Summary
Overview
Work History
Education
Skills
Software
Work Availability
Timeline
Hi, I’m

Amelia Kegley

Las Vegas,NV
Perception is simply a matter of tilting your head.
- Me

Summary

Empathetic, technologically savvy and articulate professional with a passion for developing relationships, cultivating partnerships and creating growth. Personable team player with outgoing, positive demeanor and proven skills in establishing rapport with people of all backgrounds. Fast learner and committed to continuous autodidactic learning. Successful history of working remotely and excellent organizational skills.

Overview

24
years of professional experience

Work History

UMR, A UnitedHealth Group Company
Las Vegas, NV

Complex Customer Care Representative/Plan Advisor
08.2022 - Current

Job overview

  • Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
  • National Promoter Score Diamond Level Award Winner, indicating multiple months of receiving promoter score of 100%.
  • Achieved and maintained 100% customer satisfaction survey rating through proactive one-call resolutions of customer issues.
  • Navigated multiple computer platforms on multiple screens while actively listening to and engaging members while answering questions and finding solutions to their needs.
  • Regularly empathetically delivered undesirable news or outcomes to members, including claim denials, exclusions and delays.
  • Addressed customer complaints and mitigated dissatisfaction by employing timely, creative and on-point solutions. Escalated issues to supervisor after exhausting all resources.
  • Offered advice and assistance to customers, paying attention to special needs or wants, listening for key words to appropriately refer members for care management or other special programs.
  • Documented all call details and notes in internal CRM software.
  • Developed highly empathetic client relationships and earned reputation for exceeding service standard goals.
  • Sought out extra training opportunities to enhance customer relationship management abilities.
  • Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
  • Used administrative guidelines as resource or to answer questions when explaining how medical claims are processed.
  • Serve as resource and mentor for fellow representatives.

Self-Employed
Las Vegas, NV

Patient Liaison and Full-Time Caregiver
05.2005 - 06.2022

Job overview

Dedicated time to raise children, care and assist aging parents and chronically ill adult family members

  • Managed extensive healthcare needs and services of 6 family members, including chronic, acute and emergent medical conditions.
  • Educated members on multiple conditions and translated into laymen's terms to facilitate better outcomes.
  • Assisted members with tracking and documenting symptoms and treatment progress to prepare for appointments.
  • Facilitated direct communication between patients and medical providers during and between appointments.
  • Extensive experience communicating with medical providers, suppliers, support specialists, insurance and pharmacy specialists.
  • Skilled in autodidactic education in numerous medical/health-related subjects.

WatchIT Media, Inc.
Las Vegas, NV

Executive Assistant, Office & Marketing Manager
12.2003 - 05.2005

Job overview

Maintained multiple concurrent positions for Media Production Company providing digital content, production and in-house channel management for over 50 nationwide hotel/casino properties.

  • Executive Assistant to 2 Vice-Presidents, managing schedules, communication to clients, employees and other executives, travel arrangements, expense reports, reimbursements
  • Office Manager, including HR duties for local office, as directed by corporate home office
  • Daily communication with clients, vendors, executives, and media
  • Used advanced software to create spreadsheets, presentations, and press releases to support executives and boost team productivity.
  • Regularly successfully telecommuted
  • Facilitated training and onboarding for incoming office staff
  • Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving
  • Processed travel expenses and reimbursements for executive team and senior management group
  • Organized and coordinated conferences and monthly meetings
  • Answered high volume of phone calls and email inquiries

Chili's Grill & Bar, Catering Division
Las Vegas, NV

Catering Coordinator, Area Sales Coordinator
01.2000 - 12.2003

Job overview

Solely responsible for Catering Program sales, marketing and operations in the Greater Las Vegas and Henderson Area amongst 5 locations

  • Built Catering Program from 12 events per month average to 60 per month average.
  • Communicated with customers to review catering goals and budget, deliver quotes and proposals, schedule event and carry out catering needs as contracted.
  • Analyzed catering orders and liaised with restaurants and on-site staff to set up equipment, supplies and menus to meet client expectations.
  • Cultivated strong base of satisfied customers for long-term territory revenue.
  • Regularly successfully telecommuted
  • Monitored and controlled banquet budget and coordinated with events budgets to maximize revenue and minimize expenses while providing quality guest service
  • Maintained extensive calendar of events and attended necessary event meetings and conference calls
  • Handled incoming company phone calls, addressing customer needs, concerns and deadlines to promote retention and satisfaction
  • Visited venues before events to assess kitchen facilities and make thorough labor and equipment plans
  • Cultivated strong base of satisfied customers for long-term territory revenue

Education

Central Texas College
Killeen, TX

from Liberal Arts And General Studies

University Overview

Completed 15 hours in general studies with a 3.75 GPA

Truman State University
Kirksville, Missouri

from Liberal Arts And General Studies

University Overview

Completed 40 hours in general studies with 3.5 GPA

  • Dean's List
  • Member of Showgirls Dance Team, performing for Division II Football and Basketball games and local public performances.

Rich South High School
Richton Park, IL

High School Diploma
05.2001

University Overview

Graduated with honors, 4.9 GPA

Skills

Verbal and written communication

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Software

Microsoft Office

Internet Research

New Program Mastery

Availability
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Timeline

Complex Customer Care Representative/Plan Advisor

UMR, A UnitedHealth Group Company
08.2022 - Current

Patient Liaison and Full-Time Caregiver

Self-Employed
05.2005 - 06.2022

Executive Assistant, Office & Marketing Manager

WatchIT Media, Inc.
12.2003 - 05.2005

Rich South High School

High School Diploma
05.2001

Catering Coordinator, Area Sales Coordinator

Chili's Grill & Bar, Catering Division
01.2000 - 12.2003

Central Texas College

from Liberal Arts And General Studies

Truman State University

from Liberal Arts And General Studies
Amelia Kegley