Handles team needs with forward-thinking strategies and strong focus on daily requirements. Well-coordinated planner successful at coordinating schedules and workflows to meet business demands. Superior work ethic combined with resourceful and upbeat nature. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
24
24
years of professional experience
Work History
Shift Lead
TacoTime
07.2021 - 08.2023
Completed store opening and closing procedures and balanced tills.
Trained new employees and delegated daily tasks and responsibilities.
Resolved customer complaints and issues and offered thoughtful solutions to maintain customer satisfaction.
Trained and mentored new employees to maximize team performance.
Kept employees operating productively and working on task to meet business and customer needs.
Responded to and resolved customer questions and concerns.
Maintained clean and well-organized production areas to avoid violations or unnecessary work delays due to hazards or inefficient layouts.
Helped store management meet standards of service and quality in daily operations.
Maintained safe working environment by observing safety procedures, policies and regulations.
Enforced company policies and regulations with employees.
Delivered superior training and leadership to teams to boost performance and help team members achieve performance targets.
Completed performance valuations to identify weakness and develop improvement strategies.
Completed cash and credit card transactions accurately using POS software.
Managed shift operations, supplied resources and monitored team performance to keep business profitable and running smoothly.
Resolved conflicts between employees to maintain positive and productive work environments.
Prepared shift summary reports for supervisor and communicated regularly on goals and progress.
Scheduled staff shifts to secure adequate coverage and productive workflows.
Claims
Premera Blue Cross Of Washington
06.1999 - 03.2017
Utilized specialized software to process incoming claims, enter data and generate reports.
Managed workload and priorities to meet claims processing meet deadlines.
Complied with regulations and guidelines related to claims processing to maintain quality and adherence to standards.
Reviewed applications and supporting documents to verify claims eligibility and accuracy.
Followed up with customers on unresolved issues.
Responded to customer inquiries, providing detailed explanations of insurance policies and claims processes.
Assisted in onboarding of new claims processors to familiarize with company procedures, policies and processes.
Utilized excellent analytical and problem-solving skills to quickly and accurately assess insurance claims.
Developed and implemented quality assurance processes to check accuracy of claims processing.
Monitored claims processing trends to identify potential areas of improvement.
Established positive and trusting relationships with injured clients, administering efficient customer service and processing claims quickly.
Collaborated with claims department and industry anti-fraud organizations to resolve claims.
Identified and reported potential fraud or abuse related to claims to protect system's integrity.
Checked documentation for accuracy and validity on updated systems.
Maintained confidentiality of patient finances, records, and health statuses.
Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Prepared insurance claim forms or related documents and reviewed for completeness.
Made contact with insurance carriers to discuss policies and individual patient benefits.
Communicated effectively with staff members of operations, finance and clinical departments.
Reviewed outstanding requests and redirected workloads to complete projects on time.
Travel Registered Nurse at PeaceHealth St. Joseph Medical Center- Emergency DepartmentTravel Registered Nurse at PeaceHealth St. Joseph Medical Center- Emergency Department