Emilia Class
Fyffe,AL
Summary
Dynamic Escalation Specialist at Centene with a proven track record in billing reconciliation and customer relationship management. Expertly resolved complex inquiries while training new team members, enhancing service quality. Adept at data analysis and reporting, consistently delivering superior results and driving client satisfaction. Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
8
8
years of professional experience
Work History
Escalation Specialist
Centene, Superior Health Services
Tampa, FL
10.2022 - Current
- Maintained a high level of quality assurance throughout the escalation process.
- Reconciliation of members' billing accounts and investigation of claims concerns.
- Managed multiple customer accounts simultaneously while providing superior service.
- Researched, analyzed, and resolved complex customer inquiries. Including medical authorizations, appeals, grievances, contracts, pharmacy, and vendor correspondence.
- Assisted in training new escalation specialists on procedures and processes.
Account Manager
The Home Depot Inc
Scottsboro, AL
05.2020 - 12.2023
- Maintained records of completed jobs, including time spent on tasks, materials used, and expenses incurred.
- Reviewed invoices from vendors and subcontractors for accuracy before authorizing payment.
- Coordinated the delivery of materials to job sites, and supervised subcontractors to ensure quality control.
- Prepared and presented detailed reports on account status, challenges, and growth opportunities to executive leadership.
- Conducted regular business reviews with clients to understand their needs and align products and services accordingly.
Restaurant Manager
Buena Vista Cantina
Scottsboro, AL
08.2017 - 06.2020
- Managed day-to-day operations of the restaurant, including scheduling, budgeting, and inventory control.
- Supervised and trained staff in customer service, food handling, and safety protocols.
- Maintained detailed records of sales transactions and daily shift reports.
- Resolved and investigated complaints regarding service, food quality, and accommodations.
- Reconciled daily transactions, balanced cash registers and deposited restaurant's earnings at bank.
Education
High School Diploma -
Garfield High School
Akron, OH05-2008
Skills
- Database Maintenance
- Billing reconciliation
- Data analysis and Data Entry
- Customer relationship management
- Reporting and documentation
- Account Management
Education and Training
other
Timeline
Escalation Specialist
Centene, Superior Health Services
10.2022 - Current
Account Manager
The Home Depot Inc
05.2020 - 12.2023
Restaurant Manager
Buena Vista Cantina
08.2017 - 06.2020
High School Diploma -
Garfield High School
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