Ebony Gregory Email & Phone Number

Milwaukee, Wi, Us

Greater Milwaukee

Menomonee Falls, Wisconsin, United States

Analyzed, researched, and processed appeal requests from members and providers regarding denied requests for clinical services and/ or payments in various different insurance markets. Analyzed, researched and resolved complaints and grievances filed by members and providers regarding unsatisfactory aspects of dental and/or vision benefit provisions or care. Created formal correspondence to confirm receipt and provided resolution for member and provider complaints and appeals requested. Documented all appeal, complaint, and grievance activities for reporting and trending analysis.Maintained strict compliance and regulatory standards for appeal and grievance turnaround time and documentation requirements.Utilized available resources to maintain current knowledge and understanding of dental plan markets and current coverage provided.

Milwaukee, Wisconsin, United States

Educated customers on product features and services, ensuring comprehensive support and solutions tailored to individual needs. • Maintained expert-level knowledge of diverse product offerings, pricing plans, and promotional deals to inform and enhance customer interactions. • Accurately processed sales documentation and system entries, adhering to quality control standards for all transactional activities.

Milwaukee, Wisconsin, United States

Managed a high volume of inbound and outbound calls, focusing on loss mitigation through retention and liquidation strategies. • Conducted detailed financial analyses to provide informed guidance to customers under tight deadlines. • Facilitated decision-making processes for clients by offering tailored solutions to complex financial challenges.