Wayne Hampton Email & Phone Number

United States

United States

• Managed inbound calls, emails, and chat inquiries for third-party annuities, ensuring prompt and accurate resolution of customer issues while consistently maintaining a 95%+ satisfaction rating.
• Processed policy updates via rPay, enhancing efficiency, and accuracy.
• Facilitated tax filing by providing essential tax forms promptly.
• Managed new policy applications and issued regulation 60 status via AWF system, ensuring compliance and prompt processing.
• Confirmed identities efficiently using Lexis/Nexus, enhancing security measures.
• Processed agent commissions based on policy sales, optimizing compensation accuracy and efficiency.

Newark, NJ

• NJ Division of Aging Services (JACC)NJ Division of Developmental Disabilities (DDD)NJ Division of Medical Assistance and Health (PPP/VETS)Colorado Consumer Directed Attendant Support Services (CDASS)Florida Participant.
• Expedited resolution of Medicaid-based home healthcare inquiries, showcasing proficiency in budgets, authorization, and payroll tax forms, ensuring client satisfaction.
• Maximized outreach effectiveness through proactive follow-up calls while upholding quality assurance standards and service level agreements.
• Delivered technical expertise and training on BetterOnline payroll/invoice portal and Time4Care payroll/EVV app, enhancing user proficiency and system utilization.

Jersey City, NJ

• Ensured seamless coverage and resolved claim discrepancies for Clover providers, leveraging Medicare expertise, and enhancing satisfaction and claim accuracy.
• Expertly managed Medicare, fostering trust and satisfaction while spearheading frontline resolution for accurate processing and efficient provider interactions.
• Collaborated cross-functionally to address systemic issues, enhancing provider satisfaction and operational efficiency.
• Proactively identified and escalated care management and claim processing issues, facilitating prompt resolution and service improvement.
• Conducted thorough pre-authorizations, optimizing outpatient services, elective procedures, DME, and medical supplies, ensuring cost-effectiveness and quality care.

Jersey City, NJ

• Enhanced member experience by promptly addressing inquiries on enrollment, claims, and benefits, ensuring satisfaction and resolution.
• Empowered members with health education, facilitating self-management and resolving escalated tasks efficiently, ensuring comprehensive support.
• Fostered seamless operations through cross-departmental collaboration, meeting diverse customer needs and resolving issues effectively.
• Streamlined in-home assessments by coordinating Nurse Practitioners and Social Workers, optimizing member care and support.
• Facilitated smooth onboarding for new plan members, elucidating benefits and resources, and ensuring informed enrollment decisions.
• Provided adept technical support and training on the self-service portal, empowering members with efficient access and utilization.

Jersey City, NJ

• Managed inbound calls from the external sales team, resolving service issues promptly, ensuring seamless collaboration, and enhancing agent satisfaction.
• Conducted comprehensive training for brokers on Clover Health’s Medicare Advantage plans, ensuring proficiency and promoting sales effectiveness.
• Delivered technical support and training on the self-service portal, empowering clients and brokers with efficient utilization.
• Optimized agent compensation accuracy and efficiency by processing commissions based on policy sales, enhancing incentive structure and sales performance.

Brooklyn, NY

• Safe, timely and proper operation of MTA New York City Transit’s train doors in costumer, yard and work train service
• Opened and closed train doors when in customer service when safe to do so as to prevent customer injury
• Made proper announcements to customers in reference to service changes, transfer points and train destinations and set up the automatic announcement system as well as assisted customers with establishing the most.
• Patrolled platforms as to assist customers in safely entering and exiting trains during rush hour and notify them of service changes
• Operated hand-thrown switches in the yards
• Made reports of unusual occurrences.

Brooklyn, NY

• Safe, timely and proper operation of New York City Transit Authority multi-unit subway cars, subway service cars and trains in accordance with the rules, regulations and special instructions governing such operation
• Prepare trains for road service and switch cars in yards, in revenue road service
• Convey service information to passengers.

Brooklyn, NY

• Facilitated onboarding, certification, and payroll processes for NYC Department of Education personnel, ensuring accuracy and efficiency via in-person and call center support.
• Managed updates of personal and tax data, ensuring compliance and accuracy for NYC Department of Education personnel.
• Acted as Tier 1 specialist for leaves, medical, and health benefits, providing comprehensive support to employees.
• Provided technical support and training for employees and applicants concerning the self-service portal.

New York, NY

• Determined primary and secondary responsibility for employer group health coverage by researching internal/external data per Federal Medicare guidelines, ensuring accurate claims processing.
• Coordinated benefits with other insurance companies, ensuring accuracy via effective communication and correspondence with members and optimizing claims processing.
• Maintained personal data and insurance payer records in compliance with Federal HIPAA regulations, ensuring data accuracy and confidentiality.