Summary
Overview
Work History
Education
Skills
Timeline
Generic

Latoya Carter- Grimsley

Bloomfield

Summary

Results-driven team leader with extensive experience in quality assurance, customer care, and data integrity within the health insurance and medical services industries. Proven track record of driving team performance, streamlining operational processes, and ensuring compliance with industry regulations. Skilled in training, coaching, and motivating teams to exceed customer service and quality targets. Proficient in CRM systems, data analysis, and process improvement, with a commitment to fostering a positive work environment that promotes professional growth and exceptional service delivery.

Overview

10
10
years of professional experience

Work History

Quality Assurance Specialist

Amplity Health (Sandoz)
06.2022 - Current

• Monitored team performance to ensure compliance with quality standards and customer service metrics.

  • Conducted coaching and training sessions to improve individual and team performance.
  • Resolved escalated customer issues, ensuring prompt and accurate resolutions while maintaining high customer satisfaction
  • Assisted in developing team protocols and standard operating procedures.


  • Based on quality monitoring findings, provide feedback to key areas (IT/Operations) regarding new/existing technology solutions for call documentation, insights gathering, opt outs/channel suppressions, etc
  • Update and maintain quality performance reporting


  • Managed client data with accuracy, improving operational efficiency by 20%.
  • Provide specialist coaching/feedback opportunities to management as appropriate
  • Interface with work force management to drive productivity improvement to ensure operational excellence
  • Training, coaching and mentor new employees/ hires on company programs and procedures
  • Provided regular updates to team leadership on quality metrics by communicating consistency problems or production deficiencies.
  • Ensured product compliance with industry regulations by staying up-to-date on relevant standards and guidelines, implementing necessary changes to maintain conformance.
  • Enhanced customer satisfaction by addressing reported issues promptly and providing effective solutions.

Customer Care Specialist

Amplity Health (Sandoz) Novartis
06.2020 - 06.2022
  • Provides customer service support in handling HCP and Consumer inquiries through phone, email, direct mail and other channels
  • Effective identification and processing of potential Adverse Events and Technical Complaints in accordance with the Client’s Working Practice Documents (WPDs)
  • Answer product questions from customers according to company policy utilizing approved FAQs and discussion guides
  • Identifying and triaging customer escalations through resolution, including collaboration with other functions to ensure compliant solution
  • Demonstrate adherence to all Privacy/Security procedures as outlined
  • Maintain excellent quality standards, adhere to approved materials and guidelines
  • Adhere to all company policies and Standard Operating and Working Procedures
  • Continually meets or exceeds expectations for the teams’ KPIs including: contact rate, quality assurance, and customer satisfaction
  • Responsible for processing weekly credits for the Sandoz CIC Wholesalers and working closely with the accounting department any pending credits
  • Assisted in training new hires and was given the role to provide additional support to specialist once they have been certified with weekly check-ins

Data Integrity Associate

McKesson Medical Surgical
08.2014 - 06.2020
  • Research, Analyze and verification of data to add new items to the database following strict SOP guidelines
  • Perform item maintenance tasks in multiple systems following strict SOP and Sarbanes guidelines
  • Follow up with requestors which includes CSR, Sales, Marketing, Category Management, Materials Management and Marketing internal business units
  • Meet and support SLA and metric goals
  • Seamless turnaround in problem resolution with customer Orders
  • Resolved complaints effectively in accordance with customer laws
  • Answer incoming customer calls, utilizing company policies to solve customer issues and directing calls to managerial team when necessary

Education

Diploma

West Side High
Newark, NJ
06-1999

High School Diploma -

West Side High School
Newark, NJ
06.1999

Skills

  • Team Leadership & Development
  • Health Insurance Compliance & Regulation

    Quality Assurance & Performance Management

    Customer Service Management

    Claims & Benefits Administration

    Process Improvement & Efficiency

    Training, Coaching & Mentoring

    Data Analysis & Reporting

    Conflict Resolution & Problem-Solving

    CRM Systems (Salesforce, CMS) & Microsoft Office Suite Smart MI

Timeline

Quality Assurance Specialist

Amplity Health (Sandoz)
06.2022 - Current

Customer Care Specialist

Amplity Health (Sandoz) Novartis
06.2020 - 06.2022

Data Integrity Associate

McKesson Medical Surgical
08.2014 - 06.2020

High School Diploma -

West Side High School

Diploma

West Side High
Latoya Carter- Grimsley