Kim Abramowski
La Crosse,WI
Summary
Customer-focused healthcare professional with experience researching benefits, claims, eligibility, and financial spending accounts across multiple systems. Known for clear communication, problem-solving, and follow-through on complex issues, with a strong background in process improvement, customer service, and supporting members through resolution.
Overview
14
14
years of professional experience
Work History
Bartender/ Server/ Cook
Hillbilies Bar & Grill
La Crosse, WI
09.2024 - Current
- Served drinks to customers, enhancing their dining experience
- Recorded customer orders accurately to ensure timely and correct preparation
- Provided customer service by addressing inquiries and ensuring satisfaction
- Cash handling
- Prepared ingredients for cooking in the kitchen
Fraud Investigator
UMR/A United HealthCare Company
01.2026 - Current
- Investigated complex issues across multiple databases, collaborating with support resources to effectively resolve customer concerns and escalated issues
- Review Flagged Providers and determine if they are billing correctly.
- Address complex issues and refer complicated situations to various departments or leadership for further assistance.
- Developed creative solutions and utilized effective problem-solving techniques to meet members' needs
- Translate healthcare-related terms or terminology and complex processes into simple, step-by-step instructions which members can understand
- Delivered exceptional customer service by resolving inquiries related to benefits, eligibility, claims, and financial spending accounts, ensuring a positive experience for callers
- Worked in hybrid remote environment to enhance flexibility and productivity.
Plan Advisor
UMR/A United HealthCare Company
08.2024 - 01.2026
- Delivered exceptional customer service by efficiently identifying and addressing callers' inquiries regarding benefits, eligibility, claims, financial spending accounts, and related correspondence.
- Research complex issues (such as Medical, Dental, Flex Spending, Pharmacy, etc.) across multiple databases and work with support resources to resolve customer issues and/or partner with others to resolve escalated issues
- Own issue through to resolution on behalf of the member in real time or through comprehensive and timely follow-up.
- Apply creative solutions and effective problem-solving techniques to address members' needs
- Educate the member on health incentives offered by their employer as well as consumer driven health products; HSA, HRA, and HDHP some resulting in additional healthcare dollars for the member to utilize
- Intervened with care providers on behalf of the member to assist with appointment scheduling.
- Address complex issues with an awareness of when to refer complicated situations to various departments or leadership for further assistance
- Simplified complex healthcare terminology and processes into clear, step-by-step instructions, enhancing member understanding and engagement.
Business Service Supervisor
Angrys Way Out
La Crosse, WI
03.2021 - 08.2024
- Coordinated staffing, customer service, and business operations to meet organizational needs.
- Recruitment and onboarding of new team members
- Maintained staff scheduling for employees
- Managed multiple customer interactions and staff requirements efficiently during peak hours
- Evaluation of employee performance and productivity
- Proactively manages relationships by collaborating with business owners
- Coordinated business and private events to ensure successful execution and client satisfaction.
- Ensured all services-maintained health and safety standards
C.D.S Customer and Order Services Coordinator
Trane Technologies
La Crosse, WI
09.2017 - 08.2023
- Coordinate and create customer orders and account maintenance for international and domestic orders using Oracle and Right Now tools and E-Commerce (Salesforce)
- Promptly respond to customer support calls and emails for orders and account inquiries, pricing, quotes, and promotions
- Place orders and direct customers to the e-Commerce business platform (Salesforce) for placing software orders and providing feedback based on customer needs and expectations
- Advise customers of special promotions and explain the benefits of migration from TRACE 700 to TRACE 3D Plus; during promotional periods revenue has increased as much as 30% - 40% over forecast
- Process and fulfill educational literature order for customers
- Provided support for international customer requests to complete intercompany agreements
- Collaborated with legal department on license agreements and customer inquiries to resolve challenges and meet customer needs.
- Facilitated Government Service Agreements (GSA) negotiations and contracts by generating documentation and providing licensing explanations.
- Coordinated contracts, billing, certificates, and troubleshooting for in-person and virtual training for external customers and Trane Commercial offices.
- Collaborate with team members to develop processes and workflows to enhance the e Commerce business platform
- Assist with the process flows for onboarding new employees
Receipts Management Patient Account Specialist
Olsten Staffing Agency
La Crosse, WI
04.2017 - 08.2017
- Contracted by the staffing firm to perform assignments related to administrative duties
- Resolved payment discrepancies by processing error reports for third party vendors
- Balanced and processed electronic 835 complaint files to accurately post payments and adjustments to patient accounts
- Corrected claims by transferring payments for patients when claims were modified or newly created
- Issued reimbursements and refunds of payments
- Worked at Mayo Clinic, supporting administrative functions.
Enrollment Specialist
UMR/A United HealthCare Company
Onalaska, WI
04.2013 - 10.2016
- Coordinated enrollment of new members and updated existing member information to ensure accurate records.
- Responded to email inquiries from Account Managers, providing timely and accurate information.
- Executed data entry and answered telephone inquiries to maintain accurate records and support customer needs.
- Collaborated with clients and internal departments to address claims-related inquiries.
- Enter Cobra coverage and updates
- Correspond with RX Vendors. Executed additional tasks to support team objectives
Education
Bachelor of Business Administration -
Colorado Technical University
Colorado, CO01-2017
Bachelor of Business Administration -
Kaplan University
La Crosse, WI06-2015
Skills
- Mixology techniques
- Alcoholic Beverage Knowledge
- Responsible alcohol service
- Liquor law compliance
- Table service
- Customer service
- Point Of Sale (POS)
- POS systems
- Cash management
- Microsoft Office proficiency
- Oracle
- Right Now tools
- E-Commerce (Salesforce)
- Coupa Invoicing
- Organizational and problem-solving skills
- Business administration expertise
- Client satisfaction
- QS1 and AS400 familiarity
Timeline
Fraud Investigator
UMR/A United HealthCare Company
01.2026 - Current
Bartender/ Server/ Cook
Hillbilies Bar & Grill
09.2024 - Current
Plan Advisor
UMR/A United HealthCare Company
08.2024 - 01.2026
Business Service Supervisor
Angrys Way Out
03.2021 - 08.2024
C.D.S Customer and Order Services Coordinator
Trane Technologies
09.2017 - 08.2023
Receipts Management Patient Account Specialist
Olsten Staffing Agency
04.2017 - 08.2017
Enrollment Specialist
UMR/A United HealthCare Company
04.2013 - 10.2016
Bachelor of Business Administration -
Colorado Technical University
Bachelor of Business Administration -
Kaplan University