Jilissa Gregory
Riverside
Summary
Dynamic professional with a strong work ethic and exceptional customer service skills, honed at H&R Block. Proven ability to manage high-pressure situations while maintaining attention to detail. Recognized for fostering collaboration and streamlining processes, resulting in improved team productivity and enhanced customer satisfaction. Quick learner dedicated to continuous improvement.
Overview
9
9
years of professional experience
Work History
Seasonal Worker
H&r Block
01.2024 - 05.2025
- Developed strong relationships with coworkers through effective communication skills, fostering teamwork within our group.
- Contributed to a positive work environment by maintaining a professional demeanor and upbeat attitude throughout the busy holiday season.
- Handled high-pressure situations effectively by remaining calm and focused during peak seasonal times, allowing for the swift resolution of customer inquiries and concerns.
- Provided exceptional customer service, addressing inquiries and resolving issues in a timely manner.
- Monitored team productivity and provided regular progress reports to senior management, highlighting areas for improvement.
- Worked with customer service representatives to handle escalated customer issues.
- Managed team workload to reach targets for specific tasks.
- Worked with customer service to handle escalated customer issues.
- Organized weekly team meetings to discuss projects, share updates, and address any challenges faced by the team.
- Streamlined workflow processes through continuous analysis and improvement initiatives that reduced operational inefficiencies.
Claims Processor
Blue Cross and Blue Shield of Massachusetts Inc.
01.2018 - 05.2019
- Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.
- Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
- Reviewed applications and supporting documents to verify claims eligibility and accuracy.
- Managed workload and priorities to meet claims processing meet deadlines.
- Utilized specialized software to process incoming claims, enter data and generate reports.
- Collaborated with cross-functional teams to resolve complex claims issues efficiently and effectively.
- Evaluated accuracy and quality of data entered into agency management system.
- Handled escalated customer concerns regarding claim denials or delays with empathy and professionalism.
- Maintained strict confidentiality when dealing with sensitive information about patients'' medical histories or personal details.
- Identified fraudulent claims through thorough investigation and documentation of findings.
Member Service Representative
Harvard Pilgrim Health Care
10.2016 - 02.2017
- Participated in ongoing training programs related to HIPAA compliance, maintaining up-to-date knowledge on regulatory requirements.
- Verified insurance eligibility and coverage for patients.
- Handled sensitive patient concerns with professionalism and empathy, fostering an atmosphere of trust within the clinic.
- Filed and maintained patient records in accordance with HIPAA regulations.
- Provided exceptional customer service to patients, answering questions and addressing concerns.
- Managed patient registration process, confirming data accuracy and completeness.
- Handled customer service inquiries in person, via telephone and through email.
- Maintained a well-organized front desk, contributing to a welcoming environment for patients and visitors.
- Assisted patients in filling out check-in and payment paperwork.
- Processed medical records requests efficiently, safeguarding patient privacy while ensuring timely information access for healthcare providers.
Education
Criminal Justice
Southern New Hampshire University
Manchester, NH06.2025
Bachelor of Science - Human Resources Management
Southern New Hampshire
Manchester, NH11.2022
Skills
- Quick learner
- Strong work ethic
- Collaboration
- Task prioritization
- Attention to detail
- Dependable and hardworking
- Time management
- Customer Service
Timeline
Seasonal Worker
H&r Block
01.2024 - 05.2025
Claims Processor
Blue Cross and Blue Shield of Massachusetts Inc.
01.2018 - 05.2019
Member Service Representative
Harvard Pilgrim Health Care
10.2016 - 02.2017
Criminal Justice
Southern New Hampshire University
Bachelor of Science - Human Resources Management
Southern New Hampshire