Summary
Overview
Work History
Education
Skills
Timeline
Generic

Magan Toles

Houston

Summary

Benefits professional with strong foundation in verifying and processing claims, ensuring compliance with industry standards. Known for reliability and adaptability, consistently meeting dynamic needs of team. Brings expertise in data management and communication, driving successful outcomes through collaborative efforts.

Overview

19
19
years of professional experience

Work History

Benefits Verification Specialist

Everise (formerly Continuum Global Soultions)
09.2024 - Current
  • Optimized the use of electronic claims submission systems to expedite claim processing times.
  • Provided support during open enrollment periods by answering questions about plan changes, adjustments, or renewals from both existing and prospective clients alike.
  • Ensured timely reimbursements by proactively identifying potential issues that could delay claim processing and addressing them before submission.
  • Contributed to company-wide initiatives aimed at improving the quality of service delivery across departments, fostering a culture of collaboration and excellence within the organization as a whole.
  • Verified benefit coverage and eligibility via online resources, fax, or telephone.

Driver/Trainer

MV Transportation
09.2021 - 07.2024
  • Provided punctual and efficient transport for clients to medical appointments and essential errands, ensuring all passengers arrived on schedule
  • Assisted elderly and disabled passengers with boarding and disembarking, ensuring safe handling of wheelchairs and mobility aids
  • Conducted training programs for new drivers, focusing on road safety and professional conduct
  • Contributed to increased client satisfaction by delivering compassionate and dependable transportation solutions
  • Developed tailored training programs for individual drivers, addressing specific areas of improvement.
  • Identified driver training needs to make recommendations to manager.

Environmental Services

Spectrum Health
04.2020 - 02.2021
  • Maintained rigorous cleaning protocols in patient areas to support a sterile environment and enhance patient safety
  • Optimized patient satisfaction and streamlined operations by effectively managing room cleanliness and discharge
  • Collaborated with medical personnel to expedite room turnover, facilitating improved patient flow and resource allocation
  • Promoted adherence to regulatory requirements by staying current on evolving industry standards for environmental services housekeeping best practices.

Parking Security Officer

P.I.E. Management, L.L.C.
12.2019 - 12.2020
  • Resolved technical issues with ticket dispensers and maintained operational functionality to support event parking flow
  • Assisted with parking logistics and enforced safety protocols, contributing to improved efficiency and event security
  • Provided roadside assistance within parking facilities, contributing to increased customer satisfaction and service reliability
  • Acted quickly during emergency situations to reduce opportunity for damage and injury.
  • Monitored and authorized entrance and departure of vehicles, cargo trucks, and visitors.

Seasonal Worker

Parks and Recreation Grounds Maintenance
05.2019 - 11.2019
  • Operated a variety of machinery including commercial mowers, tractors, and power tools to perform grounds maintenance, ensuring adherence to safety protocols and operational standards
  • Conducted comprehensive cleaning and upkeep of park facilities, including washrooms and public areas, to maintain a hygienic and welcoming environment for visitors
  • Managed athletic field preparation and maintenance, playing a key role in enhancing park aesthetics and functionality, which contributed to a20% rise in visitor satisfaction

Direct Support Staff (DSS)

Real Life Living Services
06.2018 - 07.2019
  • Assisted individuals with mental and physical disabilities in completing daily tasks, fostering increased personal independence and self-sufficiency
  • Administered medication, prepared meals, and coordinated schedules for appointments, contributing to the well-being and health management of clients
  • Assisted clients with daily living tasks for increased autonomy and satisfaction.
  • Managed challenging behaviors through effective communication, de-escalation techniques, and crisis intervention strategies.
  • Advocated for clients'' rights, ensuring they receive appropriate services, accommodations, and support in line with their individual needs.

Shift Manager/Key Holder

Mennas Joint
08.2018 - 03.2019
  • Supervised staff to maintain operational efficiency and prepared the establishment for subsequent shifts, ensuring seamless transition and task completion
  • Managed financial transactions and end-of-night reporting, enhancing the accuracy of sales data and securing the premises according to safety protocols
  • Trained new employees on company policies, procedures, and job-specific tasks to ensure their success in the role.
  • Oversaw cash handling procedures, maintaining accurate records of transactions and preventing discrepancies.
  • Delegated tasks effectively among team members based on their strengths and skill sets leading to greater productivity levels.

