KERVICH ROUSSEAU
Brighton,MA
Summary
Performance-driven and accomplished professional with an extensive background in connecting with customers and driving remarkable sales. Proactive, well-organized sales leader successful at meeting and exceeding targets with strategic approaches. Adaptable, skilled, flexible leader with an ability to work independently and as a team that further establish organizational goals.
Overview
8
8
years of professional experience
Work History
Claims Processor
Disability Management Services Inc
Springfield , MA
2020.09 - Current
- Provide superior customer service while processing claims, providing quotes, and resolving premium-related inquiries in accordance with company policy and applicable regulations.
- Manage contract changes and terminations.
- Process payments, policy changes and premium adjustments.
- Reduced open claims by 50% through efficient information gather and processing.
- Investigate claims; confirm or deny coverage in accordance with contracts.
- Prioritize claims while tracking 200+ pending files.
- Strategize to settle claims in the most cost-efficient manner while maintaining high customer satisfaction.
- Responsible for conducting meetings to present problematic claims along with strategizing potential solutions with supervisor, director, and legal department.
Program Director
YMCA
Boston , MA
2018.08 - 2020.08
- Responsible for the planning and implementation of a part-time after-school program.
- The program consists of student-centered homework help, engaging creative activities, and thoughtful character development opportunities for youth in grades k2-5.
- Also responsible for overseeing annual program budget, coordinating, hiring, and supervising Staff/Volunteers, and quality outcomes.
- Ensure the safety and quality of day-to-day operations of staffs members, including substitutes where needed, staff supervision, family interventions, and provide in school supports.
- Work closely with Family & Community Outreach Coordinator to increase family/support/after-school connections and better engage families in their children's program experiences.
Camp Director
Huntington YMCA
2019.03 - 2019.08
- Designed and activated 10-weeks full-time sessions for diverse neighborhood youth in the Boston area.
- Planned and implemented 30 field trips per session, effectively designed a summer literacy program, oversaw and supervised a Staff/Volunteer Team, coordinated transportation, and oversaw program budget and quality outcomes.
Teacher Assistant
May Institute
Randolph , MA
2018.05 - 2018.08
- Implement students social, behavioral, and academic programs, implement behavior support plans as written, Document student progress through data collection
- Teach skill development and community integration
- Assist individuals in meeting their personal care such as toileting, bathing, and assisting with nutritional needs
- Assist and manage behavioral interventions, document critical incidents
- Participate in development of IEP/ ISP objectives and documenting consumer progress
Welcome and Information Desk Worker
Springfield College
Springfield , MA
2017.01 - 2018.01
- Demonstrate exemplary customer service skills to both callers of the campus and patrons of the Campus Union; being students, staff, faculty and guests.
- Trained to respond to building emergencies, such as; fire alarms, power-outages, suspicious person, medical emergencies and dangerous weather.
Event Staff
Springfield College
Springfield , MA
2016.11 - 2018.01
- Provided exceptional customer service to alumni and families during events including family Weekend, Homecoming, and Reunion.
Intern
Baystate Medical Center
Springfield , MA
2017.09 - 2017.12
- Work as part of a team alongside Umass Medical Students to develop a Poverty Simulation.
- Developed program objective to target various communities in the Springfield area.
- Assessed outcome of each Poverty Simulation surveys.
- Collected data to help Baystate medical leaders understand what it might be like to live in a typical low-income family trying to survive from month to month.
- Scheduled meetings with local organizations within Western Massachusetts to promote healthy living.
- Applied previous knowledge about public health and health disparities/inequities.
Intern
Southern Jamaica Plain Health Center
Jamaica Plain , MA
2017.05 - 2017.08
- Work as part of a team with three other interns within the Health Promotion Center to combat the obesity outbreak in Boston.
- Administered JP FIT surveys in order to track patient's, between ages 5-18, dietary intake.
- Responsible for facilitating the Community in Action Program which addresses the needs of patients and their goals of weight loss.
- Provided a safe, fun, and appropriate program that encourages group support and emphasizes working with patients at whatever stage of change they are in.
Education
Masters of Business Administration - Nonprofit Management
Springfield College
Boston, MA12.2021
Bachelor of Science - Health Sciences
Springfield College
Springfield, MA05.2018
Skills
- Claims review
- Transactions reconciliation
- Claims
- Documentation abilities
- Account management
- Reporting skills
- Software proficiency- Microsoft, Excel, Outlook, Powerpoint
- Interpersonal Communication
- Training & Development
- Organization and Time management
- Analytical skills
- Detail-oriented
- Critical thinking
- Conflict resolution
Languages
French
Native or Bilingual
Creole
Native or Bilingual
Spanish
Full Professional
Timeline
Claims Processor
Disability Management Services Inc
2020.09 - Current
Camp Director
Huntington YMCA
2019.03 - 2019.08
Program Director
YMCA
2018.08 - 2020.08
Teacher Assistant
May Institute
2018.05 - 2018.08
Intern
Baystate Medical Center
2017.09 - 2017.12
Intern
Southern Jamaica Plain Health Center
2017.05 - 2017.08
Welcome and Information Desk Worker
Springfield College
2017.01 - 2018.01
Event Staff
Springfield College
2016.11 - 2018.01
Masters of Business Administration - Nonprofit Management
Springfield College
Bachelor of Science - Health Sciences
Springfield College
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