Mar 2020 - Present

      ▪️Help assist and complete other duties assigned by leadership ▪️Make decision in high volume environment in a professional manner ▪️Social media and marketing manager ▪️Ability to deal effectively with players and coaching staff ▪️Develop strategy and preserve order in all media content and Handle University ▪️Preserve order and control conflicts between staff, parents and players ▪️Basketball trainings 1x1 and group trainings ▪️Coaching multiple teams within weekends for MS-HS boys and girls. ▪️Give leadership assigned duties and assist completing tasks in a timely manner ▪️Maintaining contact with children’s parents and contacting them in case of emergency ▪️Advanced multitasking and organizational skills to handle multiple children at a time Show less

    • United States
    • Software Development
    • 1 - 100 Employee
    • Customer Service Associate
      • Nov 2022 - Dec 2022

      ▪Initiating outbound phone calls for health risk assessment survey for older population ▪ Call monitoring for quality assurance ▪ Utilize dialing system and Select Health software ▪ Be able to use Microsoft office, Outlook and Teams to communicate with members and team members ▪ Be able to use multiple screens to track correctly on what occurred on the calls ▪ Meeting specific queue number each day to reach goal for overall team members ▪Initiating outbound phone calls for health risk assessment survey for older population ▪ Call monitoring for quality assurance ▪ Utilize dialing system and Select Health software ▪ Be able to use Microsoft office, Outlook and Teams to communicate with members and team members ▪ Be able to use multiple screens to track correctly on what occurred on the calls ▪ Meeting specific queue number each day to reach goal for overall team members

    • United States
    • Financial Services
    • 700 & Above Employee
    • Account Specialist
      • Dec 2019 - Mar 2021

      ▪️Help customer determine the reason for their account delinquency ▪️Evaluate customer’s financial situation and find solutions for it ▪️Negotiate with customers for full payment or create terms for repayment ▪️Apply policies and procedures to collection practices ▪️Call monitoring for quality and accuracy ▪️Provides exceptional customer service while being empathetic when evaluating customer’s financial situation ▪️Utilizing auto-dialer or dialing system to initiate customer contact ▪️Make decisions in a high volume environment in a professional manner ▪️Assisted in training for new hires in department ▪️Assist in Team Lead duties and engagement committee meetings ▪️Complete other duties assigned by leadership Show less

Education

  • Iowa State University
    Human Sciences, Kinesiology and Exercise Science

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