Summary
Overview
Work History
Education
Skills
Timeline
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Denise Fenske

Cleveland,OH

Summary

Accomplished Senior Resolution Specialist with a proven track record at Caremark LLC, excelling in problem-solving and effective communication. Demonstrated leadership by training team members and driving resolution strategies, enhancing customer satisfaction and loyalty. Achieved high team sales over 500K, showcasing assertiveness and relationship-building prowess.

Overview

33
33
years of professional experience

Work History

Senior Resolution Specialist

Caremark LLC
10.2020 - Current

Demonstrate strong analytical skills with the ability to evaluate, develop and deliver resolution or course of action to resolution to many points of contacts

  • PC proficiency on a multiple of computer platforms including but not limited to AS400, Compass, Marx, People safe
  • Key Point of contact for PHD, CSR's, Premium billing, Prescribers offices, pharmacies, PBM clients etc
  • Knowledge of CD&A procedure & Guidelines
  • Knowledge of Premium billing-payments, dunning, AEP, SEP & Good cause
  • Inbound of Escalated & Supervisor calls
  • "Outside of box" Thinking skills for Best Member experience & Resolution
  • SME trainer to new CCR New Hires
  • SME trainer to Senior New Hires
  • Assist in all levels of line of business
  • Strong oral, interpersonal & written communication skills
  • Self directed with minimal supervision
  • Recognize & Provide Heartbeat Values
  • Professional phone etiquette and Following through for End Result resolution

Med D Customer Service Representative

Caremark LLC
10.2020 - Current
  • Resolved customer complaints with empathy, resulting in increased loyalty and repeat business
  • Maintained high-stress situations to de-escalate and avoid call transferring
  • Enhance customer satisfaction by providing accurate information and addressing concerns
  • Collaborate with Colleagues & Coworkers to achieve over all customer service
  • Help guide and educate members to support them in their overall health
  • Making emotional connections to create a memorable experience
  • Be Proactive in addressing Members concerns
  • File Grievances under the Medicare Guidelines
  • Handle high volume of calls on a daily basis
  • Help assist Customers in navigating company website
  • Maintain detail records of customer interaction to avoid future miscommunication

Home Health Caregiver

Concierge Services
12.2019 - 10.2020
  • Assisted patients with daily living activities, improving their overall quality of life
  • Assisted patients with dressing, grooming and feeding needs, helping to overcome, and adapt to mobility restrictions
  • Performed light housekeeping duties to maintain a clean, safe, and organized living space for patients
  • Developed strong relationships with patients and families through open communication channels and empathetic listening skills
  • Demonstrated adaptability when faced with unexpected situations or emergencies by implementing appropriate interventions quickly and efficiently
  • Provided Hospice Care to Patients
  • Monitored vital signs and reported any abnormalities to medical professionals promptly
  • Conducted regular assessments of patients'' conditions, updating care plans as necessary.

Home Care Provider

Right At Home Health Care
08.2019 - 10.2020
  • Provided patients with assistance in completing daily tasks, reducing daily burden on family members
  • Administered medication as directed by physician
  • Interacted kindly with patients and families and displayed positive, outgoing attitude, resulting in establishment of long-term, professional relationships
  • Upheld strict standards of privacy and confidentiality in all aspects of caregiving, maintaining dignity and respect for patients at all times
  • Prepared nutritious meals according to dietary requirements, contributing to improved overall health for patients
  • Kept close eye on behavior and emotional responses of clients to address concerns and protect each person from harm

Home Care Provider

Daughters With Degrees
08.2018 - 08.2019
  • Effectively handled various & Diverse home health care responsibilities based on individual patient needs
  • Properly followed safety procedures for assisting with Dementia/Alzheimer Care
  • Transport patients to and from various appointments
  • Provided Hospice care to patients along with emotional support
  • Safely administered medications according to detailed directions
  • Fostered positive & professional patient relationships
  • Enhanced patient comfort by providing compassionate and attentive care tailored to individual needs
  • Helped patients safely transition between sleeping surfaces and mobility assistance such as wheelchairs by providing consistent support
  • Prepared nutritious meals according to dietary requirements, contributing to improved overall health for patients
  • Monitored progress and documented patient health status changes to keep care team updated.

Director

Multi Line Business
08.2002 - 08.2018
  • Developed high-performing team members by providing mentorship, guidance, and opportunities for professional growth
  • Built relationships with customers and the community to establish long term business goals
  • Dedicated to continuously improve sales and continue business knowledge practices
  • Continuous Customer follow-up
  • Resolve customer concerns, questions &/or complaints
  • Handled & Maintained over 40 members on team
  • High Team sales of over 500K
  • Certifications in all aspects needed in job position

Customer Service/Sales/Team Leader

GTE/ALLTEL/VERIZON
01.1992 - 01.1998
  • Implemented new sales techniques and tools that led to increased efficiency and effectiveness in acquiring new customers
  • Helped drive sales goals & Improvements
  • Achieved & Surpassed monthly goals
  • Fostered an environment of collaboration within the sales team which encouraged knowledge sharing and group problem solving
  • Answered 50-75 calls in fast paced call center
  • Gained in-depth knowledge of multiple departments including Marketing, Collections, Sales & Customer Service
  • Maintained accurate records of member accounts & legal forms
  • Managed workflow to maximize efficiently & exceed quality service goals
  • Supervised Sales Team
  • Team Lead of Customer Support Call Center responsible for problem solving, de-escalation & conflict resolution
  • Provided Excellent customer Service to existing, new & potential customers
  • Provided effective communication between customer service & other departments

Education

Associate of Business Administration - Business Management/Administration

Cuyahoga Community College
Cleveland, OH
05.

Skills

  • Team Member Training/Coaching
  • Self-Motivation
  • Time Management
  • Relationship Building
  • Complaint Handling/Problem solving

Timeline

Senior Resolution Specialist

Caremark LLC
10.2020 - Current

Med D Customer Service Representative

Caremark LLC
10.2020 - Current

Home Health Caregiver

Concierge Services
12.2019 - 10.2020

Home Care Provider

Right At Home Health Care
08.2019 - 10.2020

Home Care Provider

Daughters With Degrees
08.2018 - 08.2019

Director

Multi Line Business
08.2002 - 08.2018

Customer Service/Sales/Team Leader

GTE/ALLTEL/VERIZON
01.1992 - 01.1998

Associate of Business Administration - Business Management/Administration

Cuyahoga Community College
Denise Fenske