Summary
Overview
Work History
Education
Skills
LANGUAGE
Timeline
Generic
Alise Jenkins

Alise Jenkins

Orlando,USA

Summary

Attentive, analytical, hardworking, emotionally intelligent professional with 15+ years of Customer Service experience. Versatile in the Health Insurance/PBM, Transportation and Customer Service industries. Ready to help your team achieve company goals!

Overview

23
23
years of professional experience

Work History

Member Services Representative

Molina Healthcare
06.2025 - Current
  • Enhanced member satisfaction by providing exceptional customer service and addressing all inquiries promptly.
  • Prior authorizations
  • Appeals
  • Grievances
  • Claim processing/claim disputes/claim reimbursements
  • Medicare/Medicaid
  • Medical transportation scheduling
  • Genesys
  • Salesforce


Concierge Navigator - Member Retention/Resolution Specialist

Alignment Healthcare
09.2023 - 12.2024
  • Managed insurance claims processing for multiple clients in a fast-paced environment.
  • Utilized knowledge of insurance regulations to ensure compliance with industry standards.
  • Performed data entry and maintained accurate records of insurance transactions.
  • Scheduled annual health assessments for Nurse Practitioners via AVA & Athena for our members.
  • Managed customer accounts and resolved issues in a timely manner.
  • Provided exceptional customer service to retain clients and increase satisfaction levels.
  • Assisted with prior authorization processing.
  • Assisted with referral processing.
  • Scheduled transportation for members via Saferide.
  • Assisted with all inquiries.

Customer Service Associate/Cashier

Walmart
10.2021 - 09.2023
  • Streamlined checkout processes, reducing customer wait times and enhancing overall satisfaction.
  • Resolved complex customer inquiries, contributing to improved store ratings.
  • Assisted customers with product locations and recommendations, enhancing their shopping experience.
  • Maintained a clean and organized checkout area for optimal efficiency.
  • Empathetically addressed customer concerns, turning potentially negative experiences into positive outcomes.
  • Provided tailored assistance to diverse clientele.
  • Meticulously managed cash transactions and inventory counts, ensuring accuracy and minimizing discrepancies in daily operations.

Cashier

7-Eleven
03.2021 - 10.2021
  • Managed cash transactions, ensuring accuracy and efficiency.
  • Provided exceptional customer service, enhancing store reputation and repeat business.
  • Streamlined cash handling processes, reducing transaction time and enhancing customer satisfaction.
  • Implemented upselling techniques, boosting store revenue.
  • Managed usage of all gas pumps and car wash.
  • Fulfilled 7NOW delivery order requests.
  • Prepared food in accordance with health and sanitation guidelines.

Member Services Advocate

United Health Group/Optum RX
09.2018 - 03.2021
  • Advocated for members, resolving complex healthcare inquiries and ensuring optimal service.
  • Streamlined processes, reducing call times and enhancing member satisfaction.
  • Provided empathetic support to members navigating healthcare challenges, consistently receiving positive feedback for clear communication and problem-solving.
  • Assisted with prior authorization processing.
  • Assisted with referral processing.
  • Provided technical support.
  • Managed Mail Order prescription orders/deliveries.
  • Managed insurance claims processing for multiple clients in a fast-paced environment.
  • Utilized knowledge of insurance regulations to ensure compliance with industry standards.
  • Performed data entry and maintained accurate records of insurance transactions.

Member Services Representative/Dispatcher

AAA
06.2016 - 09.2018
  • Provided empathetic assistance to members in distress, ensuring timely and efficient roadside support.
  • Developed strong problem-solving skills to address diverse member needs.
  • Processed payments for membership renewals.
  • Guided potential clients through AAA membership enrollment, highlighting benefits and tailoring solutions to individual needs.

Dispatcher

Kablelink Communications
11.2012 - 06.2016
  • Fostered strong relationships with field technicians and customer service teams, ensuring seamless coordination and swift resolution of service issues.
  • Managed complex scheduling systems, meticulously tracking service requests and technician availability to maximize productivity and minimize downtime.
  • Provided technical support.
  • Assigned work orders to fleet and ensured timely arrival.

Dispatcher/Administrative Assistant

Mears Transportation
05.2007 - 10.2012
  • Fostered strong relationships with drivers and clients, ensuring smooth communication and resolving conflicts effectively.
  • Maintained meticulous records of transportation data, generating comprehensive reports for management decision-making.
  • Developed new conflict resolution strategies, significantly reducing driver-client disputes.
  • Introduced efficient administrative processes.
  • Provided crucial administrative support, enhancing overall operational efficiency.
  • Assisted in driver scheduling and client request management.
  • Scheduled meetings and interviews for management.
  • Made daily bank runs.
  • Coached new employees on administrative procedures, company policies and performance standards.

Student Intern

Orange County Official Records
01.2003 - 04.2004
  • Assisted in digitizing and organizing official records, enhancing accessibility for county residents.
  • Developed efficient filing systems, reducing retrieval time.

Education

High School Diploma -

Orange Technical College - East Campus
Winter Park

Skills

  • Claim Processing
  • Resolution Specialist
  • Patient Scheduling
  • Prior Authorization
  • Appeals
  • Grievances
  • Referral Coordination
  • Athena
  • AVA
  • Genesys
  • Salesforce
  • Customer Service
  • PBM
  • Dispatch
  • Administrative Assisting
  • Data Entry - 40 WPM

LANGUAGE

English - Native

Timeline

Member Services Representative

Molina Healthcare
06.2025 - Current

Concierge Navigator - Member Retention/Resolution Specialist

Alignment Healthcare
09.2023 - 12.2024

Customer Service Associate/Cashier

Walmart
10.2021 - 09.2023

Cashier

7-Eleven
03.2021 - 10.2021

Member Services Advocate

United Health Group/Optum RX
09.2018 - 03.2021

Member Services Representative/Dispatcher

AAA
06.2016 - 09.2018

Dispatcher

Kablelink Communications
11.2012 - 06.2016

Dispatcher/Administrative Assistant

Mears Transportation
05.2007 - 10.2012

Student Intern

Orange County Official Records
01.2003 - 04.2004

High School Diploma -

Orange Technical College - East Campus

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Alise Jenkins