MARQUETTA CLAIR
Summary
Resilient Special Education Teacher familiar with challenges associated with teaching special needs children. Remains positive under times of stress or conflict. Works well with classroom teachers to develop accommodations and special techniques for mainstream classroom inclusion and to focus on individual student needs across academia and emotional development. Empathetic and accommodating in design and implementation of hands-on lessons, catering to diverse learning abilities. Proficient in employing constant communication, patience and positive reinforcement in team efforts to deliver exceptional educational tools, fostering academic achievement.
Overview
30
30
years of professional experience
Work History
Benefits Verification Specialist
Spectraforce Technologies (Amerisource & Bergen)
11.2022 - 02.2023
- Reviewed all patient insurance information needed to complete the benefit verification process
- Triaged cases with missing information to appropriate program associate
- Verified patient specific benefits and precisely documents specifics for various payer plans including patient coverage, cost share, and access/provider options
- Identified any restrictions and details on how to expedite patient access
- Including documenting and initiating prior authorization process, claims appeals, etc
- Completed quality review of work as part of finalizing product
- Reported any reimbursement trends/delays to management
- Performed related duties and special projects as assigned
- Applied company policies and procedures to resolve a variety of issues.
- Optimized the use of electronic claims submission systems to expedite claim processing times.
- Enhanced claim processing efficiency by reviewing and verifying insurance benefits information.
- Expedited appeals process for denied claims through meticulous preparation of supporting documentation and adherence to timelines.
- Reduced errors in benefit verification tasks by conducting thorough audits and rectifying discrepancies.
- Ensured timely reimbursements by proactively identifying potential issues that could delay claim processing and addressing them before submission.
- Assisted clients with resolving complex benefits issues, improving overall customer satisfaction.
- Established positive relationships with insurance carriers, streamlining communication channels when clarifying policy details or negotiating terms on behalf of clients.
- Developed training materials for newly hired Benefits Verification Specialists, enhancing team productivity levels.
- Achieved faster client response times by promptly addressing inquiries related to benefits eligibility and coverage details.
- 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.
- Streamlined workflow for benefit verification team by implementing a comprehensive data tracking system.
- Collaborated with healthcare providers to ensure accurate billing and benefit coverage information.
- Increased accuracy in verifying patient eligibility through diligent cross-checking of multiple databases before finalizing claim submissions.
- Safeguarded confidential client information by adhering to strict privacy guidelines and protocols.
- Supported the continuous improvement of internal processes by providing feedback on existing systems and suggesting viable solutions for optimization.
- Utilized advanced research skills to investigate specific policy provisions and resolve any ambiguities or conflicts.
- Conducted regular performance evaluations for junior staff members, offering constructive feedback and opportunities for growth within the role.
- Provided support during open enrollment periods by answering questions about plan changes, adjustments, or renewals from both existing and prospective clients alike.
- Assisted in the development of new benefits verification procedures, ensuring a smooth transition for team members during implementation stages.
- Explained benefits to plan participants in easy to understand terms in order to educate each on available options.
- Checked employees' benefits enrollment for accuracy and inputted all data into [Software].
- Implemented open enrollment system to streamline benefits processes for employees.
Front Benefits Verification Associate
Impression Foot And Ankle Podiatrist
10.2018 - 05.2019
- Received Inbound and outbound calls
- Scheduled Appointments
- Checked Patients In /Out
- Collected Copay/Deductibles and over the counter products
- Insurance verifications.
- Worked varied hours to meet seasonal and business needs.
- Greeted customers and offered assistance for increased customer satisfaction.
- Prioritized tasks to meet tight deadlines, pitching in to assist others with project duties.
ESE Paraprofessional/Special Education Teacher
American Leadership Academy
07.2015 - 08.2018
- Assisted teachers with conducting lessons, classroom management and developing materials
- Tracked student progress during the school year and created reports to let parents understand what their children are learning
- Empower students through programs designed to enhance their academic and social achievements
- Worked with computers and specialized AV equipment to make sure resources were available to the teacher during lessons
- Acted as a nurturing and encouraging influence for students during lessons
- Monitored the classroom and minimize distractions and disruptions.
- Implemented data-driven interventions for struggling students, leading to improved academic performance and increased confidence levels.
- Assisted in developing behavior management strategies, fostering a positive learning environment for all students.
- Developed strong relationships with students by providing empathetic support during difficult transitions or challenging moments throughout their educational journey.
