Highly-motivated professional with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively and quickly mastering new skills.
Overview
8
8
years of professional experience
Work History
Aetna Client Grievance Specialist (work From Home)
Continuum Global Health Solutions
Tallahassee, FL
06.2021 - Current
Collaborated with fellow team members to manage large volume of claims.
Examined claims, records, and procedures and informed solution identified to customer.
Collaborated with other departments within the organization to identify potential solutions for resolving customer disputes.
Monitored progress made towards resolving appealed or grieved matters.
Analyzed complex cases to determine appropriate resolution in accordance with relevant laws, regulations and organizational policies.
Maintained accurate records of all activities related to appeals and grievances.
Assessed customer complaints to determine eligibility for appeal or grievance filing.
Compiled data on an ongoing basis concerning trends in appeals or grievances filed.
Reviewed documents submitted by customers in support of their claims before they are entered into the system.
Customer Service Lead - Work From Home
Hillsborough County Affordable Housing
Tampa
08.2020 - 06.2021
Working with Hillsborough County residents and business owners to process R3 COVID Grant applications for housing assistance and business grants in a high-volume call center environment.
Communicated with residents and business owners consistently via phone, email, and SMS.
Following up with clients, double checking work internally to ensure a smooth application process, and making sure the application is completed correctly to avoid any kickback.
Collecting and submitting all required documentation for a funding application.
Resolving any questions or concerns residents call in with.
Make excel spreadsheets tracking calls/emails and client/organization information to clients for the whole project.
Keeping a detailed log of daily and weekly metrics and assignments completed (calls, emails, approved and denied apps, etc.).
Cross-referencing application information with official records/provided documents.
Running daily meetings over Zoom to discuss changes/updates with the team.
Social Media Subject Matter Lead
Cognizant Technologies
09.2017 - 03.2020
Review social media content and align with policy guidance to determine proper action to take
Run weekly numbers and analyze data provided to provide proper feedback and training to employees
Review policy gaps and trends to identify any issues in weekly client meetings
Connecting with customers via chat, and social media to address concerns
Supply valuable data and insight on violating and non-violating content via use of a complex decision tree
Reviewing employee performance and building training and development sessions based off areas that need improvement
Internally escalate observed trends, issues and challenges to client for resolution or improvement
Keep up to date on current events, new policies, policy changes, trends and exceptions
Creating weekly PowerPoints and presentations for client and upper management based off data analysis for over 700 employees
Provide one on one coaching's to employees and managers to help increase understanding of proper policy application
Lead daily team meetings to review new moderation changes and expectations
Shadow low-performing Process Executives to educate and align on correct application of Client Policy
Respond to Process Executive knowledge needs using internal tools to track activity and guidance
Lead weekly policy and training refreshers for content moderators.
Front Desk Representative
LaQuinta Inn&Suites
11.2016 - 08.2017
Checking Guests In/Out
Providing excellent customer service
Taking incoming calls to place reservations/answer questions
Processing payments for all guest stays
Running nightly financial and guest information audit
Handling all guests' complaints/disputes
Counting and balancing till, including making money drops and deposits
Keeping all notes pertaining organized pertaining to guests stay (complaints, requests, ETC)
Filing all necessary paperwork pertaining to guest stay or any incidents that occurred on property
Conducting data analysis based off audits and informing management of any discrepancies.
Education
BA IN BUSINESS AND COMMUNICATIONS -
UNIVERSITY OF SOUTH FLORIDA
07.2020
Skills
Documentation and Reporting
Customer Service
Relationship Building
Phone and Email Etiquette
Detail Oriented
Conflict Resolution
Deadline Driven
Communication
Research
Typing Proficiency
Advanced MS Office Suite Knowledge
Data Entry
Highly Organized
Time Management
Self-Starter
Strong Problem Solver
Strong Interpersonal Skills
Organizational Abilities
Effective Listening
Empathy
Fast Learner
Meeting Metrics
Work Planning and Prioritization
Issue Identification
Timeline
Aetna Client Grievance Specialist (work From Home)
Remote Bilingual Customer Service Representative at Continuum Global SolutionsRemote Bilingual Customer Service Representative at Continuum Global Solutions
Customer Service Representative - Call Center at Continuum Global Solutions - NYC311Customer Service Representative - Call Center at Continuum Global Solutions - NYC311