Summary
Overview
Work History
Education
Skills
Timeline
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Miles D White Sr.

Chattanooga

Summary

I have 25 years of customer service experience. Key strength is the ability to communicate with others effectively and problem-solve with little to no help from others

Versatile Administrative professional is well-versed in healthcare practices, compliance standards, and operations. Excellent problem-solver and clear communicator with an upbeat personality. Advanced abilities in

A Versatile Administrative professional well-versed in healthcare practices, compliance standards, and operations. Excellent problem-solver and clear communicator with anupbeat personality. Advanced abilities in [Software].

Overview

26
26
years of professional experience

Work History

Care Sr. Associate

Cigna Healthcare
06.2014 - Current
  • I am currently dual trained Intake Senior Care Rep on CHC ICMS, HCICMS and Trucare system
  • I handle intake calls for precertifications for inpatient and outpatient authorizations
  • I also handle scheduling of peer to peer calls for the Medical Directors when a authorization has been denied
  • I did precepting (mentoring) of new hires and seasoned reps
  • I have helped out in other areas when needed like network adequacy team and outbound team and predetermination team

Contract Associate

Cigna Healthcare
06.2010 - 05.2013
  • My duties as a Contract Associate was building the plans that our customers had put together for their employees
  • I was adding their deductibles and coinsurance information to the different type of providers adding non-standard benefits into their plan based on the outline of the e-pro
  • I would have to run a test of their benefits to ensure that all benefits are falling into their right place so the claims would play correctly
  • Sometime I would have to do a conference call with different areas to compare and make sure the e-pro are exactly what the customer wanted after changes have been made

Care Associate

Cigna Healthcare
05.2003 - 06.2010
  • I was responsible for entering certifications for inpatient and outpatient services
  • I also worked on the Sunday rotation team for triaging the faxes in providerlink and getting them loaded into the proclaim system to be precertified along with facesheets and manual loads also
  • I did precepting (mentoring) when the new hires came out of training
  • I was on the CHC line of business which is proclaim system

Customer Service

Cigna Healthcare
08.1999 - 05.2003
  • My duties were taking inbound calls from the members and providers regarding members benefit, eligibility and coverage information
  • I also informed members and providers of claim status and provider’s status if there were in-network or out of network
  • I would reach out to the providers on behalf of the member
  • I worked as a SME with new hires after they came out of training

Education

High School -

Brainerd High School
Chattanooga, TN

Middle Tennessee State University -

Middle Tennessee State University
Murfreesboro, TN

Bachelor of Science - Health Care Administration

University of Phoenix
12-2026

Skills

  • Microsoft office
  • HIPAA compliance
  • Proficient customer service
  • Customer service and communication skills
  • Self-motivation and initiative
  • Adherence to high customer service standards
  • Customer service and support
  • Inbound customer service

Timeline

Care Sr. Associate

Cigna Healthcare
06.2014 - Current

Contract Associate

Cigna Healthcare
06.2010 - 05.2013

Care Associate

Cigna Healthcare
05.2003 - 06.2010

Customer Service

Cigna Healthcare
08.1999 - 05.2003

Middle Tennessee State University -

Middle Tennessee State University

High School -

Brainerd High School

Bachelor of Science - Health Care Administration

University of Phoenix

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Miles D White Sr.