Experienced in administrative management, organized Office Manager skilled in prioritizing projects and effectively multitasking to achieve goals. Methodical and detail-oriented, excels as a team player with expertise in leadership. Strong work ethic and valuable skills make a valuable asset to any organization.
Overview
27
27
years of professional experience
Work History
Eiligibility Case Worker MEdicaid
Guilford County SOCIAL SERVICES Division
09.2018 - Current
Utilized both in-person and telephonic methods to interview applicants for public assistance programs.
Analyzed financial and client data to assess initial or ongoing eligibility
Ensured seamless delivery of client benefits by effectively operating the C-IV computer system for data management and retrieval.
Guided clients towards appropriate community assistance as necessary
Logged comprehensive journal entries for actions related to cases
Successfully processed benefits by efficiently managing a large caseload.
Consistently met deadlines under pressure while maintaining high-quality work output in a fast-paced environment.
Eiligibility Case Worker FNS
Guilford County SOCIAL SERVICES Division
03.2017 - 09.2018
Assessed applicants' qualifications through in-depth interviews conducted both in person and over the phone.
Evaluated client information to ascertain their eligibility status.
Issued benefits to clients by effectively utilizing the C-IV computer system for data entry and retrieval
Ensured clients received necessary support from other community resources
Kept detailed records with journal entries, documenting every action taken on cases.
Ensured the efficient processing of benefits by monitoring and managing extensive caseloads.
Worked fast to complete tasks and meet daily deadlines.
Followed instructions and procedures to complete assigned tasks.
Medical Claims Processor
United Health Group
03.2016 - 03.2017
Verified eligibility of active and retired employees, while ensuring coordination with COBRA compliance.
Maintained a comprehensive database containing enrollment data, claim submission and payment records; determined allowable reimbursement limits according to plan specifications.
Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
Customer Care Advocate/Active Health Management
USTECH Solutions
10.2014 - 11.2015
Provided support to members through telephone by addressing inquiries, scheduling coaching sessions,and assisting in the completion of health risk assessments.
Demonstrated exceptional ability to address questions, concerns, and problems of members and plan sponsors through telephone interactions or online submissions
Effectively documenting and tracking member and plan sponsor contacts, ensuring adherence to contract standards, while providing clear explanations of member rights and responsibilities.
Leveraged strong listening skills to identify customer needs and recommend appropriate solutions or alternatives.
Improved customer satisfaction by addressing and resolving complaints efficiently.
Member service professional
AETNA MEDICAL INSURANCE
03.2008 - 05.2014
Assisted members via telephone with their inquiries, coaching appointment scheduling, and health risk assessment completion
Answer questions and resolve issues based on phone calls /website requests from members and plan sponsors
Enhanced communication methods for documenting and tracking member and plan sponsor contacts while ensuring adherence to contract guidelines for explaining member rights and responsibilities.
Acquired in-depth understanding of diverse financial products, effectively providing guidance on suitable options.
Established strong rapport with members through effective communication skills, fostering long-term relationships built on trust and loyalty.
Letter Carrier/ Carrier Supervisor
US Post Office,
02.1998 - 05.2007
Managed time effectively to complete all scheduled deliveries within expected time frames, ensuring consistent service levels for customers.
Supported colleagues during peak periods or absences by covering additional routes or assisting with sorting duties as necessary.
Enhanced customer satisfaction through timely delivery of parcels, letters, and packages to residential and commercial addresses.
Improved mail delivery efficiency by accurately sorting and organizing mail according to designated routes.
Contributed to maintaining accurate records by submitting daily reports on route progress, incidents, or other notable occurrences during shifts.
Explained mail regulations, policies or procedures to postal customers.
Supported seasonal initiatives such as holiday package deliveries by adjusting routes and schedules to accommodate increased volume during peak periods.
Education
Human Resource Development Training -
GTCC
HIGH SCHOOL DIPLOMA -
Frank H. Morrell High School
01.2015
HUMAN RESOURCE DEVELOPMENT TRAINING -
AETNA
01.2013
Skills
Oral and written communication skills
Team Player in people-oriented organizations
5 years experience in administrative roles
Technical skills
Ability to multi-task
Analytical skills
Understanding of Medical Terminology
Problem solving skills
Attention to detail and accuracy
Negotiation skills
Customer Relations
Equipment Maintenance
Equipment Operation
Creativity and Innovation
Loading and unloading procedures
Customer Service
Production Support
Supply Management
Resource Management
Machinery inspection
Teamwork and Collaboration
Problem-Solving
Attention to Detail
Computer Skills
Positive Attitude
Following Instructions
Collaboration and Teamwork
Workplace Safety
Clear Communication
Money Handling
Decision-making capabilities
Training and mentoring
Safety understanding
Product Knowledge
Complex Problem-Solving
Complaint resolution
Order Preparation
Quality Inspections
Call Center Operations
References
References given upon request.
Volunteer Experience
Coached Newark, NJ Pop Warner Cheerleading Squad
Coached Irvington, NJ Tennis Academy
Coached Irvington, NJ Little League Baseball
Timeline
Eiligibility Case Worker MEdicaid
Guilford County SOCIAL SERVICES Division
09.2018 - Current
Eiligibility Case Worker FNS
Guilford County SOCIAL SERVICES Division
03.2017 - 09.2018
Medical Claims Processor
United Health Group
03.2016 - 03.2017
Customer Care Advocate/Active Health Management
USTECH Solutions
10.2014 - 11.2015
Member service professional
AETNA MEDICAL INSURANCE
03.2008 - 05.2014
Letter Carrier/ Carrier Supervisor
US Post Office,
02.1998 - 05.2007
Human Resource Development Training -
GTCC
HIGH SCHOOL DIPLOMA -
Frank H. Morrell High School
HUMAN RESOURCE DEVELOPMENT TRAINING -
AETNA
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