Summary
Skills
Accomplishments
Work History
Education
Overview
Generic

Angela Shenk

Garland,TX

Summary

Knowledgeable and dedicated Account Manager professional with extensive experience in the Pharmacy Benefit Management and Medical industry. Solid team player with outgoing, positive demeanor and proven skills in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Specialize in quality, speed and process optimization. Articulate, energetic and results-oriented with exemplary passion for developing relationships, cultivating partnerships and growing businesses. Talented business and customer relations professional with self-directed nature and analytical problem-solving abilities. Excellent project management, communication and planning abilities.

Skills

    • Provider Relations
    • Service Recommendations
    • Database Management
    • Account Management
    • Documentation Skills
    • Client Relations
      • Problem Resolution
      • Answering Research Questions
      • Investigate Claims
      • Data Profiling
      • Understanding Customer Needs
      • System Documentation

Accomplishments

  • People's Choice Award
  • Account Manager of the Month
  • Service Hero Finalist & Winner 2021
  • Service Hero Finalist 2022

Work History

Client Service Specialist

UnitedHealth Group Global
01.2020 - 06.2023
  • Provided knowledgeable service and support for all Clients and Member's needs.
  • Helped large volume of Clients and Members every day with positive attitude and focus on customer satisfaction.
  • Developed and implemented customer service policies and procedures to apply best practices and establish quality standards.
  • Trained and supervised junior customer service representatives on best practices to meet organization goals.
  • Communicated with clients regarding account services, statements, and balances.
  • Maintained accurate record-keeping with proactive attention to client information updates.
  • Coordinated with operations staff to resolve service problems and boost client satisfaction.
  • Collaborated with other departments to develop ways to increase customer satisfaction.
  • Utilized active listening skills to identify customer needs and provide appropriate solutions.
  • Responded to customer calls and emails to answer questions about products and services.
  • Responsible for providing education and training to Client Service Specialist on OptumRx applications.
  • Responsible for identifying, troubleshooting and notifying upper management within UHC and OptumRx for any trends across USNAS Global business with coding and implementation errors system outages, invalid rejections received across the board.
  • Responsible for creating all Standard Operating Procedures for Client Services Specialist with all Pharmacy Benefit Management process and procedures.

Senior Customer Service Representative

UnitedHealth Group Global
07.2018 - 01.2020
    • Resolved customer service issues using company processes and policies and provided updates to customers.
    • Responded to customer calls and emails to answer questions about products and services.
    • Learned and maintained in-depth understanding of product and service information to offer knowledgeable and educated responses to diverse customer questions.
    • Escalated issues to proper supervisors when standard processes were not effective.
    • Trained and directed new employees in call script use, conflict resolution, and data entry practices to boost customer satisfaction ratings.
    • Researched and rapidly resolved client conflicts to maintain key accounts.
    • Investigated and resolved customer inquiries and complaints quickly.
    • Exhibited high energy and professionalism when dealing with clients and staff.
    • Promoted superior experience by addressing customer concerns, demonstrating empathy, and resolving problems swiftly.
    • Followed up with customers about resolved issues to maintain high standards of customer service.
    • Developed highly empathetic client relationships and earned reputation for exceeding service standard goals.

Personal Caregiver

FirstLight Homecare
01.2015 - 09.2015
    • Maintained clean, safe, and well-organized patient environment.
    • Transported individuals to events and activities, medical appointments, and shopping trips.
    • Provided assistance in daily living activities by dressing, grooming, bathing, and toileting patients.
    • Assisted clients with daily living needs to maintain self-esteem and general wellness.
    • Built strong relationships with clients to deliver emotional support and companionship.
    • Entertained, conversed, and read aloud to keep patients mentally alert.

Account Manager

CVS Caremark
01.2006 - 05.2012
  • Managed resolution and status of routine to complex client requests through effective and timely communication to ensure client expectations are met and understood.
  • Coordinated with internal teams to facilitate prompt delivery of client projects.
  • Evaluated client needs and developed tailored solutions to increase positive customer ratings.
  • Performed effectively in self-directed work environment, managing day-to-day operations and decisions.
  • Fostered lasting relationships with customers through effective communication and quick response, resulting in long-term loyalty and expanded client base.
  • Developed and maintained strong working relationships with professionals within assigned territory.
  • Contributed to team objectives in fast-paced environment.
  • Facilitated client satisfaction and renewed customer relations to drive growth.
  • Monitored and analyzed customer feedback to identify opportunities for improvement.
  • Responsible for identifying and documenting best practices, building and providing reports to clients upon request.
  • Subject Matter Expert for Claims Department and Account Management for claim adjudication.
  • Created training documents for Customer Care and the Claims Department to provide all Clients with exceptional service.

Claims Resolution Reimbursement-Specialty Pharmacy

CVS Caremark Specialty Pharmacy
03.2005 - 01.2006
  • Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
  • Followed up with customers on unresolved issues.
  • Understood requirements for disputes, gathered evidence to support claims and prepared customer cases to handle appeals.
  • Monitored compliance with regulations and industry best practices to promote fair and proper treatment for insured customers.

Claims Lead Representative

CVS Caremark
06.2000 - 03.2005
  • Collected, arranged, and input information into database system.
  • Helped meet changing demands by recommending improvements to business systems or procedures.
  • Maintained database systems to track and analyze operational data.
  • Responsible for researching fraudulent claims and High Priority Projects.
  • Evaluated inventory and delivery needs and optimized strategies to meet Clients demands.
  • Developed effective improvement plans in alignment with goals and specifications.

Education

High School Diploma -

Naaman Forest High School
Garland

Overview

23
23
years of professional experience
Angela Shenk