Customer Loyalty/Retention Specialist

Teleperformance
07.2017 - 06.2018
  • Addressed billing and account inquiries through inbound and outbound calls, facilitating payment plans and adjustments to bolster customer satisfaction and retention
  • Assisted with service plan modifications to align with customer needs, streamlining call transfers to specialized departments for prompt issue resolution
  • Handled escalated customer complaints professionally, de-escalating situations while finding mutually beneficial resolutions.
  • Enhanced customer satisfaction levels with proactive communication and timely resolution of issues.

Usher

Auditorium Theater of Roosevelt University
08.2016 - 07.2017
  • Delivered high-quality customer service by greeting patrons and promptly addressing their inquiries, contributing to a hospitable environment
  • Facilitated the smooth entry of over 500 guests per event by efficiently coordinating ticket scanning and seat guidance, streamlining the patron experience
  • Provided exceptional guest service, answering questions about the venue and directing patrons to their seats.
  • Greeted customers with smile and provided friendly, knowledgeable service.

Fulfillment Associate

Trunk Club
07.2015 - 08.2016
  • Managed shipping and receiving operations to guarantee prompt and precise delivery of merchandise
  • Optimized warehouse layout and material handling, resulting in improved space utilization and organization
  • Enhanced inventory management systems, achieving a15% reduction in stock discrepancies and bolstering order fulfillment efficiency

Server/Hostess

Bar Louie
08.2014 - 09.2015
  • Ensured high customer satisfaction by greeting guests, managing reservations, and facilitating smooth dining experiences
  • Operated the POS system, handling cash transactions accurately to reduce errors and improve transactional efficiency
  • Coordinated with kitchen staff and management to effectively handle large party events, maintaining smooth operational flow and enhancing guest satisfaction
  • Demonstrated strong multitasking skills by managing multiple tables simultaneously without compromising service quality.

Impact Team Member

Hollister Co. (A&F)
10.2010 - 06.2011
  • Streamlined inventory tracking processes, resulting in improved stock accuracy and a reduction in inventory discrepancies
  • Enhanced customer shopping experience through attentive assistance and maintained high standards of store organization
  • Optimized store performance by participating in promotional events, following marketing strategies, and engaging customers effectively.
  • Contributed to inventory management by accurately tracking merchandise and restocking shelves as needed.
  • Participated in regular staff meetings and training sessions to continually improve product knowledge and skills.

Summer Temp Registrar

BARBRI, Inc.
06.2006 - 08.2013
  • Assisted students with inquiries regarding course locations, contributing to positive experiences and streamlined navigation
  • Enrolled students in the registration system, surpassing the milestone of1,000 enrollments with a focus on accuracy and efficiency
  • Managed the distribution of course materials and student IDs, and organized course information packages, thereby enhancing the start of courses and improving resource accessibility

Education

High school diploma or GED -

Homewood-Flossmoor High School
06.2011

Skills

  • Leadership
  • Problem-Solving
  • Team Player
  • Detailed Oriented
  • Multitasking
  • Time Management
  • Organization
  • Logistics
  • Customer Service
  • Traffic laws expertise
  • Critical Thinking
  • Technical Proficiency with Software
  • Data Entry
  • Healthcare regulations
  • Verbal and written communication

Timeline

Benefits Verification Specialist

Everise (formerly Continuum Global Soultions)
09.2024 - Current

Driver/Trainer

MV Transportation
09.2021 - 07.2024

Environmental Services

Spectrum Health
04.2020 - 02.2021

Parking Security Officer

P.I.E. Management, L.L.C.
12.2019 - 12.2020

Seasonal Worker

Parks and Recreation Grounds Maintenance
05.2019 - 11.2019

Shift Manager/Key Holder

Mennas Joint
08.2018 - 03.2019

Direct Support Staff (DSS)

Real Life Living Services
06.2018 - 07.2019

Customer Loyalty/Retention Specialist

Teleperformance
07.2017 - 06.2018

Usher

Auditorium Theater of Roosevelt University
08.2016 - 07.2017

Fulfillment Associate

Trunk Club
07.2015 - 08.2016

Server/Hostess

Bar Louie
08.2014 - 09.2015

Impact Team Member

Hollister Co. (A&F)
10.2010 - 06.2011

Summer Temp Registrar

BARBRI, Inc.
06.2006 - 08.2013

High school diploma or GED -

Homewood-Flossmoor High School

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Magan Toles