Summary
Overview
Work History
Education
Skills
Timeline
Generic

Charniqua Shelton

Tampa

Summary

Professional with strong background in case management, prepared to make significant impact. Proven ability to collaborate with teams and adapt to changing needs. Skilled in client assessment, resource coordination, and crisis intervention. Reliable and results-focused, with commitment to achieving positive outcomes.

Overview

10
10
years of professional experience

Work History

Case Manager

United Health Group
02.2018 - Current
  • Built and maintained trusted relationships with patients, prescribers, and client stakeholders by delivering accurate, timely support for reimbursement and access issues.
  • Utilized telephone, online chat, and email platforms to deliver outstanding customer service.
  • Built rapport with customers by consistently delivering excellent service, fostering long-term loyalty.
  • Handled inbound and outbound calls with patients, caregivers, HCPs, and specialty pharmacies to resolve access-related inquiries.
  • Delivered personalized case support to patients and HCPs, ensuring seamless communication on benefit coverage and next steps in treatment access.
  • Communicated regularly with management to provide updates on overall team performance, customer feedback trends, and suggestions for ongoing improvements within the department.
  • Documented customer interactions in internal database to maintain customer service history details.
  • Reported adverse events, product complaints, and medical inquiries in alignment with program operating procedures.
  • Followed up with payers and providers to confirm accurate and timely submission of access-related documentation.

Customer Service Representative

Allstate
03.2017 - 03.2018

• Documented customer interactions in CRM systems to maintain accurate records of requests, issues, and resolutions.

• Facilitated customer payments and established tailored payment plans to resolve outstanding account balances.

• Coordinated urgent roadside assistance by prioritizing safety-critical situations with efficiency.

• Communicated effectively with colleagues and management to ensure seamless customer care and issue resolution.

• Delivered exceptional service by addressing customer concerns with attentiveness and crafting effective solutions.

• Conveyed customer feedback to cross-functional teams, driving product and service enhancements.

• Resolved escalated customer issues promptly by identifying root causes and implementing corrective measures.

• Trained and mentored new team members on customer service best practices and company protocols.

• Exceeded performance metrics by maintaining high customer satisfaction scores and meeting response time targets

Customer Accounts Rep – Team Lead

Microsoft, Alorica
03.2015 - 03.2017

•Led a team to meet daily operational goals, ensuring efficiency and accuracy in deliverables.
• Delegated tasks and responsibilities among team members to align with their strengths and professional growth goals.
• Provided ongoing coaching, mentorship, and performance feedback to team members, fostering a collaborative work environment.
• Designed and implemented pilot programs to test new processes, tracked results, and adjusted strategies to improve overall performance.
• Tracked team performance metrics and delivered regular reports to upper management, driving data-driven decisions.
• Conducted team training sessions to align staff with organizational goals, ensuring adherence to company policies and procedures.
• Addressed customer inquiries via phone and email, maintaining strong client relationships and resolving issues promptly.
• Managed front desk operations, ensuring professionalism and prompt responses to customer needs.
• Maintained a comprehensive database of candidate records, streamlining the recruitment process.
• Mentored junior recruiters, providing guidance on sourcing strategies and process
• Assisted coworkers with daily tasks and special projects, contributing to team productivity.

Education

Bachelor of Arts - Criminal Justice

University of Phoenix
05.2024

Skills

  • Team Management and Advising
  • Understanding Customer Needs
  • Creative Problem Solving
  • Efficient and Detail-Oriented
  • CRM Software Proficiency
  • Analytics and Reporting
  • Efficient payment management
  • Technology integration and enhancement
  • Effective problem resolution
  • Effective case management strategies
  • Reporting proficiency

Timeline

Case Manager

United Health Group
02.2018 - Current

Customer Service Representative

Allstate
03.2017 - 03.2018

Customer Accounts Rep – Team Lead

Microsoft, Alorica
03.2015 - 03.2017

Bachelor of Arts - Criminal Justice

University of Phoenix
Charniqua Shelton