
Dynamic and results-driven individual, with a robust background in healthcare service management and client relations. Skilled in developing and implementing strategic solutions that enhance service delivery, member retention, and stakeholder satisfaction. Bilingual in Spanish, enhancing communication with diverse populations and broadening client engagement. Expert in navigating complex service challenges, utilizing analytical insights to drive process improvements and policy enhancements. Proven leader with a track record of fostering collaborative relationships and executing impactful projects that align with organizational goals.
Job Summary:
As a Client Service Unit Specialist III at KPNW, I support the growth and retention of members through expert resolution of complex service issues. My role involves serving as a subject matter expert, providing strategic insights and solutions for high-level issues and contributing to system-wide policy improvements and service enhancements.
Key Responsibilities:
• Complex Problem Resolution and Decision Making: Handled and resolved critical service issues, applying strategic thinking and sound judgment to develop solutions that maintain client satisfaction while adhering to organizational policies.
• Relationship Management and Retention: Fostered and strengthened relationships with key internal and external stakeholders, enhancing trust and maintaining high retention levels through exceptional service delivery.
• Data-Driven Process Improvement: Analyzed trends and performance data to pinpoint areas needing improvement. Lead collaborative efforts with cross-functional teams to streamline processes and increase operational efficiency.
• Policy Development and Knowledge Sharing: Possess an advanced understanding of industry regulations and best practices, which I regularly share with internal teams.
• Project Leadership and Initiative Implementation: Spearheaded projects designed to enhance the member experience, ensuring they align with broader organizational goals and are implemented successfully.
Key Achievements:
• Enhanced Member Satisfaction: Have successfully led initiatives that significantly improved member satisfaction and retention, demonstrating enhanced loyalty.
• Operational Excellence: Contributed in redesigning service processes, achieving substantial reductions in issue resolution times and improvements in service quality.
• Policy Reform: Have worked diligently, contributing to adjustments in policies that better meet client needs and comply with regulatory standards, thus enhancing our service compatibility and compliance.
Skills Developed:
• Expertise in Healthcare Administration and Client Services: Have developed an advanced understanding of healthcare policies and client service management.
• Analytical and Strategic Planning Capabilities: Am skilled in using data to inform strategic decisions and enhance service offerings.
• Leadership and Collaborative Skills: Leadership skills have been honed, effectively collaborating with internal staff and departments to achieve organizational objectives.
• Built customer loyalty and retention by delivering excellent customer service.
• Effectively communicated to Spanish speaking customers and resolved all issues while maintaining positive attitude.
• Developed strong rapport with customers and created positive impression of business.
• Educated members on product information and explained the benefits of the product or service.
• Answered customer questions about health and wellness products and services, helped locate merchandise and promoted key items.
• Provided primary customer support to internal and external customers.
• Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
• Strengthened relationships with current accounts through consistent and frequent communication.
• Developed basic knowledge of client from business, industry and competitive perspective.
• Evaluated trends to understand competitive environments and assess current strategies.
• Produced monthly reports using advanced Excel spreadsheet functions.
• Designed specific workout systems for individual clients based on performance ability.
• Developed, planned and led personal and group fitness sessions as well as well-known specialty fitness programs.
• Grew customer base through word-of-mouth referrals based on customer satisfaction and results.
• Educated customers through creative presentations about health and personal benefits of services.
• Built customer loyalty by executing effective completion of training initiatives.
• Executed improvements through scheduling processes across 30 client calendars and wellness plans