Summary
Overview
Work History
Education
Skills
Interests
Timeline
AdministrativeAssistant
Candy Booth

Candy Booth

Blacklick,Ohio

Summary

Experienced professional with a strong drive to excel in a leadership role, prioritizing results-driven performance. Demonstrated expertise in optimizing operations and promoting team collaboration to successfully attain organizational objectives. Recognized for reliability and adaptability in effectively meeting evolving demands while upholding high standards of excellence.

Overview

28
28
years of professional experience

Work History

Appeals Supervisor

UnitedHealthcare
10.2004 - Current
  • I am currently a supervisor over the Empire Appeals area.
  • I have been a supervisor for over 10 years.
  • I have worked different medical, prescription and Medicare related appeals and products.
  • I create new workflows and processes on a department level and over see the implementation.
  • I handle hiring and coordinate training.
  • I continue to set standards for my direct reports to follow, while removing obstacles from their way.
  • Handle calls from employer groups and address any issues or concerns that may arise.
  • At anytime, I may have to present them with new processes or changes to policies.
  • Monitor inventory daily to make sure that we have proper staffing and capacity.
  • I am responsible for disciplinary actions and coaching that must be given to my reports.
  • Enhanced communication within the team by holding regular meetings and encouraging open dialogue among all members.
  • I meet with them monthly to insure they are on the proper track and provide development topics.
  • Work with a number of systems within the company to obtain pricing information, claim information and demographic information.
  • Oversaw daily operations of the department, ensuring smooth workflow and timely completion of tasks.
  • Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.

Customer service and Claims representative

Aetna Inc.
03.1998 - 10.2004
  • Process claims from members and providers
  • Handle inbound phone calls from members and providers
  • Handle Medicare and Medicaid related cases
  • Answer questions from other representatives and do supervisor call backs
  • Worked on a companywide project to revamp handling for urgent issues
  • Presented to the director of the company
  • I worked as a team liaison to the IT team
  • Any issues that came up I would work to fix before they were escalated to IT
  • Followed up with customers on unresolved issues.
  • Worked productively in fast-moving work environment to process large volumes of claims.

Customer Service Lead

Safelite Auto glass
06.1996 - 03.1998
  • Handle inbound phone calls
  • Process glass claims
  • Schedule appointments
  • Oversee questions from my team
  • Resolved customer service issues using company processes and policies and provided updates to customers.
  • Enhanced customer satisfaction by resolving complex issues and providing timely solutions.
  • Trained, oversaw, and mentored new team members to strengthen performance and job expertise.
  • Handled escalated customer complaints professionally, ensuring prompt resolution and follow-up actions were taken as necessary.

Education

Bachelor of Science - Healthcare Information Management

Southern New Hampshire University
Manchester, NH
08-2024

Associates Degree - Business Administration

Ohio Dominican University
12.2014

High School Diploma -

Brookhaven High School
Columbus, OH
06.1993

Skills

  • Word

  • Excel

  • OneNote

  • PowerPoint

  • Charts

  • Pivot tables

  • Formulas

  • Rally

  • VISIO

  • Teams

  • Communication skills

  • Problem solving

  • Computer skills

  • Diagnosis

  • Complex Problem-solving

  • Strategic planning

  • Inventory control

  • Fixing issues

  • Training and mentoring

  • Goal oriented

  • Staff management

  • Customer service

Interests

  • I enjoy cooking for friends and family gatherings
  • Exploring famous landmarks, historical sites, and cultural attractions in a new destination
  • Music
  • Regularly practice mindfulness and meditation for overall wellness
  • Dancing
  • Gardening
  • Avid Reader
  • Participating in church functions and community outreach


Timeline

Appeals Supervisor

UnitedHealthcare
10.2004 - Current

Customer service and Claims representative

Aetna Inc.
03.1998 - 10.2004

Customer Service Lead

Safelite Auto glass
06.1996 - 03.1998

Associates Degree - Business Administration

Ohio Dominican University

Bachelor of Science - Healthcare Information Management

Southern New Hampshire University

High School Diploma -

Brookhaven High School

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Candy Booth