Detail-oriented individual with exceptional communication and project management skills. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Recognized for taking proactive approach to identifying and addressing issues, with focus on optimizing processes and supporting team objectives.
Overview
7
7
years of professional experience
Work History
Health Concierge
Aetna, a CVS Health Company
08.2024 - Current
Provided expert guidance and advice to clients on various benefit options, including health insurance, retirement plans, and employee wellness programs
Analyzed client needs and recommended tailored benefit solutions that aligned with their goals and budget constraints
Developed strong relationships with insurance carriers and vendors to negotiate competitive rates for clients’ benefit packages
Conducted thorough research on industry trends, regulations, and best practices to stay up-to-date on the latest benefit offerings
Collaborated with cross-functional teams to design and implement new benefit programs that met the evolving needs of clients’ workforce
Reviewed and processed insurance claims for accuracy, completeness, and compliance with company policies
Communicated with policyholders, healthcare providers, and legal representatives to gather additional information or clarify claim details
Evaluated claim data against policy terms and conditions to make fair settlement decisions within established authority limits
Identified potential fraudulent claims by conducting thorough investigations and collaborating with fraud detection units
Trained new staff on best practices for member interaction and support strategies
Assisted patients in navigating complex insurance processes, alleviating stress and promoting financial wellbeing.
Increased first-call resolution rates by carefully listening to customers'' needs and providing accurate information based on their inquiries.
Accurately assigned ICD-10 codes for inpatient and outpatient records
Sales Associate
Ace Hardware
10.2023 - 08.2024
Operate cash registers and handle cash transactions with customers.
Scan goods and collect payments.
Issue receipts, refunds, credits, or change due to customers.
Count money in cash drawers at the beginning and end of shifts to ensure accuracy.
Maintain clean and orderly checkout areas.
Resolve customer complaints, guide them and provide relevant information.
Bag or package purchases for customers.
Ensure pricing is correct on items and resolve any discrepancies promptly.
Assist customers with locating merchandise when necessary.
Upsell products and services to customers based on their needs
Operate cash registers and handle transactions accurately.
Stock shelves and maintain store cleanliness and organization.
Answer customer inquiries and provide information about products and services.
Process special orders and returns as necessary.
Collaborate with team members to ensure excellent customer service.
Assist with inventory management and restocking of merchandise.
Participate in store promotions and sales events.
Follow Ace Hardware’s policies and procedures regarding sales and customer interactions.
Collaborated with team members to develop promotional strategies that increased seasonal sales performance.
Flooring Supervisor
Ollie's Bargain Outlet
07.2023 - 10.2023
Implemented strategic initiatives that increased customer satisfaction and retention rates.
Fostered a culture of continuous improvement through regular feedback and performance reviews.
Maintained professional, organized, and safe environment for employees and patrons.
Mentored junior sales staff, fostering professional development and increasing team performance.
Assisted customers with product inquiries, enhancing overall shopping experience.
Collaborated with team members to improve store layout and product displays.
Resolved customer complaints promptly, fostering positive relationships and loyalty.
Assisted customers with inquiries and provided exceptional service, resulting in positive feedback from shoppers.
SENIOR MANAGER, NETWORK CONTRACTING at Aetna, a CVS Health Company (First Health Network)SENIOR MANAGER, NETWORK CONTRACTING at Aetna, a CVS Health Company (First Health Network)