Summary
Overview
Work History
Education
Skills
Skills Abilities
Timeline
Generic

Christina Frederic

Jacksonville,FL

Summary

My goal is to work in a position that gives me the opportunity to grow and expertise in becoming a manager one day, I also would like to experience the ability to show my good work ethics skills. I want to be successful as an employee and I would like to achieve at the highest level of my work. I'll make sure that the company will benefit from my skills; I'll add to this job my good qualities such as integrity, persistence, and most of all my dedication to work. Building a long-term career at my work with opportunities for career growth is my focus, also using my skills in the best possible way for achieving the company's goals. I am seeking a responsible job with a chance for professional challenges are also my objective. I am proud of my work and looking forward to finding a position where I can continue to add to my talents.

Overview

11
11
years of professional experience

Work History

Appeals & Grievances Coordinator

Florida Blue
06.2020 - Current
  • Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members
  • Knowledge of insurance billing regulations and requirements including claims submission, claims follow-up, appeals process, and focused review processes and solves moderately complex problems

Customer Service Representative

Florida Blue
08.2016 - 06.2020
  • Provide excellent customer service to members by answering benefit questions, resolving issues, educating customers, and resolving critical inquiries
  • Focus on resolving questions and issues, helping customers utilize our products, tools, and services directly

Customer Service Representative

ADT LLC
03.2014 - 08.2016
  • Helping save lives, responsible for monitoring and dispatching proper authorizes for residential and small business alarms, also responsible for troubleshooting and helping customers feel safe and secure in their own homes

Customer Service Representative

Convergys
09.2013 - 03.2014
  • Handle questions via phone, upgrades or troubleshooting issues, addressing billing information
  • Effectively communicating (verbally & written) with team leader as well as with customers
  • Also multitasking through multiple systems while interacting with the customer, striving to meet highest level of customer satisfaction by resolving customers issue in a professional and timely manner
  • Up selling capability and proficiency with navigating through multiple systems

Education

High School Diploma -

Miramar High School
01.2010

Skills

  • Policy Knowledge
  • Dispute Resolution
  • Assertiveness
  • Complaint Handling
  • Training leadership
  • Verbal Communication
  • Problem Resolution
  • Decision-Making
  • Active Listening
  • Calm Under Pressure
  • Organizational Skills
  • Computer Skills
  • Critical Thinking
  • Excellent Communication
  • Multitasking Abilities
  • Multitasking
  • Flexible and Adaptable
  • Dependable and Responsible
  • Attention to Detail
  • Time Management
  • Problem-Solving
  • Customer Service
  • Friendly, Positive Attitude
  • Teamwork and Collaboration
  • Business Correspondence Writing
  • Grievance management

Skills Abilities

  • Professional Skills, Excellent communication skills such as writing, listening, and verbal/speaking. I'm very assertive with communicating by being able to deliver a message or issue to the person it needs to be delivered to professionally and I also communicate effectively by always showing recognition to the person that I am talking to and letting them know that I am listening by nodding and agreeing
  • Demonstrate Excellent Written and Verbal Communication Skills, I'm good at showing empathy by being able to show and have understanding to a customer's needs. Also having courtesy - showing respect to a customer by speaking to each customer with respect and making the customer feel special and comfortable. I also can listen closely to customers' needs and concerns and making sure the customer understands things by asking frequent questions
  • Interpersonal Skills, I communicate and interact well with others. I also work great as a team, and I always get along well with anybody that I meet. Effective communication is easy to accomplish since I'm great at listening and comprehending. Strong organization skills Great at Planning, Prioritization, Time Managing and Detail Orientation. I also thrive in a team environment
  • Effective verbal and written English communication skills, Able to deliver clear and concise verbal or written messages that facilitate a mutual understanding in both parties
  • Reliable (Perfect attendance), I'm dependable, honest and I'm always on time
  • Quick Learner, I'm able to pick up new skills and apply them regularly. (For example, whatever I am taught I can easily do the skill and be great at it.) Ability to learn basic functions
  • Adaptable, Ability to adapt quickly to change. Also, I can learn and apply new processes and concepts well
  • Excellent Organizational Skills, I can use my time, energy, and resources effectively in a timely manner to achieve what I need to achieve. Also, Excellent planning and negotiating
  • Multi-Tasking Skills, Capable of following written and oral instructions/ directions as giving while doing other tasks at the same time without being distracted and giving the best quality. Also Great at prioritizing and meeting competing deadlines
  • Leadership Skills, Able to persuade others effectively with a great mind of my own. Lead others in a positive direction and I show great leadership and sportsmanship as well.
  • Problem Solving Skills, Able to recognize the problem, define the problem and develop a strategy to fix the problem.
  • Critical Thinking Skills, I'm able to evaluate an issue to form a judgment. Also, I'm able to solve problems, make good decisions, ask questions, construct plans, evaluate ideas and organize information.
  • Flexible, I'm able to be flexible to any situation, I'm able to follow/meet tight deadlines, organize and prioritize my work. Also, I'm open to new ideas and concepts, I work well independently or as part of a team, and to carrying out multiple tasks or projects.

Timeline

Appeals & Grievances Coordinator

Florida Blue
06.2020 - Current

Customer Service Representative

Florida Blue
08.2016 - 06.2020

Customer Service Representative

ADT LLC
03.2014 - 08.2016

Customer Service Representative

Convergys
09.2013 - 03.2014

High School Diploma -

Miramar High School
Christina Frederic