Highly motivated employee with a desire to take on new challenges. Strong work ethic, adaptability,and exceptional interpersonal skills. Adept at working effectively and quickly mastering new skills. Solid team player with an upbeat and positive attitude. Motivated to maintain a history of meeting company needs with consistent and organized practices to contribute to company success.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Customer Service Advocate
United Health Group, Optum
Fort Worth, Texas
06.2022 - Current
Provided accurate, valid, and complete information to customers in a timely manner.
Assisted claimants, providers and clients with problems or questions regarding claims.
Utilized problem solving skills to resolve customer issues quickly and efficiently.
Managed incoming calls from customers in a professional manner.
Answered inbound calls, chats and emails to facilitate customer service.
Informed customers about billing procedures, processed payments and provided payment option setup assistance.
Upheld privacy and security requirements for customer information.
Exceeded company productivity standards on consistent basis.
Encouraged customers to become self-sufficient with web-based and mobile support tools.
Investigated complex claims to identify discrepancies and fraud indicators.
Collaborated with other departments within the organization to resolve issues related to claims processing.
Researched and reviewed information to determine validity of insurance claims and contacted companies.
Transportation Manager
M&M Express Transportation Services
Merrillville, IN
09.2020 - 06.2022
Monitored driver performance and compliance with safety regulations.
Communicated effectively with patients, family members and healthcare staff regarding patient care needs.
Adhered to company policies and procedures related to patient confidentiality and HIPAA regulations.
Maintained accurate records of mileage driven per day, week, month as well as any maintenance issues with assigned vehicle.
Interacted with customers pleasantly to meet needs and drive satisfaction.
Checked vehicle after shift for damage.
Ensured compliance with local, state, federal laws governing the transportation industry.
Completed required paperwork accurately and on time for each transport assignment including trip logs, invoices, incident reports.
Developed and implemented operational policies and procedures to ensure efficient business operations.
Collaborated with other departments to resolve billing disputes or address customer concerns quickly.
Ensured timely submission of required documentation from claimants prior to approval of payment.
Reviewed and verified claim information to ensure accuracy of data and compliance with established policies.
Customer Service Representative
Skybridge Americas
Minneapolis, MN
04.2021 - 09.2021
Answered customer inquiries and provided accurate information regarding products and services.
Developed strong relationships with customers by providing personalized assistance and support.
Manager Case Management, Care & Disease Management Ops External Channel at United Health Group/Optum HealthManager Case Management, Care & Disease Management Ops External Channel at United Health Group/Optum Health