Compassionate Case Manager experienced in remote work environments. Hardworking and dedicated to achieving desired case outcomes. Offers excellent problem-solving, conflict resolution and communication abilities.
Overview
11
11
years of professional experience
Work History
Remote Reimbursement Case Manager
Aston Carter
11.2022 - 09.2023
Identified reimbursement issues related to benefits for a specific drug, responsible for handling day-to-day activities within reimbursement services (benefits investigations, prior authorization case and appeals support)
Completed medical and/or pharmacy benefits investigations, identified and facilitated submission of required documentation for payer/plan
Maintain records in accordance with applicable standards and regulations to the programs/promotions
Responsible for determining coverage availability and coordination of financial aspects of healthcare services and inputting information into data systems.
Remote Customer Service Rep
United Healthcare
05.2022 - 11.2022
Handled In-bound calls from policy holders
Processed new customers, retrieved and explained benefits to existing customers, and provided cancellation support services
Assisted customers with light technical support for Web featured products
Sergeant
Vance County Detention Center/ Sheriff
10.2019 - 02.2022
Facilitated training, evaluate performance and provide guidance and leadership to officers on my squad
Managed night shift duties of officers and other facility staff
Investigate and resolve facility issues, coordinate efforts with other detention centers, Magistrate office, hospital etc., transport inmates, and perform intake and discharge processing
Enter nightly facility events and stats into data system and reported information to incoming shift’s Sergeant.
Resource Coordinator
GO2 Staffing, Revlon
05.2018 - 04.2019
Monitor staff members, address staff issues and maintain productivity standards
Assign work areas and oversee staffers on 3rd shift (75-200 staffers)
Advocate for staffers
Served as Liaison between staffers and Revlon supervisors.
Child Care Provider
Granny Nanny Childcare
10.2012 - 03.2018
Oversee young children ages 2 months to 13 years
Communicate and resolve issues with parents
Creation and Preparation of Daily routines of childcare
All administrative, procedural and management processes.
Education
Family Day Care Certification -
NASH COUNTY COMMUNITY COLLEGE
Rocky Mount, NC
HS Diploma -
CENTRAL HIGH SCHOOL
Newark, NJ
Skills
Strong customer service experience
Organizational skills
Phone skills (In-bound and Out-bound)
Computer skills (Salesforce CRM, Microsoft applications: Excel, PowerPoint, Word, Outlook and Teams)
Data Entry
Time management
Attention to detail
Interpersonal Skills (leadership, team work, conflict resolution, active listener)
L&D Asst.Manager, Centre of Excellence at Deloitte USI (Payroll by Aston Carter India)L&D Asst.Manager, Centre of Excellence at Deloitte USI (Payroll by Aston Carter India)