- Contributed to a positive school climate by actively participating in staff meetings and professional development opportunities related to supporting exceptional students'' education efforts.
- Enhanced social skills development through peer interactions and group activities, promoting inclusive classroom communities.
- Promoted independence among ESE students by encouraging self-advocacy skills and fostering a sense of ownership over personal learning goals.
- Supported teachers in managing classroom routines and maintaining consistent schedules while accommodating the unique needs of ESE students.
- Collaborated with teachers to adapt lesson plans and ensure accessibility for all learners, resulting in increased student engagement and success.
- Managed detailed records of student progress and attendance, providing valuable information for decision-making processes within the school system.
- Provided one-on-one support for students with disabilities, enabling them to reach their full potential in the classroom.
- Monitored student progress through regular assessments and adjusted instructional techniques accordingly, ensuring academic growth.
- Partnered with parents to develop strategies that supported consistency between home life expectations while addressing academic needs.
- Coordinated accommodations for testing situations, ensuring fair assessment opportunities for all students.
- Collaborated with multidisciplinary teams, including speech therapists, occupational therapists, and counselors to ensure a comprehensive approach to supporting each student''s individual needs.
- Improved student understanding by implementing individualized education plans for students with special needs.
- Navigated sensitive situations with confidentiality and professionalism, maintaining trust among stakeholders involved in students'' education plans.
- Implemented creative approaches to engage ESE students in hands-on learning experiences, increasing motivation and mastery of content.
- Oversaw students in classroom and common areas to monitor, enforce rules, and support lead teacher.
- Prepared instruction materials, constructed bulletin boards, and set up work areas.
- Assisted classroom teacher in supervising snack time and indoor and outdoor play.
- Assisted in maintaining engaging and respectful educational environment by promoting discipline and cooperation.
- Reported on student progress, behavior, and social skills to parents.
- Tailored lesson plans for students with emotional and cognitive disabilities.
- Worked with students to promote learning and pro-social development.
- Created positive and inclusive classroom environment by helping students develop social skills and relationships.
- Communicated with teachers and other district personnel to assist in evaluating progress and implementing IEP objectives.
- Liaised one-on-one with learners to provide additional support tailored to specific learning needs.
- Observed students' performance and recorded relevant data to assess progress.
- Understood and acclimated to teacher's routine to provide classroom coverage.
- Observed individuals or groups of students in variety of settings to maintain safe and positive learning environment.
- Developed IEPs tailored to individual student needs, ensuring their academic success and personal growth.
- Created and managed IEPs to define student learning objectives and educational strategies, in addition to applying instructional knowledge and methods to support goals.
- Modified general education curriculum for special-needs students using various instructional techniques and technologies.
- Taught multiple subjects to students with intellectual or emotional disabilities.
- Redirected students using Positive Behavior Support (PBS).
- Worked with students with moderate to severe autism to increase life skills.
- Promoted memory, cognition and language development with hands-on activities and individualized instruction.
- Applied proven strategies to improve students' sensory- and perceptual-motor skills.
Executive Administrative Pastor Assistant
Divine Word Ministries
08.2010 - 05.2018
- Manages the clerical operation of the church
- Ensure the maintenance of a working environment for the productivity and essential for office supplies
- Oversee the planning, organizing, and managing of various activities done within the church
- Liaison of important mail, documents and ordered items delivered to the church
- Performed secretarial functions.
- Provided administrative assistance to executive staff, streamlining office processes and enhancing efficiency.
- Served as a liaison between executives and clients, fostering positive relationships through clear communication channels.
- Organized travel arrangements for executives, anticipating needs and ensuring seamless itineraries.
- Improved congregation engagement by implementing new communication strategies and providing regular updates on church activities.
- Assisted families in navigating life transitions via faith-based guidance and resource referral.
- Spearheaded fundraising initiatives to support various ministry programs and meet financial goals.
- Coordinated special events such as conferences, retreats, and holiday services to enrich the spiritual lives of congregants.
- Streamlined administrative processes for increased efficiency in managing church operations.
- Served as a liaison between church leadership and congregants, ensuring clear communication of needs, concerns, and updates.
- Planned and conducted worship services, wrote sermons, and worked with key church leaders to carry out church mission.
- Served as mentor to children in church community, offering guidance and support.
- Monitored and ordered supplies and materials to keep office well stocked.
- Managed calendars and coordinated travel arrangements and accommodation for senior-level staff to optimize schedules.
