Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
12
12
years of professional experience
Work History
Daycare Owner/Operator
Happy Hearts Learning Center
Oversaw safety requirements, inspection, and certification procedures to facilitate annual licensing review.
Stayed current on guidelines to maintain compliant program operations.
Maintained records , achieved five stars with internal audits.
Supervised childcare workers and oversaw facility to meet state requirements for education and training.
Sent monthly reports to parents regarding child progress.
Overseen nutritional menus
Benefits Customer Service Representative
Unum
10.2019 - Current
Analyzed and addressed escalated claims to resolve issues quickly.
Worked productively in fast-moving work environment to process large volumes of claims.
Updated claims system to track claim status and provide relevant information to other department.
Ensure privacy of our customers remains the utmost importance.
Respond to customer inquiries with timely and accurate information .
Met and exceeded performance metrics .
Strong verbal/written communication and interpersonal skills
Ability to adapt and work effectively in a continuously changing environment .
Monitored and updated claims status in claims processing system.
Checked documentation for accuracy and validity on updated systems.
Coordinated with contracting department to resolve payer issues.
Developed and implemented strategies to improve claim processes.
Posted payments to accounts and maintained records.
Strong mentoring and coaching skills
Assisted on the job training to new employees when released from training class when necessary
Respond to escalated customer concerns , escalated customer, provider or agent calls as well as resolved and assisted representatives with complicated research issues .
Customer Care Representative
Chisholm Graphics
03.2013 - 11.2018
Reviewed customer data to assess current issues and determine potential solutions .
Kept customer and system account information accurate and current to support timely
resolutions for all concerns .
Coordinated logistics and pricing and availability
Stepped in as Acting Supervisor
Introduced new methods, practices, and systems to reduce turnaround time.
Cross-trained existing employees to maximize team agility and performance.
Performed detailed material inventories and ordered more supplies.
Supervised production team, keeping production schedules on track to meet tight deadlines.
Customer Service Representative
Angie's Bath And Body
01.2011 - 02.2013
Handled customer inquiries and suggestions courteously and professionally.
Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
Answered constant flow of customer calls with minimal wait times.
Expressed appreciation for customer loyalty, inviting and encouraging customer loyalty.
Process exchanges/ returns
Utilize payment system
Processed customer orders and inquiries via phone, and email .
Education
Associate of Applied Science - Business Administration
ITT Technical College
Greenfield
05.2006
Skills
Claim practices
Claims Processing
Customer Service
Mentorship
VB claims
Telephonic Claims Submission
Claims Resolution
Payment Systems
Soft Skills, Verbal and Written Communication
Ability to work in multiple systems
Assist with On the Job Training
Timeline
Benefits Customer Service Representative
Unum
10.2019 - Current
Customer Care Representative
Chisholm Graphics
03.2013 - 11.2018
Customer Service Representative
Angie's Bath And Body
01.2011 - 02.2013
Daycare Owner/Operator
Happy Hearts Learning Center
Associate of Applied Science - Business Administration
ITT Technical College
Similar Profiles
Molly McCaffreyMolly McCaffrey
Teacher's Assistant at Happy Hearts Learning CenterTeacher's Assistant at Happy Hearts Learning Center