Skilled Behavior Health Specialist and Claims Specialist, adept in Cognitive Behavioral Therapy and problem-solving, significantly enhanced client care at Millcreek Rehabilitation Center. Demonstrated exceptional customer service and critical thinking, leading to efficient claim resolutions and improved client support. Expert in managing high-stress situations, fostering resilience, and promoting recovery with a compassionate approach.
Overview
3
3
years of professional experience
Work History
Behavior Health Specialist
Millcreek Rehabilitation Center
Magee, MS
07.2023 - Current
Managed caseload effectively by prioritizing tasks according to urgency while maintaining high-quality care standards for all clients served.
Prevented hospitalizations by providing timely interventions during periods of acute distress or escalating symptoms among clients.
Delivered psychoeducation sessions to families of clients, fostering understanding and support for their loved ones'' mental health journeys.
Provided crisis intervention and support during critical incidents, promoting safety and stabilization for affected individuals.
Educated clients on self-help strategies and coping skills to enhance resilience and promote long-term recovery.
Enhanced therapeutic relationships with clients through active listening, empathy, and effective communication techniques, with an friendly attitude.
Claims Specialist
Open Heart Senior Home Care
Port Gibson, MS
12.2021 - 08.2023
Managed a high volume of inbound and outbound calls for claims effectively by prioritizing tasks and maintaining excellent organizational skills.
Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
Developed strong working relationships with external partners such as adjusters, legal counsel, and medical professionals to facilitate efficient claim resolution processes.
Settled complex claims fairly by applying critical thinking, negotiation skills, and detailed knowledge of insurance policies.
Handled high-pressure situations with professionalism and friendly positive attitude, consistently achieving positive outcomes for both clients and the organization.
Trained new Customer Service Representatives on company policies, procedures, and best practices.
Education
CMMA - Nursing
Job Corps Nursing
Long Beach, CA
06.2013
High School Diploma - General Education
Crenshaw High School
Los Angeles, CA
06.2012
Skills
Anxiety Management
Emotional Regulation
Cognitive behavioral therapy
Customer Service
Problem-solving abilities
Active Listening
Critical Thinking
Computer Proficiency and Microsoft Office and Word Excel