Order Coordinator
RICOH USA
10.2013 - 10.2015
- Coordinated with sales teams, customer service, and logistics to ensure smooth order fulfillment
- Resolved order-related issues ans communicated with customers as needed.
- Maintained accurate records and reports
- Organized Service Tickets for move requests
- Interviewed suppliers and asked for quotes to determine best possible pricing for materials purchasing.
- Arranged movement of products from one company location to another.
- Increased accuracy in invoicing by thoroughly reviewing orders for discrepancies before submission for payment processing.
- Examined orders to confirm accuracy, completeness and adherence to customer requirements.
- Input order information into system and updated customer accounts to document and track customer orders.
- Liaised with suppliers and vendors for prompt delivery of orders.
- Adhered to legal regulations to run compliant operations.
- Processed orders and ensured accurate and timely delivery
- Processed payments for orders via phone and electronic
- Composed emails and resolved emails from customer requests during lessons.
- Verified accuracy of bills of lading, contracts and purchase requests.
Operation Enumerator
United Census Bureau
04.2010 - 08.2010
- Followed up and completed household questionnaires forms
- Completed complaint forms and rejection forms for various households.
- Traveled door-to-door in assigned communities and requested participation in census interview, clearly explaining process and purpose.
- Maintained accurate records of completed surveys, contact information, and other relevant data as required by the project scope.
- Collaborated with fellow enumerators for efficient coverage of assigned areas, ensuring timely completion of tasks.
- Planned efficient visitation routes by studying maps of assigned areas, reaching more than 100 community households per day.
- Walked door to door and collected demographic information.
- Addressed non-responsive initial interviewees by conducting follow-up calls or in-person visits to promote census importance and rights of participation.
- Dispensed assignments to enumerator team and submitted completed work to supervisors.
Order Creator
OnRite
06.2008 - 11.2009
- Created and designed new orders for hair replacement through a specialized system with special specifications.
- Selected the appropriate hair replacement product and customization options.
- Entered customer information and measurements
- Managed order status and tracking process
- Ensured accurate and timely delivery of orders
- Communicated with customers and internal teams, such as stylists and production staff
- Communicated with the manufactures to ensure and accurate and timely delivery of the hair system.
- Educated customers with a brief explanation of creating a cosmetic hair system that can be used for Alopecia Areata and hair loss.
ESE/Preschool Lead Teacher
Stepping Stone Childcare Learning Center
04.2004 - 04.2008
- Planned and prepared activities for three and four year students.
- Implemented behavior management strategies to maintain a productive and focused learning environment for all students.
- Partnered with parents and guardians to discuss student progress, address concerns, and collaborate on strategies for success at home and in the classroom.
- Implemented research-based interventions to address skill deficits in reading, math, and other academic subjects.
- Created structural and predictable classroom environments.
- Worked cooperatively with other teachers and parents to help students reach learning objectives.
- Managed classroom behavior effectively by establishing clear expectations, modeling appropriate conduct, and consistently enforcing established rules and consequences.
- Collaborated with related service providers (Speech and Occupational therapists.
- Incorporated exciting and engaging activities to achieve student participation and hands-on learning.
- Created and developed lesson plans to meet students' academic needs.
- Helped students explore concepts with engaging, learning-focused activities.
- Developed strong relationships with students, parents, and colleagues by maintaining open lines of communication and fostering a supportive learning environment.
- Fostered self-regulation skills among students through the implementation of calming strategies during challenging situations.
- Enhanced autistic students'' communication skills by implementing visual and auditory aids in lessons.
- Redirected students using Positive Behavior Support (PBS).
- Conducted assessments of students to determine individual needs.
- Helped students with special needs integrate into general classroom environments by advocating for individual requirements and helping teachers solve problems.
- Utilized technology to create meaningful lessons that engage students.
- Attended professional development classes and training for continued educational support.
- Promoted memory, cognition and language development with hands-on activities and individualized instruction.
- Applied proven strategies to improve students' sensory- and perceptual-motor skills.
- Provided professional development training to educate faculty and staff on laws and regulations governing special education.
- Sanitized toys and play equipment each day to maintain safety and cleanliness.
- Educated students in foundational concepts such as shapes, numbers, and letters.
- Allowed for ample outdoor discovery time in schedule each day.
Customer Service Analyst
American Express
06.1995 - 02.2003
- Resolved customer inquiries and issues in a timely and professional manner
- Analyzed data and customer feedback to identify trends and areas for improvement
- Collaborated with internal teams to resolve customer issues and process improvements
- Maintained knowledge of American Express products and services
- Managed escalated customer complaints to successful resolution, ensuring satisfaction and continued loyalty.
