Curtasia Peterson
Mobile
Summary
Seasoned Customer Service Rep with 8 years of experience, adept in inbound and outbound call handling, issue resolution, and providing exceptional service. Proven track record at Alorica and Golden Corral Corporation, demonstrating strong communication and problem-solving skills. Actively seeking a Customer Service Representative role to leverage expertise and contribute to customer satisfaction.
Overview
11
11
years of professional experience
Work History
Pharmacy Benefits Manager
Sagility
Westminster
2024.11 - Current
- Managed pharmacy benefit programs to ensure compliance with regulations.
- Evaluated formulary changes to optimize drug coverage for members.
- Collaborated with healthcare providers to address medication-related issues.
- Developed training materials to educate staff on pharmacy benefits processes.
- Analyzed claims data to identify trends and improve service delivery.
- Coordinated with vendors to negotiate pricing and access for medications.
- Implemented policies to enhance patient care and medication management.
- Worked with insurance companies to process claims, resolve problems and obtain payments.
- Managed the coordination of prescription drug services between healthcare providers, pharmacies, and insurance companies.
- Collaborated with internal staff members across multiple departments in order to ensure accurate processing of claim forms.
- Maintained relationships with vendors providing services related to pharmacy benefits management activities.
- Reviewed claims data for accuracy prior to submission for payment by third party payers.
- Evaluated requests for new drugs or changes to existing formularies based on clinical efficacy, safety, cost-effectiveness, and patient access needs.
Housekeeper
Wingate by Wyndham
Mobile
2020.11 - Current
- Maintain high standards of cleanliness and sanitation in guest rooms, ensuring meticulous attention to detail in bed-making and bathroom cleaning processes.
- Employ efficient vacuuming techniques to uphold the establishment's aesthetic and hygiene standards.
Customer Service Representative
Alorica
Mobile
2017.07 - 2019.01
- Managed a high volume of inbound customer inquiries, effectively resolving technical and service-related issues to ensure customer satisfaction.
- Conducted outbound calls as required to address customer concerns, facilitating order and delivery resolutions.
Cashier/Customer Service
Golden Corral Corporation
Mobile
2014.08 - 2017.06
- Provided warm and attentive customer service, ensuring a welcoming environment for patrons upon entry.
- Accurately processed transactions and managed cash register operations, maintaining efficiency and precision.
Education
High school diploma -
Murphy High School
Mobile, ALSkills
- Custodial Experience
- Cleaning Experience
- Cashiering
- Laundry
- Customer Service
- Inside Sales
- Organizational Skills
- Microsoft Word
- Computer Skills
- Cold Calling
- Commercial Cleaning
- Meal Preparation
- Retail Sales
- Cooking
- Pharmacy benefit management
- Formulary evaluation
- Claims analysis
- Healthcare provider collaboration
- Problem solving
- Effective communication
- Pricing strategy
- Formulary management
- Pharmacy network management
- Medication therapy management
- Drug utilization review
- Claims processing
Phone
(251) 358-9058, Mobile
Timeline
Pharmacy Benefits Manager
Sagility
2024.11 - Current
Housekeeper
Wingate by Wyndham
2020.11 - Current
Customer Service Representative
Alorica
2017.07 - 2019.01
Cashier/Customer Service
Golden Corral Corporation
2014.08 - 2017.06
High school diploma -
Murphy High School