Summary
Overview
Work History
Education
Skills
Timeline
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Crystal Dawson

Cincinnati,OH

Summary

A skillful leader with 1-5 years of experience in providing and delivering high quality service to customers and to third party vendors; making sure their rights are met in a timely manner which reflects positively on the company or business.

Overview

6
6
years of professional experience

Work History

Intelligent Citizen Services

Accenture
10.2021 - Current
  • Barriers and SDOH Reduction: Working with providers and other members of Clinical Services to solve complex and urgent issues. Ensures that appropriate person/department from across organization is appropriately involved with applicable issues.
  • Communication and Collaboration: Engage in weekly Microsoft Team Meetings to stay connected and collaborate with team.
  • SDOH Assessment: Conduct social determinants of health assessments to determine member needs. Prioritize based on preferences and rights.
  • Organizational Skills: Demonstrate strong organizational skills, including knowledge of tools such as Excel, Microsoft Outlook, Teams, email, Jira, Salesforce, and SWEB.
  • Claims and Billing Support: Assist members with claims, billing issues, appeals, grievance processes, and UM medical authorization approvals.
  • Conflict Resolution: Handle conflict resolution for members and assist in addressing any issues that may arise.
  • Caseload Management: Maintain a caseload and ensure productivity by regularly engaging with clients.

Unemployment Claim Specialist

Adecco Staffing
03.2021 - 10.2021
  • Unemployment Claims Reviewer: Made initial determination on eligibility of each applicant for unemployment benefits.
  • Intake Planning: Provided 1:1 interview with unemployment insurance claimants by telephone to obtain claimant’s reason for separation from employment and to complete claim process.
  • Identity Fraud Reduction-Related Actions: Reduced fraudulent claims by conducting thorough investigations and collaborating with law enforcement agencies.
  • Hearing Appeals Making Administrator Decisions: Reviewed appeal requests from denied claimants, making determinations based on legal guidelines and individual case factors.
  • Addressing Inequity and Accessibility Issues: Addressing Inequity and Accessibility Issues: Monitor automated processes and systems, assist with audits to determine compliance with guidelines, and recommend enhancements or corrective actions.
  • Promoting Equitable Access to Unemployment: Assisted claimants in navigating thru unemployment benefits system, addressing concerns, and answering inquiries promptly
  • Effective Workload: Expedited claim approvals by effectively prioritizing workload and managing deadlines.

Administrator Coordinator

D. Coleman Interiors
08.2018 - 03.2021
  • Greet Assist Customers and Visitors: Answer and direct telephone calls, routing calls delivering messages to staff· Monitored direct incoming mail; prepare outgoing mail for pickup: Making visitors and customers welcome.
  • Office Administrative: Coordinating with Manager in reviewing and updating office policies. Ensuring all employees adhere to office policies and regulations.
  • Appointment Scheduling: Schedule meetings and onsite appointments, answers phones, and maintain digital and physical records.
  • Ordering Office Supplies: responsible for maintaining, organizing front office, performing bookkeeping and clerical duties: Ensure all office equipment where in working order and maintain office space hygiene.
  • Directly Supervise Clerical support: Maintain records and databases of client information and company operations; create and execute schedules, manage company budgets, greet and communicate with staff and guests.
  • Book Travel Arrangements: Made travel arrangements for staff; Organize and facilitate workflow to ensure a productive workplace; Oversee facility management and maintenance etc.
  • Employee Assessment: Maintain records and databases of employee information and company operations: Create and manage organization's records and filing systems.

Education

Associate of Applied Science - Liberal Arts And Sciences

Cincinnati State Technical And Community College
Cincinnati, OH
08.2015

Skills

  • Benefits Support
  • Scheduling Appointments
  • Compassionate Communication
  • Client Advocacy
  • Enrollment Verification
  • IT Infrastructure

Timeline

Intelligent Citizen Services

Accenture
10.2021 - Current

Unemployment Claim Specialist

Adecco Staffing
03.2021 - 10.2021

Administrator Coordinator

D. Coleman Interiors
08.2018 - 03.2021

Associate of Applied Science - Liberal Arts And Sciences

Cincinnati State Technical And Community College

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Crystal Dawson