Erika Caldwell
Elk Grove,CA
Summary
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. Hardworking employee with customer service, multitasking, and time management abilities. Devoted to giving every customer a positive and memorable experience.
Overview
9
9
years of professional experience
Work History
Appeals & Grievances Coordinator
Blue Shield of California
Rancho Cordova, CA
03.2014 - 01.2023
- Developed standard operating procedures for handling appeals and grievances.
- Provided guidance to staff members on how to properly handle customer disputes or issues that could lead to an appeal or grievance situation.
- Maintained records of all completed appeal or grievance cases in accordance with federal regulations.
- Drafted letters summarizing decisions reached through the appeals process.
- Communicated effectively with customers who had filed an appeal or grievance regarding their case status.
- Prepared written summaries of findings related to each appeal or grievance investigation.
- Analyzed appeals and grievances for accuracy, completeness, and timeliness of submissions.
Data Entry Clerk
Aeroteck Temp Agency
Rancho Cordova, CA
09.2013 - 03.2014
- Performed data entry from paper documents, emails, and other sources into computer systems.
- Maintained database by entering new and updated customer and account information.
- Followed up on pending tasks until completion.
- Verified accuracy and completeness of data entry into the database system.
- Maintained confidentiality of sensitive information entered into the system.
- Collected and organized information for entry, prioritizing entries to increase efficiency.
Education
Associate of Applied Science - Nursing
Sacramento City College
Sacramento, CA06-2006
Skills
- Policy Knowledge
- Dispute Resolution
- Effective Communication
- Decision-Making
- Training Development
- Adaptability
- Multitasking
- Attention to Detail
- Written Communication
- Policy Interpretation
- Time Management Abilities
- Reliability
- Team Collaboration
Timeline
Appeals & Grievances Coordinator
Blue Shield of California
03.2014 - 01.2023
Data Entry Clerk
Aeroteck Temp Agency
09.2013 - 03.2014
Associate of Applied Science - Nursing
Sacramento City College
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