Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

Amor Daniell

Brooklyn

Summary

Competent Professional, experienced managing high volume personnel. Highly proficient managing multiline phone system while providing the highest level of costumer service . Bilingual with fluency in Spanish. Eager to contribute to team success through hard work and attention to detail. Health Advisor experienced handling high volume of calls in fast-paced call center environments. Well-versed in answering questions, researching problems and resolving discrepancies. Detail-oriented and personable with exceptional work ethic and passion for service.

Overview

4
4
years of professional experience

Work History

Consumer Resolutions Advocate-

United Healthcare
02.2023 - Current


  • Research and resolve claims using multiple software programs to provide first call resolution
  • Reviewed and corresponded with multiple internal departments regarding denied claims to ensure proper benefits and rates are being captured to ensure proper pricing and payment
  • Reviewed documentation during calls to assess whether documentation was properly submitted for review team to review and instruct claim handling information
  • Used strong analytical and problem-solving skills to develop effective solutions for challenging situations
  • Educated providers on medical policy information to ensure proper guidelines are being followed when claims are being submitted.
  • Educated providers on policy information to ensure proper guidelines were being used when claim is being submitted.
  • leveraged strong communication skills to built rapport with members and providers, enhancing trust and satisfaction

Health Advisor-Remote

United Health Care
02.2022 - 02.2023
  • Respond to and resolve on first call, customer service inquires and issues by identifying topic and type of assistance caller needs such as benefits, eligibility and claims, financial spending accounts and correspondence
  • Research and resolve claims on first contact basis using multiple software's
  • Handled more than 40 daily inbound calls from health plan customers.
  • Continually improved knowledge, skills and performance based on feedback and self-identified professional developmental needs.
  • Resolved problems related to benefits, eligibility and claims

Education

Master of Science - Cyber Security

Capella University
06-2027

Skills

  • UNET
  • NBD
  • DOC360
  • ETS
  • ICD-10
  • CPT
  • COW
  • ISET
  • ACET
  • MICROSOFT (Word, Excel)
  • VERBAL AND WRITTEN COMMUNICATION
  • CRISIS MANAGEMENT
  • COMPUTER SKILLS
  • TIME MANAGEMENT
  • DECISION MAKING
  • ORGANIZATION

References

Furnished upon request.

Timeline

Consumer Resolutions Advocate-

United Healthcare
02.2023 - Current

Health Advisor-Remote

United Health Care
02.2022 - 02.2023

Master of Science - Cyber Security

Capella University

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