Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
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JACOB EVANS

Copperas Cove,TX

Summary

Strong leader and problem-solver dedicated to streamlining operations to decrease costs and promote organizational efficiency. Uses independent decision-making skills and sound judgment to positively impact company success. Adept in medical claims adjudication and training, with commitment to quality and indirectly enhancing customer experience.

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

Dedicated administrative professional well-versed in medical claims cycle. Ready to bring 5 plus years of relevant work experience to the team.

Overview

7
7
years of professional experience

Work History

Healthcare CSR Trainer

TTEC
12.2020 - Current
  • Facilitates engaging training initiatives, to ensure new talent meets or exceeds key performance target
  • Delivers successful onboarding experiences, continue education training, soft skill, through virtual classroom training (i.e Zoom)
  • Implemented customer service and computer training programs for new hires
  • Developed measurable training objectives related to new hire needs
  • Performs call observation/monitoring to ensure call quality
  • Provides one-on-one coaching with trainees, based upon call observations, to enhance or encourage performance
  • Outlined employee improvement and growth plans for Customer Service Representatives
  • Assisted payroll in adjusting, submitting, and approving CSR’s timecards
  • Submitted tickets for technical issues on behalf of the CSR’s

Healthcare Customer Service Representative

TTEC
05.2019 - 11.2019
  • Consulted with customers on health-related products and services to provide the best solutions for overall wellness and medical expenses
  • Maintained customer’s accounts and electronic heath information
  • Responded to customer inquiries with compassion and active listening and support the best solution in an efficient timely manner
  • Investigated billing discrepancies on medical and prescription claims
  • Identified and resolved potential billing errors with medical service providers
  • Resolve customer technical issues with patience and understanding
  • Identify additional needs customers may have and help them to upgrade products or services

Property Manager

Mountain View Community
12.2016 - 12.2017
  • Managed the operations and maintenance to increase the value of residential properties ranging from 30-40 units
  • Implemented marketing initiative for potential and existing tenants
  • Conducted bookkeeping/recordkeeping of all rent collections
  • Prepared all legal notices for evictions and all other rule violations
  • Reviewed and approve perspective tenant applications
  • Inspected and maintained community property and grounds.

Education

Associate degree - Business Management

Vista College
Killeen, TX
07.2016

Skills

  • Documentation
  • Effective Trainer
  • Data Entry
  • Insurance: Commercial Plans/ Medicare Advantage Plans
  • Benefit Assessment
  • Medical Claims Adjudication
  • Facilitation
  • Outpatient Care
  • Appeals and Grievances
  • Benefit Assessment

  • Investigate Claims
  • Medical Insurance
  • Microsoft Office

Accomplishments


  • Selected directly by training manager to conduct claims processing training to perspective advocates.
  • Selected directly by the client to conduct appeals and grievances training to associates.
  • Collaborated with team of 10 offshore personnel in the development of securing client contract.

Timeline

Healthcare CSR Trainer

TTEC
12.2020 - Current

Healthcare Customer Service Representative

TTEC
05.2019 - 11.2019

Property Manager

Mountain View Community
12.2016 - 12.2017

Associate degree - Business Management

Vista College

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JACOB EVANS