Talented professional considered knowledgeable leader and dedicated problem solver. Brings 8 years of valuable expertise to forward company objectives. Attentive to detail with experience in coordinating projects, programs and improvements.
Overview
12
12
years of professional experience
Work History
Claims Analyst
Aspirion Health Resources
12.2022 - Current
Viewed reports regularly to make sure processing was conducted efficiently.
Maintained strict confidentiality with all personal data as per company guidelines.
Interacted with clients and employees, which helped cultivate positive working relationships.
Organized, planned and documented materials for Ambulance claims.
Led and contributed to planning and design of claims-based analytical research and studies.
Applied specific subject matter knowledge to achieve project objectives and to contribute to impactful outcomes.
Customer Service Representative
Anthem
02.2019 - 12.2022
Handled customer inquiries and suggestions courteously and professionally.
Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
Answered constant flow of customer calls with minimal wait times.
Updated account information to maintain customer records.
Maintained confidential patient, employee and company information in compliance with company policies and regulatory requirements.
Gathered information, assessed and fulfilled callers' needs and educated on important policies and procedures.
Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
Verified patient insurance coverage and benefits for medical claims.
Customer Service Representative
Convergys
10.2018 - 02.2019
Assist with the training of new customer service representative.Oversee a team to ensure quality is being met on a consistent basis.Speaking with existing DirecTV and AT&T customers in regards to account and billing inquiriesAssisting customers with online account settings Provide world class customer service.Reviewed account and service histories to identify trends and unaddressed issuesReviewed customer data to assess current issues and determine eligibility for potential solutionsMet and exceeded productivity targets by handling every interaction with good organizational and relationship- management abilitiesMaintained customer loyalty by delivering fast, friendly and knowledgeable service for routine questions and service complaintsMaintained revenue streams by exhausting every option before offering refunds on escalated callsKept customer account information current and accurate by preparing, completing and processing forms and database changes.
Customer Service Captioning Assistant
Hamilton Telecommunications
04.2018 - 10.2018
Planned, placed and synchronized all captions with dialogues.
Listened to speakers and repeated words verbatim into voice recognition software.
Used keyboards by typing corrections and other words.
Consistently typed 45 wpm with 95% accuracy.
Reviewed and edited drafts prepared by speech recognition software to verify correct, complete and consistent transcription.
Edited and reviewed captioned reports for clarity, grammar and spelling.
Printed and distributed captioned reports to designated locations.
Supervisor
Carter's
01.2017 - 04.2018
Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
Handled customer complaints, resolved issues, and adjusted policies to meet changing needs.
Monitored workflow to improve employee time management and increase productivity.
Evaluated employee performance and coached and trained to improve weak areas.
Achieved results by working with staff to meet established targets.
Enforced rules and regulations outlined in the company manual to set forth expectations comprehensibly and consistently.
Created successful work schedules for each team member to maintain deadlines and fully staffed shifts.
Operations Manager
Men's Wearhouse
10.2011 - 12.2016
Supervised operations staff and kept employees compliant with company policies and procedures.
Developed systems and procedures to improve operational quality and team efficiency.
Managed inventory and supply chain operations to achieve timely and accurate delivery of goods and services.
Developed and maintained relationships with external vendors and suppliers.
Established positive and effective communication among unit staff and organization leadership, reducing miscommunications, and missed deadlines.
Analyzed and reported on key performance metrics to senior management.