Danielle Caron
Colorado Springs,CO
Summary
Community-driven and compassionate stay-at-home mother and wife looking to reinvent herself after actively participating in her community through volunteerism. I want to use my previous work and life experiences in an environment where I can make a difference in others' lives regularly, add value to a workplace, and have an opportunity to grow.
Overview
19
19
years of professional experience
Work History
Property & Casualty Member Solutions Associate
USAA
10.2020 - 02.2021
- Successfully completed training and obtained Property & Casualty Licenses and state registrations in all 50 states (not currently active at this time though).
- Provided member assistance on current coverage questions in regards to billing, benefits, issues, and also listened to any potential needs for expanded or new coverage options that may be a better fit.
Customer Service Representative
Anthem BCBS/Wellpoint
06.2002 - 06.2008
- Assisted members and providers with benefit coverage details, claims processing explanations, researching errors and correcting as needed.
- Became a researcher, which was a leader to other call takers when they had questions while on a call that they could not answer on their own, accepted call transfers when a supervisor was requested, and responded to written inquiries.
- Earned a position within a new team that was formed between the New England Health Plans (NEHP). We were internal representatives from each state, where providers and members could call when a member was seen across state lines and needed help with complicated claims and benefits processing. Many providers were on the borders and would often send in authorizations or claims under the wrong provider numbers, which would cause complicated issues (out of network, balance billing). We trained to identify these and call to confirm what we could and have processed with as little disruption to the members as necessary.
Education
Diploma -
Colebrook Academy
Colebrook, NH06.1998
Skills
- Time management
- Creative
- Problem Solving
- Crisis Management
- Communication
- Negotiation
- Mentoring
Timeline
Property & Casualty Member Solutions Associate
USAA
10.2020 - 02.2021
Customer Service Representative
Anthem BCBS/Wellpoint
06.2002 - 06.2008
Diploma -
Colebrook Academy
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