Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
NavSolver Certification
Generic

JHIR'PRECE GARDNER

Denver,CO

Summary

Lead Verification Processor with 14 years of extensive experience in documentation accuracy, compliance, and communication. Expert in enhancing compliance rates and operational efficiency through data entry optimization and comprehensive training delivery. Dedicated to fostering skill development and empathetic support during sensitive situations, driving overall performance and member satisfaction.

Professional with comprehensive background in processing, prepared to bring high standards to new role. Known for improving operational efficiency and ensuring accuracy in documentation. Team-oriented with strong focus on achieving results and adapting to changing needs. Proficient in data management and regulatory compliance.

Overview

14
14
years of professional experience

Work History

Lead Verification Processor

Businessolver
04.2022 - Current
  • Optimize data entry and reporting, cutting turnaround times and boosting accuracy.
  • Coach third-party agencies, enhancing skills and improving performance.
  • Streamline dependent verification, increasing compliance and operational efficiency.
  • Process life event and medical order documentation, ensuring regulatory adherence and reducing risks.
  • Improve Cobra notice procedures, enhancing operational effectiveness and compliance.

Member Advocate II

Businessolver
02.2017 - 04.2022
  • Meticulously reviewed and validated employee documentation, maintaining high standards of data integrity and confidentiality.
  • Optimized member advocacy processes, significantly reducing response times and enhancing overall customer satisfaction in benefits administration.
  • Partnered with cross-functional teams to resolve intricate benefits issues, fostering a cohesive work environment and improving interdepartmental communication.
  • Pioneered new approaches to member inquiry management, implementing efficient solutions that markedly decreased case resolution timeframes.
  • Provided empathetic support to members navigating complex benefits scenarios, consistently receiving positive feedback for clear communication and problem-solving skills.

Dedicated Member Advocate

Businessolver
09.2015 - 02.2017
  • Managed inbound communications, delivering policy details and resolving benefit issues efficiently.
  • Processed enrollments and life event changes with high accuracy and compliance.
  • Collaborated with vendors to verify eligibility and resolve discrepancies swiftly.
  • Achieved high client satisfaction through effective communication and problem-solving.
  • Streamlined benefit issue resolution process, reducing average handling time and enhancing member satisfaction rates.

Point of Contact

Directv
07.2012 - 09.2015
  • Trained call center reps, enhancing service quality and retention through effective coaching.
  • Resolved service/product issues, significantly boosting customer satisfaction and reducing downtime.
  • Ensured compliance with policies, fostering a culture of excellence and accountability.
  • Developed engaging orientation materials, streamlining onboarding and improving retention rates.
  • Collaborated across teams to address complex issues, reducing escalations and improving resolution rates.

Education

Some College -

Skills

  • MS Suite
  • Time management
  • Organization
  • Communication
  • Documentation accuracy
  • Regulatory compliance
  • Coaching
  • Data entry optimization
  • Cobra notice procedures
  • Medical support orders
  • Problem-solving

Accomplishments

NavSolver Certification

Timeline

Lead Verification Processor

Businessolver
04.2022 - Current

Member Advocate II

Businessolver
02.2017 - 04.2022

Dedicated Member Advocate

Businessolver
09.2015 - 02.2017

Point of Contact

Directv
07.2012 - 09.2015

Some College -

NavSolver Certification

Mentorship program designed to develop and sharpen leadership skills as individual contributors and prepare for a long-term career.

JHIR'PRECE GARDNER