Experienced and dedicated professional with a focus on prioritizing customer needs and concerns. Advanced-level customer service experience. Skilled at establishing rapport by listening to customers and understanding their specific needs. Expert in providing prompt and streamlined service with consistent one-call resolution.
Overview
15
15
years of professional experience
Work History
SR Customer Service Rep
United Healthcare
01.2024 - Current
Use of multiple programs; salesforce, ISET, Outlook, Teams, and many more
Assist customers with their healthcare concerns, claims, and benefits
Outreach to providers as needed for assistance
Provided technical support to customers via phone, email, and chat.
Resolved escalated customer complaints in a timely manner.
Ensured compliance with applicable laws and regulations related to customer service.
Responded promptly to inquiries from customers about products or services.
Handled difficult situations with tact, diplomacy, and professionalism.
Managed incoming calls from customers while providing exceptional service.
Assisted customers by answering questions, addressing concerns and providing current account information.
Managed customer conflicts and challenging situations by staying calm and accessing internal knowledgebases to develop strategic solutions.
Delivered fast, friendly and knowledgeable service for routine questions and service complaints.
Program Coordinator III
Consumer Direct Care Network
Remote
12.2014 - 05.2023
Facilitated seamless operations by undertaking periodic visits to both Florida (quarterly) and Virginia (yearly) in accordance with project requirements
Managed caseloads of several hundred clients and caregivers, ensuring efficient and effective coordination
Assisted clients and caregivers in navigating complex paperwork requirements
Maintained regular and proactive communication with clients and caregivers through phone and email, fostering strong relationships
Supported caregivers in rectifying timesheet errors and facilitated clients in approving to streamline payroll processes
Processed timesheets and administer payroll operations with precision and attention to detail
Addressed basic withholdings and tax inquiries to ensure compliance and provide accurate information
Engaged with Department of Social Services to handle fraud cases, complaints, and other related matters, fostering effective resolutions
Conducted monthly audits on colleagues and collaboratively presented findings to the Supervisor
Implemented strategic measures to mitigate impact of the company's loss of MO contracts, seamlessly transitioning to pivotal role within Florida office for extensive duration
Served as key member of Virginia office since 2019 while establishing solid foundation for operational excellence and efficient project execution
Cultivated continuous and productive communication channels with insurance companies, Medicaid, and Medicare, resolving authorization issues, service disruptions, and detecting potential fraud
Liaised with state police to oversee background screenings for caregivers and ensure adherence to safety standards
Increased professional skills of new employees through training while serving as a team lead
Played a vital role in curriculum development process for training programs as well as ongoing enhancement of Standard Operating Procedures (SOPs)
Provided exceptional customer service to ensure maximum client satisfaction and retention
Technically proficient in Word, Excel, Powerpoint, sharepoint, docuware, CRM, and spreadsheets
Autism Specialist
Easter Seals
Cape Girardeau, MO
09.2013 - 11.2014
Conducted comprehensive assessments of diverse clientele across various age groups to strategically devise tailored action plans
Collaborated on a weekly basis with each individual, ensuring targeted progress and fostering growth
Facilitated onsite sessions within educational institutions to actively engage and support clients, attending IEP meetings and effectively advocating for both clients and aspirations
Conducted in-depth evaluations at adult clients' workplaces while ensuring optimal compatibility with skills and aspirations for enhanced career satisfaction and success
Developed individualized education plans for students with autism spectrum disorder, based on their strengths and weaknesses.
Collaborated with the multidisciplinary team to create strategies and interventions tailored to each student's needs.
Conducted assessments of students' abilities, including cognitive, social and emotional, adaptive functioning, language development, and academic skills.
Facilitated parent training sessions to teach parents how to best support their children at home.
Supported school personnel in developing positive behavior intervention plans and implementing them effectively.
Created an inclusive environment by collaborating with educators from all disciplines within the school system.
Probation Officer/Office Coordinator
Missouri Private Probation Services
, Missouri
01.2010 - 09.2013
Conducted comprehensive drug screenings to ensure compliance with program requirements
Generated detailed and insightful weekly and monthly reports, providing valuable information for program evaluation
Directed thorough case assessments for each client, identifying individual needs and making appropriate referrals to specialized resources
Designed and implemented court-approved curricula for Anger Management and Financial Management classes, delivering comprehensive instruction to diverse groups of participants
Managed and oversaw diverse caseload of approximately 200 misdemeanor probationers and drug court clients
Demonstrated exceptional organizational skills by handling all bookkeeping, billing, and deposit responsibilities
Achieved favorable outcomes by matching clients with most suitable programs and services with keen focus on optimizing chances of success
Instructed and facilitated engaging classes, effectively imparting crucial skills and knowledge to participants in line with program objectives
Cultivated and nurtured robust professional partnerships with courts and treatment providers, increasing productive collaborations and ensuring seamless program operations
Provided guidance and support to probationers on issues related to substance abuse, mental health, education, and job training.