Donovan Jackson
Houston,TX
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.
Detail-oriented individual with exceptional communication and project management skills. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Recognized for taking proactive approach to identifying and addressing issues, with focus on optimizing processes and supporting team objectives.
Overview
20
20
years of professional experience
Work History
Provider Resolution Specialist
Sutherland Healthcare Solutions- Horizon BCBS NJ
11.2022 - 12.2024
- Proactively reached out to healthcare providers to gather feedback on their experiences, using insights to drive continuous improvement efforts.
- Reduced response times with efficient case management and prioritization of high-impact cases.
- Identified trends in common provider issues, recommending improvements to training materials or communications strategies accordingly.
- Enhanced customer satisfaction by resolving complex provider issues in a timely manner.
- Resolved disputes between providers and insurance companies, mediating fair outcomes for both parties.
- Streamlined processes for better efficiency, implementing improvements to the resolution process.
- Improved internal communication channels among resolution specialist teams across different locations, fostering collaboration toward successful issue resolutions overall results.
- Facilitated educational workshops for healthcare providers on navigating administrative processes within the network leading to improved understanding of policies.
- Collaborated with cross-functional teams to address systemic issues affecting providers and their patients.
- Conducted thorough investigations into provider complaints, identifying root causes and implementing corrective actions.
- Participated in regular meetings with other departments, providing insight into recurring challenges faced by providers within the network.
Store Consultant
FedEx Office
08.2018 - 10.2022
- Evaluated client needs and expectations, establishing clear goals for each consulting engagement.
- Liaised with customers, management, and sales team to better understand customer needs and recommend appropriate solutions.
- Collaborated with cross-functional teams to successfully deliver comprehensive solutions for clients.
- Managed client relationships through regular check-ins and updates on project progress.
- Enhanced communication among team members to foster collaborative and supportive work environment.
- Identified areas of improvement for clients'' operations, implementing targeted solutions to increase productivity.
- Developed innovative strategies for clients, resulting in increased revenue and business growth.
- Enhanced visual merchandising displays by arranging products strategically, attracting more customers to the store.
- Promoted special offers and events by engaging with customers on the sales floor, driving awareness of promotions and boosting sales conversion rates.
- Increased sales revenue through effective product recommendations tailored to individual customers.
- Consistently met personal sales goals through proactive engagement with customers and upselling techniques when appropriate.
- Increased client satisfaction by providing personalized print consultations and tailored solutions.
- Spearheaded initiatives to improve the company''s environmental sustainability by promoting eco-friendly printing options to clients.
Provider Claim Resolution Specialist
United Healthcare
08.2016 - 06.2018
- Acted as a liaison between providers and other departments within the organization, fostering collaboration and coordination for better claim outcomes.
- Provided training to new team members on proper procedures and best practices in handling provider claim resolutions, ensuring consistent service quality.
- Supported the development and implementation of new technologies or tools to improve the provider claim resolution process, staying ahead in a competitive industry landscape.
- Maintained up-to-date knowledge of industry trends and changes in regulations, applying this knowledge to enhance the quality of work performed.
- Enhanced claim resolution efficiency by streamlining the provider claim submission process.
- Reduced turnaround time for claim resolutions by implementing a systematic approach to reviewing and processing claims.
- Conducted thorough investigations into complex claim issues, resolving disputes fairly and effectively.
- Increased accuracy of processed claims through rigorous quality checks and cross-referencing with relevant data sources.
- Analyzed historical data on resolved claims to identify patterns or trends that could inform future strategies for improved outcomes.
Shoe Sales Associate
DSW Warehouse
10.2015 - 06.2017
- Organized store merchandise racks by size, style, and color to maintain clean, visually-appealing showroom.
- Developed rapport with repeat customers, remembering names and preferences to provide tailored shopping experiences each visit.
- Improved overall store appearance through diligent upkeep of shelves, display tables, and fitting areas during shifts.
- Assisted customers in locating desired items promptly, minimizing wait times for optimal shopping experiences.
- Serviced multiple customers at once, multi-tasked and enthusiastically handled special projects.
- Handled cash register transactions efficiently, ensuring accurate payment processing while maintaining a friendly demeanor towards customers.
- Grew product knowledge and fashion expertise continually, helped customers find shoes to complement outfits and suggested items to match needs.
- Conducted regular price checks, keeping customers informed of current promotions and discounts available.
- Effectively communicated product features and benefits to customers while remaining attentive to their specific requirements.
- Collaborated with fellow associates to create visually appealing displays that showcased current trends and seasonal styles.
- Maintained a clean and organized store environment, enhancing the overall shopping experience for customers.
- Met or exceeded sales targets and quotas to contribute to overall sales goals and revenue of company.
- Participated in ongoing product training sessions to stay well-informed about new footwear arrivals and upcoming releases from popular brands.
- Boosted sales revenue with effective upselling of shoe accessories, such as insoles and cleaning products.
- Responded to customer inquiries and resolved complaints to establish trust and increase satisfaction.
- Utilized store''s computer system to manage customer orders and track inventory levels, ensuring a seamless buying process for clients.
- Participated in weekly sales meetings to discuss performance goals and strategies.
- Resolved any sizing or fit issues by diligently measuring feet accurately before recommending appropriate shoe styles.
- Provided product demonstrations to highlight features, benefits and value features and increase customer satisfaction.
- Provided exceptional customer service, addressing complaints and concerns promptly and professionally.
- Kept up-to-date with latest fashion trends and emerging brands, offering knowledgeable advice to customers seeking guidance on shoe selections.
- Fostered a positive work environment through open communication channels among staff members which resulted in higher employee morale and increased productivity.
- Enhanced customer loyalty by creating personalized follow-up emails after purchases, thanking patrons for their support and inviting them back for future shopping experiences.
Education
Associate of Science - Eye Care Technology
San Jacinto College
Pasadena, TXBachelor of Science - Healthcare Services
University of Houston - Claear Lake
2700 Bay Area Blvd12-2014
Skills
- Industry expertise
- Trade policy
- Health plan operations
- Strategic business relationships
- Packaging and labeling
- Picking and packing
- Self-motivated and disciplined
- Cleaning and organizing
- Attention to detail
- Problem-solving
- Material handling
- Team leadership & development
- Client relationships
- Analytical thinking
- MS office
- Computer literacy and technical skills
- Excel proficiency
- Microsoft powerpoint, excel, and Word
- Medical coding familiarity
- HIPAA regulations
- EMR software
Sorting and labeling
Stacking and staging
Unpacking merchandise
Pallet jacks
Shipping and receiving
Call center experience
Patient eligibility verification
Conflict resolution
Policy understanding
Customer relations
Call metrics
Complaint resolution
Wrapping and boxing
Order preparation
Shipping documentation
Verbal and written communication
Willing to learn
Timeline
Provider Resolution Specialist
Sutherland Healthcare Solutions- Horizon BCBS NJ
11.2022 - 12.2024
Store Consultant
FedEx Office
08.2018 - 10.2022
Provider Claim Resolution Specialist
United Healthcare
08.2016 - 06.2018
Shoe Sales Associate
DSW Warehouse
10.2015 - 06.2017
Associate of Science - Eye Care Technology
San Jacinto College
Bachelor of Science - Healthcare Services
University of Houston - Claear Lake
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