Maeven Rotter
White Plains,NY
Summary
Expertise and experience in customer service and fast paced work environments. Ensuring all standards are met and customers have a positive experience. Nominated to received five awards including: Service and Compassion, and Hugh Kelly Award for excellence.
Overview
10
10
years of professional experience
Work History
Care Advisor
United HealthCare
02.2022 - 05.2025
- Communicated with 200+ assigned families for follow up on any ongoing concerns regarding specific benefits questions (including pharmacy), claim reprocessing, claim submissions, prior authorizations, gap exceptions, or appeals, through outbound calls, messaging, emails, fax and voicemails
- Work within policies and laws to find care across country/out-of-state if needed. While also assessing potential roadblocks or complications in care and plan for how to address these.
- Work closely with our nurses, research advisors, and complex health experts on cases that need more review or attention
Contract Assistant
United HealthGroup (OrthoNet LLC)
06.2016 - 02.2022
- Work with high volume of incoming prior authorization requests and effectively prioritized and organized - managed roughly 50 requests per day
- Contacted offices, or facilities for any missing or incorrect information needed in processing and appropriately directing incoming requests
- Assisted fellow employees and proactively provided solutions/suggestions before situations became problems, as well as assisting my teammates as needed with questions through the day. Worked additional management duties for support if management was out of office
Call Center Representative
United HealthGroup (Orthonet LLC)
10.2015 - 06.2016
- Work in a high volume call center while providing excellent customer service and product knowledge while always volunteering for any overtime or projects to assist other departments
- Managed high call volumes while providing exceptional customer support and maintaining professional composure.
- Handled escalated calls professionally, effectively resolving complex issues and ensuring client satisfaction at all times.
Education
High School Diploma -
Westchester Hebrew High School
MamaroneckHIPAA Compliance - Yearly (Since 2014)
United HealthGroup
Certification - Medical Physician Coding
AAPC
12-2025
Fundementals of Medicine
AAPC
07-2025
Skills
- New Product Information
- Medical Terminology
- Healthcare Operations
- Verbal and Written Communication
- Service Quality
- Customer Service
- Systems: CAMS, ISET, Rightfax, ATS/ETS, Icue, SENS (salesforce),
- Cultural sensitivity
- Multitasking
- HIPAA compliance
Timeline
Care Advisor
United HealthCare
02.2022 - 05.2025
Contract Assistant
United HealthGroup (OrthoNet LLC)
06.2016 - 02.2022
Call Center Representative
United HealthGroup (Orthonet LLC)
10.2015 - 06.2016
High School Diploma -
Westchester Hebrew High School
HIPAA Compliance - Yearly (Since 2014)
United HealthGroup
Certification - Medical Physician Coding
AAPC
Fundementals of Medicine
AAPC