Cindy Ragonese
Cicero
Summary
Motivated individual aiming to secure a position that fosters skill enhancement and supports organizational advancement
Overview
12
12
years of professional experience
Work History
Civil Rights & Appeals Coordinator
Lifetime Benefit Solutions
05.2018 - Current
- Received grievances and appeals from policyholders, providers and facilities
- Crafted clear and appropriate responses to grievances/appeals, ensuring compliance and clarity for stakeholders
- Executed thorough and timely investigations of all facts related to appeals/grievances, supporting fair resolution processes
- Developed strong understanding of claims processing and efficiently researched claims issues to inform decision-making
- Maintain a comprehensive working knowledge of Policies, Procedures, Compliance Regulations, plan documents and turnaround times
- Demonstrated an understanding of the functions of other departments while communicating appropriately to maintain positive working relationships
- Provided superior customer service to clients, members, providers, facilities
- Ensured timely completion of tasks to meet deadlines
- Executed additional job-related duties
Customer Service Representative
Lifetime Benefit Solutions
Syracuse
04.2014 - Current
- Managed high volume of calls with professionalism and efficiency.
- Assisted participants with inquiries regarding benefit plans
- Resolved participants' complaints through effective communication and problem-solving techniques.
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Completed day-to-day duties accurately and efficiently.
- Resolved customer complaints promptly and efficiently.
- Answered Customer Service emails
Education
Bachelors Degree - Human Resource and Business Management
University of Phoenix
Associates Degree - Liberal arts concentration in Health Care Administration
University of Phoenix
Skills
- Appeals proficiency
- Regulatory compliance
- Complaint resolution
- Customer relations
- Problem-solving abilities
- Analytical thinking
- Detail orientation
- Time management
- Adaptability and flexibility
- Ability to work under pressure
- Verbal and written communication
- Continuous learning
Timeline
Civil Rights & Appeals Coordinator
Lifetime Benefit Solutions
05.2018 - Current
Customer Service Representative
Lifetime Benefit Solutions
04.2014 - Current
Bachelors Degree - Human Resource and Business Management
University of Phoenix
Associates Degree - Liberal arts concentration in Health Care Administration
University of Phoenix