Kaili Moody
Hiram,ME
Summary
- Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
- Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
- Experienced with handling complex grievance cases and ensuring compliance with regulatory standards.
Overview
7
7
years of professional experience
Work History
Grievance Specialist Interim Assignment
Martin's Point
03.2026 - Current
- Reviewed and analyzed patient grievances to ensure timely resolutions and compliance with company policies.
- Submitted verbal and written notification to members.
- Provided outreach for additional information for appeals and grievances.
- Managed grievance cases by efficiently handling, investigating and resolving grievances for timely resolutions.
- Remained knowledgeable regarding plan benefits and structure.
- Enhanced client trust through empathetic communication and thorough investigation of grievances.
Member Service Representative
Martin's Point
08.2024 - Current
- Facilitated member inquiries regarding health plan benefits and services.
- Provided exceptional service through active listening, understanding member needs, and offering appropriate solutions.
- Handled complaints with prompt, courteous service to uphold professional reputation.
- Met customer call guidelines for service levels, handle time and productivity.
Grievance Specialist Interim Assignment
Martin's Point
07.2025 - 09.2025
Teller
Casco Federal Credit Union
07.2023 - 07.2024
- Processed cash transactions accurately, ensuring compliance with financial regulations.
- Resolved customer inquiries efficiently, enhancing client satisfaction and loyalty.
- Managed daily cash drawer operations, maintaining accurate records and balancing funds.
- Trained new tellers on operational procedures and customer service best practices.
Produce Inspector
Grants family farm
07.2019 - 07.2024
- Inspect produce and insure the quality is adequate to send to stores, package and weigh produce to send out to warehouses.
Fulfillment Associate
Target
09.2022 - 07.2023
- Proficiently and accurately pick out what products the guests have ordered for the drive up or pick up services. Finish picking, bagging and stowing in a timely order, as it is timed. If guests approach you while picking a batch, take the time to answer their questions and help them
- Monitored product quality during packing, resolving discrepancies to maintain high standards.
- Took on extra hours and shifts during busy periods to meet tight shipping deadlines.
- Followed orders precisely for correct items, sizes and quantities.
Rides Operator
Funtown Splashtown USA
05.2022 - 09.2022
- Insure all safety protocols are enforced for guest safety. Greet all guests when interacting and answer any questions about the park, constant attention to detail.
- Operated amusement rides ensuring guest safety and compliance with operational guidelines.
- Facilitated smooth ride operations through effective communication with team and guests.
- Implemented safety checks prior to opening rides, maintaining high standards for operational excellence.
- Followed posted height and age restrictions and denied access to attraction for guests under minimum requirements.
Produce Associate
Hannaford
01.2022 - 05.2022
- Rotate produce from the sales floor, insure produce is fresh to sell to the customers, help customers when needed.
Education
High School Diploma -
Standish Baptist Academy
MAINE05.2023
Skills
- Guest Services
- Produce Experience
- Order picking
- Dispute resolution
- Multitasking skills
- Time management
- Problem-solving
- Attention to detail
- Listening skills
- Reliability
- Critical thinking
- Adaptability and flexibility
Timeline
Grievance Specialist Interim Assignment
Martin's Point
03.2026 - Current
Grievance Specialist Interim Assignment
Martin's Point
07.2025 - 09.2025
Member Service Representative
Martin's Point
08.2024 - Current
Teller
Casco Federal Credit Union
07.2023 - 07.2024
Fulfillment Associate
Target
09.2022 - 07.2023
Rides Operator
Funtown Splashtown USA
05.2022 - 09.2022
Produce Associate
Hannaford
01.2022 - 05.2022
Produce Inspector
Grants family farm
07.2019 - 07.2024
High School Diploma -
Standish Baptist Academy