Jemel Brayen Casauran

Healthcare customer service and insurance professional with extensive experience supporting U.S. Medicare beneficiaries, healthcare providers, and prescription drug plan members. Skilled in explaining complex insurance benefits, formulary coverage, cost-sharing structures, prior authorization requirements, and claims resolution while maintaining strict HIPAA compliance. Proven ability to manage high-volume inquiries, coordinate with providers and pharmacies, document patient interactions accurately, and ensure timely resolution of healthcare-related concerns. Recognized for delivering exceptional member experiences, earning client commendations, maintaining 85%+ CSAT scores and 95%+ quality ratings, and achieving Top Agent recognition. I wanted to be part of Customer Service for Healthcare