Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Gisele Stewart

Latham,NY

Summary

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Overview

23
23
years of professional experience
1
1
Certification

Work History

Provider Account Liaison

Highmark BlueShield Of Northeastern New York
04.2015 - 04.2024
  • Primary contact for the development of relationships between provider groups and facilities.
  • Provided quality service and education to clients to maintain an adequate provider network.
  • Takes ownership and manages strategic business projects as assigned.
  • Enhanced client relationships by consistently providing exceptional service and support.
  • Assisted in the onboarding of practitioners, facilitating smooth transitions and building strong foundations for future growth.
  • Fostered lasting relationships with customers through effective communication and quick response, resulting in long-term loyalty.
  • Performed the BlueCross and BlueShield Association Data auditing.
  • Performed Provider Network Data System (PNDS, NYS Department of Health directory audits for Commercial, Exchange and Dental lines of business.

Quality Coach

Highmark BlueShield Of Northeaster New York
07.2012 - 04.2015
  • Internal monitoring and auditing of the State and Federal enrollment.
  • Monitored telephone, correspondence and claim adjustment transactions.
  • Provided timely, clear and concise feedback electronically, verbally and in written format
  • Monitored key performance indicators to track progress toward quality objectives and adjust strategies as needed.
  • Established and tracked quality department goals and objectives.
  • Recorded, analyzed, and distributed statistical information.
  • Applied coaching techniques and tools to support managers and team members in improving performance.
  • Produced quality reports to management, assisting in identification and development of the audited staff.

Customer Service Representative

Highmark BlueShield Of Northeastern New York
11.2002 - 07.2012
  • Handled customer inquiries and suggestions courteously and professionally.
  • Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
  • Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
  • Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
  • Answered constant flow of customer calls with minimal wait times.
  • Maintained detailed records of customer interactions, ensuring proper follow-up and resolution of issues.
  • Utilized customer service software to manage interactions and track customer satisfaction.
  • Provided coaching and mentoring to new hires, contributing to their successful integration into the team.
  • Tracked customer service cases and updated service software with customer information.
  • Participated in cross-functional initiatives aimed at enhancing overall business operations and customer satisfaction levels.
  • Claim adjustment experience.
  • Educated customers about billing, payment processing and support policies and procedures.
  • Trained new personnel regarding company operations, policies and services.

Bank Teller

Charter One Bank
07.2001 - 11.2002
  • Managed high-volume transactions during peak hours while maintaining attention to detail, ensuring seamless customer experience.
  • Balanced cash drawers accurately at the end of each shift, minimizing discrepancies in financial records.
  • Answered customer inquiries regarding account balances, transaction history, services charges, and interest rates.
  • Processed customer transactions promptly, minimizing wait times.
  • Counted and packaged currency and coins.
  • Conducted daily audits of cash drawer, ensuring accuracy and compliance with bank policies.
  • Educated customers on banking products, enabling them to make informed decisions about their finances.
  • Exceeded personal sales goals consistently by proactively engaging with customers and identifying their financial needs.
  • Supported branch management in achieving operational excellence through adherence to regulatory guidelines and internal procedures.

Education

Bachelor of Technology - Environmental Studies

SUNY College of Agriculture And Technology At Cobleskill
Cobleskill, NY
05.2000

Skills

  • Data Interpretation
  • Client Relationship Building
  • Documentation And Reporting
  • Issue Resolution
  • Internal Auditing
  • Territory Management

Certification

  • Previously was a Certified Professional Coder (CPC). May/2014 - August/2015-Bryant and Stratton College- Albany, NY.


Timeline

Provider Account Liaison

Highmark BlueShield Of Northeastern New York
04.2015 - 04.2024

Quality Coach

Highmark BlueShield Of Northeaster New York
07.2012 - 04.2015

Customer Service Representative

Highmark BlueShield Of Northeastern New York
11.2002 - 07.2012

Bank Teller

Charter One Bank
07.2001 - 11.2002

Bachelor of Technology - Environmental Studies

SUNY College of Agriculture And Technology At Cobleskill
  • Previously was a Certified Professional Coder (CPC). May/2014 - August/2015-Bryant and Stratton College- Albany, NY.


Gisele Stewart