Barbie Wingate
Sun City Center,FL
Summary
New to the freight broker world, but seasoned with freight carriers and fulfilling contracts. Working on building my experience in building relationships with carriers, providing sales support and personally managing shipments annually. Excellent communicator seeking to leverage brokerage expertise and dispatching. Experience in a fast-paced environment with room for upward mobility.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Provider Payment Reconsideration Analyst 1 & 2
Elevance Health
Tampa, FL
02.2018 - Current
- Analyze and process grievances and appeals to ensure compliance with accreditation, regulatory standards, and internal policies, adapting written responses for clarity and comprehension
- Employ guidelines and review tools for thorough investigation of grievances and appeals, analyzing relevant claims and medical records to facilitate the review process by nursing or medical staff
- Execute determinations on non-complex cases, preparing formal documentation to communicate outcomes effectively
- Act as an intermediary, coordinating between grievances and appeals operations, medical management, legal departments, and other internal teams, interpreting clinical information as needed.
Aesthetician
Build a Barbie Salon Studio
Sun City, FL
11.2020 - 05.2022
- As a dedicated Aesthetician at Barbie's Salon Studio, I provide a wide range of beauty and skincare services to a diverse clientele, ensuring each individual receives personalized care tailored to their unique needs
- I conduct detailed skin assessments to recommend appropriate treatments, perform facials, chemical peels, and microdermabrasion, and stay abreast of the latest industry trends and techniques
- I uphold stringent hygiene and sanitation standards to maintain a safe and inviting environment
- Additionally, I build and maintain strong client relationships, contributing to the salon's reputation for excellence and driving repeat business through exceptional service and results
- My role involves managing product inventory, conducting sales of skincare items, and educating clients on at-home skin care routines to enhance their salon experience
- I collaborate closely with the salon team to coordinate services and ensure a seamless, high-quality experience for all guests.
Medical Claims Adjuster
Elevance Health
Tampa, FL
03.2016 - 02.2018
- Reviewed and verified the completeness of claim forms, ensuring adherence to payment policies and procedures
- Conducted in-depth research and analysis to resolve claims issues, maintaining high standards of accuracy
- Processed claims efficiently, leveraging technical knowledge to assess the validity and ensure timely payments.
Customer Care Representative
Elevance Health
Tampa, FL
07.2014 - 03.2016
- Addressed customer inquiries effectively, utilizing computer-based resources to provide accurate information regarding benefits and claims to members and providers
- Facilitated healthcare navigation by assisting with provider selection and clarifying plan details through various communication channels including phone, chat, and email
- Ensured customer satisfaction by promptly resolving issues, delivering a consistent and positive service experience.
Customer Service Specialist
Alorica
Tampa, FL
05.2013 - 06.2014
- Addressed customer inquiries and resolved billing issues, ensuring account accuracy and customer satisfaction
- Provided comprehensive product information and current promotion details, contributing to informed customer decisions and service excellence.
Supervisor
Starbucks
Tampa, FL
05.2013 - 02.2014
- Enhanced customer service by actively assessing and responding to their needs, ensuring a welcoming atmosphere for each patron
- Fostered a supportive training environment, offering constructive feedback and coaching to new partners, thereby improving overall team performance and operational efficiency.
Sale Representative
Caribbean Cruise Line
Tampa, FL
06.2012 - 04.2013
- Delivered comprehensive support through handling inbound calls, addressing inquiries about pricing and availability, and effectively securing guest reservations
- Enhanced customer satisfaction by resolving concerns with empathy and advanced problem-solving abilities, maintaining a high accuracy level in service provision.
Customer Service/ Sales Supervisor
Busch Gardens
Tampa, FL
05.2007 - 04.2012
- Monitored labor, cost of sales, and revenue activities, enforcing standard operating procedures to maintain food and staff safety, and uphold quality standards
- Facilitated training for team members, conducted performance evaluations, and provided necessary coaching and counseling to enhance service excellence
- Assisted customers with product inquiries, effectively managing out-of-stock situations, and maintained awareness of current promotions to support sales objectives.
Education
High School Diploma -
Brewster Adult School
Full Specialist License - Master Aesthetician
Artistic Nails And Beauty Academy
Tampa, FL04.2018
Certificate Of Completion - Notary
American Association of Notaries
05.2023
Certificate Of Completion - Logistics Management
Freight Broker Course
06.2024
6-20 All Adjuster License - Insurance
Central Insurance School
St. Petersburg, FL07.2024
Certification Of Completion - Medicine Technology
Elite Medical Academy
08.2023
Skills
- Inpatient/Outpatient Claims
- Windows Operating Systems
- Facets and Macess
- Data Entry
- Investigative Work
- Microsoft Office
- Microsoft excel
- Claims processing
- Claim reconsideration
- 123LoadBoard Trained
- Right Now Loads Trained
- Knowledge of Skincare Products
- Chemical Peels
- Facial Treatments
- Skin Analysis
- Make up Application
- Waxing Techniques
- Retail sales
- Client education
- Product knowledge
Certification
- NOTARY CERTIFICATE
- LOGISTICS MANAGEMENT OF FREIGHT BROKERAGE CERTIFICATE
- 6-20 ALL ADJUSTER LICENSE
- MEDICINE AIDE CERTIFICATE
- STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION, BOARD OF COSMETOLOGY, 2024
- ARTISTIC NAILS & BEAUTY ACADEMY, FULL SPECIALIST LICENSE, 2018
- BARTENDING CERTIFICATE, ABC BARTENDING SCHOOL, 2019
Timeline
Aesthetician
Build a Barbie Salon Studio
11.2020 - 05.2022
Provider Payment Reconsideration Analyst 1 & 2
Elevance Health
02.2018 - Current
Medical Claims Adjuster
Elevance Health
03.2016 - 02.2018
Customer Care Representative
Elevance Health
07.2014 - 03.2016
Customer Service Specialist
Alorica
05.2013 - 06.2014
Supervisor
Starbucks
05.2013 - 02.2014
Sale Representative
Caribbean Cruise Line
06.2012 - 04.2013
Customer Service/ Sales Supervisor
Busch Gardens
05.2007 - 04.2012
High School Diploma -
Brewster Adult School
Full Specialist License - Master Aesthetician
Artistic Nails And Beauty Academy
Certificate Of Completion - Notary
American Association of Notaries
Certificate Of Completion - Logistics Management
Freight Broker Course
6-20 All Adjuster License - Insurance
Central Insurance School
Certification Of Completion - Medicine Technology
Elite Medical Academy