- Demonstrated flexibility in handling varying workloads by adapting quickly under changing circumstances while maintaining focus on results.
- Investigated and resolved customer inquiries and complaints quickly.
- Coordinated closely with sales teams to ensure accurate information dissemination and timely support for account-related matters.
- Delivered prompt service to prioritize customer needs.
- Responded to customer requests, offering excellent support and tailored recommendations to address needs.
- Followed up with customers about resolved issues to maintain high standards of customer service.
- Educated customers about billing, payment processing and support policies and procedures.
- Cross-trained and provided backup support for organizational leadership.
Preschool Teacher
School Of Excellence
03.1993 - 03.1995
- Developed strong relationships with parents and caregivers, providing regular updates on their child''s progress and addressing any concerns proactively.
- Developed weekly lesson plans and activities to engage children and promote learning.
- Maintained organized, fun and interactive classroom to help children feel safe.
- Sanitized toys and play equipment each day to maintain safety and cleanliness.
- Ensured a safe and nurturing environment for all students, adhering to health and safety guidelines in the classroom.
- Established positive communication with parents in daily conversation and formal conferences.
- Applied play-based strategies to provide diverse approaches to learning.
- Gave one-on-one attention to children while maintaining overall focus on entire group.
- Assisted in creating a safe and nurturing classroom environment that promoted emotional well-being and academic growth for all students.
- Educated students in foundational concepts such as shapes, numbers, and letters.
- Boosted children''s social development by promoting positive interactions among peers through group activities and collaborative projects.
- Supported students in developing social skills through structured activities and positive reinforcement techniques.
- Allowed for ample outdoor discovery time in schedule each day.
- Worked with teaching staff to evaluate individual progress and recommend appropriate learning plans.
- Modeled positive behavior and communication skills for students.
- Guided students to develop social, emotional and physical skills.
- Helped new preschool children get used to classes by giving one-on-one support.
- Supported students in developing self-esteem and self-confidence.
- Assessed student progress and provided feedback on educational development.
Education
Bachelor of Arts - Accounting And Business Management
Ashford University
San Diego, CA06.2021
Associate of Arts - Accounting And Business Management
University of Phoenix
Tempe, AZ09.2011
Child Development Associate - Early Childhood Special Education
Childcare Education Institute
Duluth, GA01.2004
HIGH SCHOOL DIPLOMA - Early Childhood Education, FBLA
Dillard High School
Fort Lauderdale, FL06.1990
Skills
- Proficient in Microsoft Office
- Organization
- Parent-Teacher Communication
- Positive Reinforcement
- Emotional Regulation
- Play-Based Learning
- Attention to detail
- CPR and First Aid Certified
- Problem-solving
- Social Skills Training
- Life Skills Training
- Individual Education Plans IEPs
- Collaborative Teamwork
- Classroom Management
- Verbal and Nonverbal Communication
- Behavior Intervention Plans
- Small Group Instruction
- De-Escalation Techniques
- Crisis Prevention and Intervention
- Behavior Modification
- Conflict resolution techniques
- Student Records Management
- Training in food handling preparation
- Special Education
Timeline
Benefits Verification Specialist
Spectraforce Technologies (Amerisource & Bergen)
11.2022 - 02.2023
Front Benefits Verification Associate
Impression Foot And Ankle Podiatrist
10.2018 - 05.2019
ESE Paraprofessional/Special Education Teacher
American Leadership Academy
07.2015 - 08.2018
Order Coordinator
RICOH USA
10.2013 - 10.2015
Executive Administrative Pastor Assistant
Divine Word Ministries
08.2010 - 05.2018
Operation Enumerator
United Census Bureau
04.2010 - 08.2010
Order Creator
OnRite
06.2008 - 11.2009
ESE/Preschool Lead Teacher
Stepping Stone Childcare Learning Center
04.2004 - 04.2008
Customer Service Analyst
American Express
06.1995 - 02.2003
Preschool Teacher
School Of Excellence
03.1993 - 03.1995
Bachelor of Arts - Accounting And Business Management
Ashford University
Associate of Arts - Accounting And Business Management
University of Phoenix
Child Development Associate - Early Childhood Special Education
Childcare Education Institute
HIGH SCHOOL DIPLOMA - Early Childhood Education, FBLA
Dillard High School