Summary
Overview
Work History
Education
Skills
Affiliations
Timeline
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Masaasha Sanchez

Midwest City,OK

Summary

Attain a position that will enable me to use my strong communication and leadership skills, customer service background, and my ability to deliver exceptional member experience tailored to their individual needs.

Overview

7
7
years of professional experience

Work History

Advocate4me Rep

06.2021 - Current
  • Oversee calls from Medicare and Retirement members around claims, plans, and coverage of benefits
  • Resolving member complaints, filing and finding resolution to grievances
  • Assisting members with guidance on alternative PCPs, medications etc
  • When plan does not cover
  • Initiating OD, PA, and delivering member with white glove care
  • Peer to peer mentor and assist in chat for NH
  • Build and maintain trust with members providing compassion and empathy to their needs
  • Maintain metrics – currently exceeding metrics and expectations.

Customer Service Advocate

01.2017 - 01.2021
  • Oversees phone calls from members regarding prescription benefits, set up home delivery accounts, resolved member complaints, explained benefits, rejected prescription claims and override entry
  • Assisted Health Advisors from UHC on Rx related issues, plan benefit discrepancies, price checks and alternative medications
  • Worked with high touch clients and critical care members to ensure excellent member experience and deliver quality care
  • Met and exceeded all performance metrics
  • Assisted in training of NH and ran multiple team chats
  • POC when Supervisor was out and assisted with Peer to Peer coaching.

Education

Bachelor of Arts - Sociology

University of Central Oklahoma
Edmond, OK
05.2025

Associate of Arts - Family Services and Child Development

Rose State College
Midwest City, OK
05.2023

Associate of Occupational Studies - Management

Heritage College
Oklahoma City, OK
05.2015

Skills

  • Customer Service
  • Coaching / Mentoring
  • Problem Solving
  • Time Management Efficiency
  • Member Centric
  • Peer to Peer Coaching
  • Health Benefits Medicare
  • RX Claim Trained
  • Office 365
  • Word
  • Excel
  • OJT / SME
  • Advanced MD
  • Billing and Coding
  • Medical Terminology
  • Medical Procedures
  • Business Communication
  • EMR
  • Practice Management System

Affiliations

Jaimey LaMere - 405.638.5667 / 952.202.5146

Professional - Current Supervisor

Timeline

Advocate4me Rep

06.2021 - Current

Customer Service Advocate

01.2017 - 01.2021

Bachelor of Arts - Sociology

University of Central Oklahoma

Associate of Arts - Family Services and Child Development

Rose State College

Associate of Occupational Studies - Management

Heritage College

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Masaasha Sanchez