Danielle Roberts
Claims Advocate
Bonham
Summary
Analytical problem-solver with excellent communication skills. Effective at interviewing claimants, compiling records and documenting findings. Well-versed in insurance policies, practices and standards.
Overview
8
8
years of professional experience
6
6
years of post-secondary education
Work History
Claims Advocate
Cigna
08.2023 - Current
- Managed sensitive client information with strict confidentiality, adhering to data protection laws and guidelines at all times.
- Worked productively in fast-moving work environment to process large volumes of claims.
- Developed in-depth understanding of insurance policies and procedures.
- Investigated accidents or incidents to determine cause and extent of damages.
Patient Care Advocate
Accredo Specialty Pharmacy
10.2021 - 08.2023
- Customer Focused – Asks questions to accurately identify and seeks to understand the patient’s needs; displays confidence while maintaining ownership in resolving patient issues
- Problem Solver – Identifies the problem, determines cause, considers solutions, exercises judgment and takes action through resolution in a high-pressure, complex service environment
- Active Listener – Actively listens to caller, probes for clarification and provides guidance based upon patient’s needs
Store Manager
CVS Pharmacy
09.2019 - 09.2021
- Managed store employees successfully in fast-paced environment through proactive communication and positive feedback
- Reconciled daily sales transactions to balance and log day-to-day revenue.
- Set effective store schedules based on forecasted customer levels, individual employee knowledge and service requirements.
Shift Manager
CVS Pharmacy
09.2016 - 09.2018
- Excelled in every store position and regularly backed up front-line staff.
- Exercised composure under pressure and in escalated customer service scenarios.
- Tracked receipts, employee hours and inventory movements.
Education
Associate of Applied Science - Baking And Pastry Arts
Collin County Community College District
Plano, TX 01.2012 - 05.2014
BBA - Business Management
Southeastern Oklahoma State University
Durant, OK 08.2020 - Current
Skills
Relationship building
Scheduling
Patient education
Decision making
Documentation
Verbal and written communication
Medical terminology
Creative problem solving
Administrative support
Retail store support
Staff education and training
Multi-line phone talent
CRM
Key holder experience
Professional telephone demeanor
Timeline
Claims Advocate
Cigna
08.2023 - Current
Patient Care Advocate
Accredo Specialty Pharmacy
10.2021 - 08.2023
BBA - Business Management
Southeastern Oklahoma State University
08.2020 - Current
Store Manager
CVS Pharmacy
09.2019 - 09.2021
Shift Manager
CVS Pharmacy
09.2016 - 09.2018
Associate of Applied Science - Baking And Pastry Arts
Collin County Community College District
01.2012 - 05.2014