Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

Michelle vittum

Springfield,VT

Summary

Hardworking, detail-oriented and tenacious in developing and pursuing solutions to customer concerns. Adept at balancing company objectives with customer desires. Strong critical thinking skills,16 yrs of experience in the medical field (receptionist to medical assitant), 22yrs in customer service. Organized and dependable. Willingness to take on added responsibilities to meet team goals.

Overview

9
9
years of professional experience

Work History

Customer Advocate III

New Hampshire Healthy Families (Centene Corp)
Springfield, Vermont
03.2022 - Current
  • Dedicated customer service advocate providing excellent service to members and providers, active listening skills, answering all inquires and problem solving, demonstrating empathy while maintaining professionalism following standards according to Centene policies and procedures as well as HIPAA. Reviewing of medical claims, advising detailed information on approvals and denials provided as well as turn around times, educating providers on where to locate policies and procedures and how to navigate the website for more efficiency. Coaching new hires in live environment to assist in how to perform Customer Advocate duties successfully. Participated in Omni meetings to discuss changes to be made and to troubleshoot omni issues as well as offering input on how to make the use of omni and other system more efficient. Participated in project for outbound redetermination calls for DHHS. I am proficient in several Centene systems including Omni, Amisys, CenPass, FileNet, TruCare,MMIS, Express Scripts.

Insurance Loss Coordiantor

National Field Representatives
Claremont, NH
12.2015 - 03.2022

Reviewed outstanding requests and redirected workloads to complete projects on time.

Modified, updated and processed existing orders. Quality checked insurance loss inspections for submission to mortgage companies. Maintained compliance per mortgages companies rules and regulations. Reviewed weekly and monthly reports for mortgage companies using excel spreadsheets when the team captain was out of the office. Maintained customer satisfaction with critical thinking strategies focused on addressing customer needs and resolving concerns. Provided primary customer support to external customer. Liaised with customers and management to better understand customer needs and recommend appropriate solutions. Assisted customers with setting appointments, special order request.

Education

High School Diploma -

Springfield High School
Springfield, VT
06-1989

Skills

  • Customer services
  • Resolving conflicts
  • Customer research
  • Document review skills
  • Educating customers
  • Conflict Resolution
  • Issue Research
  • Service-oriented mindset
  • Data entry skills
  • Complaint Handling
  • Inbound Call Management
  • Documentation coordination
  • Upbeat positive personality
  • Verbal and Written communication
  • Time management
  • Team oriented and cooperative
  • Disciplined

References

References available upon request.

Timeline

Customer Advocate III

New Hampshire Healthy Families (Centene Corp)
03.2022 - Current

Insurance Loss Coordiantor

National Field Representatives
12.2015 - 03.2022

High School Diploma -

Springfield High School
Michelle vittum