Overview
Work History
Education
Skills
Timeline
Generic

Andrea Williams

Jamaica

Overview

15
15
years of professional experience

Work History

Operations Contact Service Agent

Healthfirst Insurance Co
07.2022 - 09.2023
  • Responsible for assisting members & providers with issues and inquiries about our members and their insurance, applications and/or claims in one or more families of products, i.e., Medicare, Medicaid
  • Responsible for receiving and addressing member & provider inquiries, resolution of complaints, client education, retention of membership and dis-enrollments, and escalation of issues requiring additional intervention
  • Acts as a liaison between various departments to address concerns
  • Research member/provider billing, claims, payment, and refund issues
  • Navigates through automated information systems to analyze the caller's situation
  • Demonstrates the ability to perform in a highly metric driven environment, maintaining minimum quality scores or better

Health Benefit Representative

Centene Corp/Fidelis Care Health Insurance Co
09.2021 - 07.2022
  • Provides sales coverage and develops the best possible market penetration for all products to present and prospective accounts
  • Interacts directly with individuals, conducting a needs-based analysis to recommend the best product for their unique needs
  • Educate individuals on healthy lifestyles, preventive care services and assist with the enrollment process
  • Represents Fidelis Care at various community events, marketing sites, and individual homes
  • Deliver presentations to individuals, groups, providers, community-based organizations, and local business leaders to educate and Fidelis Care products
  • Use of Salesforce CRM tracking tool for managing appointments, activity and reporting
  • Builds and establishes relationships within the community in order to find new opportunities and sites in their assigned territory
  • Routinely deliver presentations in order to educate and promote Fidelis Care products
  • This includes presentations to individuals, groups, providers, community-based organizations and local businesses leaders
  • Articulate the QCMI program, and knowledgeable of the provider networks in my territory and have a working knowledge of Fidelis Care's care management approach

Lead Member Services Representative

Skyone Federal Credit Union
03.2017 - 01.2020
  • Opened new accounts and processed loan applications with accuracy and ensured all documents were imaged in a timely manner
  • Processed new membership applications including the opening of all associated accounts
  • Participated in developing branch goals, objectives, and systems
  • Prepared financial statements and analysis for the branch
  • Met established individual, team and service goals
  • Accepted and entered customer loan applications when needed and provided loan pay-off information to appropriate parties
  • Fostered an environment in which guests enjoy high levels of service and employees are motivated to deliver top performance
  • Counted tilts, balance cash vault, and created bank deposits while inputting data into excel spreadsheets
  • Handled heavy phone call volume and transferred calls to the appropriate department for sales using dashboard
  • Communicated and implemented new ideas and marketing strategies within the branch market area to improve sales, cross-sells, marketing, and staff development
  • Implemented corporate culture through reinforcement of quality service and teamwork and maintains a high level of employee morale within the branch
  • Ensured branch compliance with audit and regulatory procedures
  • Cross-sold all credit union products and services with emphasis on MBI, GAP, and Debt Cancellation
  • Worked closely with the Marketing department to develop effective business development strategies

Financial Service Associate

Melrose Credit Union
06.2012 - 09.2017
  • Provided exceptional customer service by meeting all customer demands
  • Processed regular Teller transactions for Customers including servicing Customer accounts, accepting loan payments, accepting safe deposit box payments, processing sales of gift cards, cashing checks, verifying currency, balancing cash drawer, night deposits, correct discrepancies and make necessary adjustments
  • Balance Automated Teller machines (ATMs)

Financial Service Associate

JP Morgan Chase
10.2008 - 09.2011
  • Provided exceptional customer service by meeting all customer demands
  • Processed regular Teller transactions for Customers including servicing Customer accounts, accepting loan payments, accepting safe deposit box payments, processing sales of gift cards, cashing checks, verifying currency, balancing cash drawer, night deposits, correct discrepancies and make necessary adjustments
  • Balance Automated Teller machines (ATMs)

Education

High School Diploma -

Martin Van Buren High School
Queens, New York

Certification - Assistors Certification (CAC)

New York State Department of Health

Skills

  • Excellent quantitative skills
  • Proficient in Microsoft Suite
  • Strong Problem-Solving Ability
  • Strong Organizational Skills
  • Time Management
  • Strong Communication

Timeline

Operations Contact Service Agent

Healthfirst Insurance Co
07.2022 - 09.2023

Health Benefit Representative

Centene Corp/Fidelis Care Health Insurance Co
09.2021 - 07.2022

Lead Member Services Representative

Skyone Federal Credit Union
03.2017 - 01.2020

Financial Service Associate

Melrose Credit Union
06.2012 - 09.2017

Financial Service Associate

JP Morgan Chase
10.2008 - 09.2011

High School Diploma -

Martin Van Buren High School

Certification - Assistors Certification (CAC)

New York State Department of Health

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