LaToshia Glover-Claybourne

Maintain high satisfaction ratings by completing orders quickly and making good selections for customers. Memorize store layouts and planograms to fulfill orders using shortest, most efficient route. Consistently meet deadlines and quality goals for accuracy and timeliness. Serve customers with knowledgeable, friendly support at every stage of shopping and purchasing. Load and unload orders at customer's homes or locations. Develop professional relationships with customers to establish repeat business and increase trust

Maintained clean, safe, and well-organized patient environment. Offered companionship and kindness to elderly patients. Assisted clients with daily living needs to maintain self-esteem and general wellness. Provided safe mobility support to help patients move around in their home. Documented daily activities and changes in client condition to enable tracking history and maintain accurate records. Observed health status of clients to report changes and unusual occurrences to appropriate medical personnel. Assisted with daily living activities, running errands, and household chores.

Audited claims for accuracy as well as trend any errors for veteran and STEP employees utilizing the resources provided including CPA, RTB, and Bluesource. I was responsible for reading and understanding EOBs, auditing on an examiner and technician level, providing timely and effective feedback to diverse groups, completing feedback forms, and participating in the rebuttal process. I have also assisted in MAC & Labor training classes, helped when necessary for new hires and veteran staff, resolving complex claims, and identifying any trends and information that needs updating while in training such as BlueSource. I attended examiner and technician training in order to audit the staff, while learning how to adjudicate VIP, Subrogation, ODL claims, and Manual Denials. Also, I provided technical assistance to employees when necessary to other departments with claims and audits, provided feedback when necessary, and handled inbound and outbound calls with providers regarding billing errors and claim clarifications. In this role, I received numerous certificates and acknowledgements for my own personal quality stats.