Marie Perez
Surprise,AZ
Summary
I am an Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. I enjoy working with our member's in order to make them whole and satisfied with their needs.
Overview
15
15
years of professional experience
Work History
Grievance Coordinator
Blue Cross And Blue Shield Of Arizona
11.2017 - Current
- Review and resolve member grievances which can be customer services issues to billing/claim issues.
- Skilled at working independently and collaboratively in a team environment.
- Self-motivated, with a strong sense of personal responsibility.
- Proven ability to learn quickly and adapt to new situations.
- Worked well in a team setting, providing support and guidance.
- Worked effectively in fast-paced environments.
- Managed time efficiently in order to complete all tasks within deadlines.
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Proved successful working within tight deadlines and a fast-paced environment.
- Strengthened communication skills through regular interactions with others.
- Organized and detail-oriented with a strong work ethic.
- Adaptable and proficient in learning new concepts quickly and efficiently.
- Excellent communication skills, both verbal and written.
- Passionate about learning and committed to continual improvement.
Grievance and Appeals Coordinator
Phoenix Health Plans
07.2008 - 11.2017
- Created, composed and maintained appeal response templates.
- Developed appeals functions, policies and procedures and documentation.
- Responded to attorney inquiries and litigation notices.
- Coordinated with senior specialist to compose appeal responses.
- Took notes on interviews and other workplace investigations, compiled records and organized documentation for cases.
- Skilled at working independently and collaboratively in a team environment.
- Self-motivated, with a strong sense of personal responsibility.
- Proven ability to learn quickly and adapt to new situations.
- Worked well in a team setting, providing support and guidance.
- Worked effectively in fast-paced environments.
- Managed time efficiently in order to complete all tasks within deadlines.
- Passionate about learning and committed to continual improvement.
- Proved successful working within tight deadlines and a fast-paced environment.
- Organized and detail-oriented with a strong work ethic.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Identified issues, analyzed information and provided solutions to problems.
- Participated in team projects, demonstrating an ability to work collaboratively and effectively.
- Worked flexible hours across night, weekend and holiday shifts.
- Developed and maintained courteous and effective working relationships.
Education
Carl Hayden High School
Phoenix, AZ Skills
- Dispute Resolution
- Attention to Detail
- Conflict Resolution
- Time Management
- Effective Communication
- Computer Literacy
- Customer Service
- Confidentiality Maintenance
- Problem Solving
- Strategic Planning
- Cross-functional Coordination
- Professionalism
- Team Collaboration
Languages
Spanish
Native or Bilingual
Timeline
Grievance Coordinator
Blue Cross And Blue Shield Of Arizona
11.2017 - Current
Grievance and Appeals Coordinator
Phoenix Health Plans
07.2008 - 11.2017
Carl Hayden High School
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