Summary
Overview
Work History
Education
Skills
Timeline
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GREGORY GREGOIRE

Lauderhill,FL

Summary

Highly motivated with over 10+ years of experience in the corporate business industry.

Resourceful service professional with a proven ability to successfully meet and exceed all company goals. Excellent negotiation skills, problem-solving, and time-management skills. Ability to be empathetic when dealing with sensitive situations. Passionate about developing and facilitating programs to support communities in need. Collaborative and analytical advocate builds strategic partnerships, advocate for clients and advance change for communities in need.

Overview

16
16
years of professional experience

Work History

Loss Prevention Supervisor

Wyndham Buena Vista Hotel
Orlando, FL
11.2022 - 12.2023
  • Planned and launched policies and procedures to minimize asset losses.
  • Documented evidence of attempted theft and recovered merchandise for use in loss prevention report generation.
  • Analyzed inventory discrepancies to identify potential areas of loss or shrinkage.
  • Responded immediately to emergency situations involving safety issues or suspected criminal activity.
  • Trained employees on proper handling procedures during investigations into suspected fraudulent activities.

Social Worker

Ads Up Marketing
10.2021 - 10.2022
  • Interviewed clients, families or groups to assess situations, limitations and issues and implement services to address needs.
  • Formulated treatment plan strategies with multidisciplinary teams to provide comprehensive and continuous care plan.
  • Helped clients develop new coping mechanisms and techniques to drive behavior modification.
  • Advocated for client rights and sought solutions by tracking and monitoring legislation and arranging and attending meetings with congressional lawmakers and staff.
  • Completed detailed charts to summarize interactions with patients and booked follow-up sessions.

Insurance Adjuster

Progressive Adjuster
08.2020 - 08.2021
  • Examined claims forms and other records to determine insurance coverage.
  • Reviewed police reports, medical treatment records and physical property damage to determine extent of liability.
  • Investigated and assessed damage to property and reviewed property damage estimates.
  • Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
  • Analyzed information gathered by investigations to report findings and recommendations.
  • Determined liability outlined in coverage and assessed documentation such from police and healthcare providers to understand damages incurred.
  • Conducted thorough property investigations to identify and classify damages for customer claims.
  • Verified insurance claims and determined fair amount for settlement.

Agent Supervisor

BeneLynk
06.2018 - 08.2020
  • Maintains customer records by updating account information
  • Assisted members with Medicare saving program, Medicaid, Community ink, SNAP benefits, and LIS (Low-income Subsidy)
  • Agent special projects, including helping UHC members recover benefits and working closely with the Medicaid office, receiving, revising, and sending state applications; As a result, UHC members regained Medicaid benefits and their health plan was not affected.
  • Handled customer relations issues, enabling quick resolution and client satisfaction.

Case Coordinator

Change Healthcare
04.2016 - 01.2018
  • Collaborate closely with health plan, Medicare, and state Medicaid office
  • Work with members on providing proper, HIPPA-sensitive documents to the state office to enhance their approval rates
  • Work directly with Government Relations Department to represent members and appeal state denials
  • Exceeded production goals within the first 3 months of employment, obtained 98% of outstanding monthly approval rates, mentored and overshadow new hires.

Lead Agent

Med-Care Diabetic and Medical supply
06.2012 - 01.2016
  • Identify potential fraudulent prescriptions
  • Verify insurance benefits, eligibility, and Doctor verifications via(E-care)
  • Maintained knowledge on HMO and PPO plans
  • Chase Prescription, de-escalated irate calls, resolved customer issues working with APPOC and NOBLE
  • Promoted to team lead within 3 months of employment, coached team members on monthly performances, maintained highest quarterly production and customer service rates as a team.

Legal Assistant

Consumer Attorney of America
03.2008 - 05.2012
  • Assisted customers with debt consolidation, debt restructuring, and debt settlement to prevent bankruptcy with minimum of 50% monthly bankruptcy prevention
  • Worked with third-party collection agencies and debt buyers
  • Skilled in the financial services industry as it relates to risk management and collections
  • Awarded for “Most Calls made” monthly basis.

Education

High School Diploma -

North Miami Beach High School
08.1998

Skills

  • Task Monitoring
  • Team-Building Exercise
  • Quality Deliverable
  • Quality control
  • Employee Evaluation
  • Performance improvement
  • Daily workflow improvement
  • Staff education and training
  • Complaint resolution
  • Account management
  • Grief Processes
  • Teen Substance Abuse Training
  • Conflict Resolution
  • Case Management

Timeline

Loss Prevention Supervisor

Wyndham Buena Vista Hotel
11.2022 - 12.2023

Social Worker

Ads Up Marketing
10.2021 - 10.2022

Insurance Adjuster

Progressive Adjuster
08.2020 - 08.2021

Agent Supervisor

BeneLynk
06.2018 - 08.2020

Case Coordinator

Change Healthcare
04.2016 - 01.2018

Lead Agent

Med-Care Diabetic and Medical supply
06.2012 - 01.2016

Legal Assistant

Consumer Attorney of America
03.2008 - 05.2012

High School Diploma -

North Miami Beach High School

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