Open To Work
J.L Skaff
Steubenville
Work Preference
Summary
I am a driven individual seeking a position in the customer service field that I have 17 years of experience in. By utilizing my strong communication and customer service skills I can provide indispensable support and improve the overall efficiency of your team. I am able to work with a team or take charge on my own. I have been working remotely, in a dedicated home office for the past 5 years.
Overview
20
20
years of professional experience
Work History
Medical Claims Representative
Centene
12.2023 - Current
- Managed member claims and handled claims processing inquiries from members and providers for Buckeye Health Plan as a claims representative at Centene.
- Process medical claims efficiently according to policy guidelines and standards.
- Communicate with healthcare providers to resolve claim issues promptly.
- Review documentation for accuracy and completeness before submission.
- Corrected and resubmitted claims with accurate coding to maintain compliance.
Marketing and Finance Manager
Tumbleweed Tiny House Company
Colorado Springs
09.2017 - 11.2022
- Managed company's social media channels, proposing innovative ideas and concepts for content to increase audience engagement.
- I worked with the marketing manager to coordinate ad campaigns with a social media strategy.
- My duties included qualifying leads from marketing campaigns as sales opportunities and contacting potential clients through calls, emails, and text messages.
- I would also build long-term, trusting relationships with clients and proactively seek new business opportunities in the market.
- Presented company to potential clients through tours, identifying client needs and recommending suitable products/services to drive engagement.
- Managed web-chat and text-line for customer inquiries, providing timely responses to enhance customer satisfaction.
- Managed the company’s support email inbox and answered customer service inquiries.
- I set up meetings or calls between (prospective) clients and the sales team.
- The company filed for bankruptcy, resulting in layoffs for all employees.
Data Entry
ServiceLink FNF
Township of Moon
10.2011 - 08.2017
- Executed deeds and title data entry, ensuring precision and timely processing of information.
- Processed on average 2,500 orders a month.
- Collaborated with top lenders, including Fannie Mae, Freddie Mac, and Wells Fargo, to facilitate data accuracy and compliance.
- Managed production reports and coordinated vendor relationships to enhance operational efficiency.
Gaming Host - Ambassador
Mountaineer Casino Racetrack & Resort
Newell
04.2006 - 10.2011
- Oversaw satisfaction of highest-spending customers, enhancing their overall gaming experience.
- Coordinated reservations and delivered favorite drinks to guests at the Blackjack table, ensuring personalized service.
- Managed high-end patron accounts, fostering loyalty and ensuring consistent satisfaction.
- I worked closely with all other departments to ensure the guests had the best visit possible.
- Prepared budgets and monthly reports to track financial performance. were also my responsibility.
Education
Some college - Hospitality Management
Bradford School
Pittsburgh, PA01-2005
Some College (No Degree) -
Edison Local
Richmond, OHSkills
- Claims Processing
- Claims Resolution
- Claims Support
- Healthcare Compliance
- Patient Outreach
- HIPAA
- Customer service
- Sales operations
- Administrative tasks
- Data Entry
- Data processing
- CRM software
- Microsoft Office
- Google Docs
- Microsoft Outlook
- Windows
- Operating systems
- Social media management
- Sales
- Sales operations
- Business development
- Healthcare Marketing strategy
- Marketing
- Business growth
- Management
- Organizational management
- Internal Stakeholder Collaboration
- Communication skills
- Mobile devices
- Marketing
- Business growth
- Data Entry
Awards
- Cooperate Culture Award, EchoPark Automotive, 05/01/17
- Employee of the Month, ServiceLink, 12/01/13
- Employee of the Quarter, ServiceLink
Timeline
Medical Claims Representative
Centene
12.2023 - Current
Marketing and Finance Manager
Tumbleweed Tiny House Company
09.2017 - 11.2022
Data Entry
ServiceLink FNF
10.2011 - 08.2017
Gaming Host - Ambassador
Mountaineer Casino Racetrack & Resort
04.2006 - 10.2011
Some college - Hospitality Management
Bradford School
Some College (No Degree) -
Edison Local