Anyvette Plummer
Summary
Dynamic professional with a proven track record at United Health Group, excelling in dispute resolution and complaint handling. Adept at leveraging critical thinking and organizational skills to enhance members satisfaction and streamline processes. Recognized for adaptability and effective communication, consistently delivering quality outcomes and accuracy in high-pressure circumstances.
Overview
8
8
years of professional experience
Work History
Appeals Representative
United Health Group, Optum
01.2023 - 07.2024
- Researched and was part of a team that helped resolved written complaints submitted by consumers and physicians or providers.
- Sent documents to the proper department for non-clinical complaints.
- Examined and proof read appeals to send for clinical review.
- Obtained additional documentation required for case review.
- Provided outreach for additional information for appeals and grievances.
Data Entry Clerk, Contract
Wordlow, LLC
01.2021 - 07.2021
- Organized, sorted, and checked input data against original documents.
- Sorted documents and maintained organized filing process.
- Scanned documents and saved in database to keep records of essential organizational information.
- Completed data entry tasks with accuracy and efficiency.
Customer Service and Warehouse Worker
Amazon
08.2017 - 12.2020
- Responded to customer requests for products, services, and company information.
- Cross-trained and provided backup support for organizational leadership.
- Followed up with customers about resolved issues to maintain high standards of customer service.
- Exhibited high energy and professionalism when dealing with clients and staff.
- Loaded, unloaded, and moved material to and from storage and production areas.
- Consistently lifted materials weighing as much as 50 pounds.
- Moved boxes using utility dolly.
- Surrounded items in cling film, padded blankets, and tape to protect from damage.
- Used machinery and equipment such as box cutters, shrink-wrap guns and electric pallet jacks.
- Helped train new employees in safe practices and warehouse procedures.
Member Care Specialist
Florida Blue
08.2018 - 02.2019
- Verified member identification and documentation for compliant transactions.
- Assisted members with correcting account, service, and system issues by educating on required forms and technical processes.
- Helped large volume of members every day with positive attitude and focus on customer satisfaction.
- Verified members identification and documentation for compliant transactions.
- Resolved member issues through thorough dispute investigation.
- Handled complaints with prompt, courteous service to uphold professional reputation.
- Followed up with members about resolved issues to maintain high standards of customer service.
211 Specialist
United Way 211
12.2016 - 06.2017
- Followed all company policies and procedures to deliver quality work.
- Maintained overall safe work environment with employee training programs and enforcement of safety procedures.
- Collected, arranged, and input information into database system.
- Evaluated customer needs and feedback.
- Gathered, organized and input information into digital database.
- Generated reports detailing findings and recommendations.
Education
Associate of Science - Medical Office And Billing
Ultimate Medical Academy
Tampa, FL09-2014
Skills
- Microsoft office
- Dispute resolution
- Persuasion techniques
- Complaint handling
- Adaptability and flexibility
- Strategic planning
- Organizational skills
- Multitasking skills
- Listening skills
- Conflict resolution
- Team collaboration
- Effective communication
- Goal setting
- Critical thinking
- Reliability
- Problem-solving
- Continuous improvement
- Time management
- Teamwork
- Professionalism
Timeline
Appeals Representative
United Health Group, Optum
01.2023 - 07.2024
Data Entry Clerk, Contract
Wordlow, LLC
01.2021 - 07.2021
Member Care Specialist
Florida Blue
08.2018 - 02.2019
Customer Service and Warehouse Worker
Amazon
08.2017 - 12.2020
211 Specialist
United Way 211
12.2016 - 06.2017
Associate of Science - Medical Office And Billing
Ultimate Medical Academy
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