• VA Profile -- John Gabia



    Writing Sample >>> The following is an unedited writing sample. This will help you to better understand John's background, while also demonstrating his writing skills...



    "I recently worked with Convergys which was bought by CONCENTRIX, under the company I handled CIGNA dental account (DPPO) ; I handled inbound calls for checking eligibility, verifying coverages, breaking down benefits, sending claims for reprocessing, checking claims status, only talking to health care or oral care/dental care providers including their front desks schedulers and dental office managers.

    After a year, I got promoted and was trained then to handle another line of business under CIGNA dental, which was the DHMO. Under this LOB, I was engaged to my forte, talking to customers, members, policyholders, benefit coordinators of a company or compensation and benefits department of a group, to check eligibility of a member, status of submitted claims, status of payment on the account (for individual policies), sending fax copies of eligibilities to dental offices, assigning dental offices as primary providers for the members, providing explanation of benefits via fax or mail, sending package packets to people who’s qualified to acquire the policy, assisting members or guiding them on navigating the CIGNA website, and or with smart phone application.

    Another thing is, I was allowed to do outbound calls to make sure that I attend to my promise callbacks or scheduled callbacks, to update the members about their inquiry. I need to make sure that I keep the policies terms and qualities intact when I do my callbacks. I also attend to my customer’s requests with regards to setting up an appointment with the IN NETWORK dental offices, or securing that the members would be able to get a schedule appointment even on dental emergency cases."