Monica Gleaton
Summary
Detail-oriented and meticulous professional with over 6 years of experience in data entry, customer service, and healthcare. Adept at employing efficiency-enhancing technologies and tools such as Microsoft Excel, Google Sheets, and various CRM platforms to ensure the accuracy and timeliness of data input and management. Eager to contribute to the company's success through hard work, attention to detail, and excellent organizational skills. Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Meticulous Packing Operator committed to safety, quality and excellent customer service. Detail-oriented and hardworking individual offering 10 years of experience coordinating shipment arrangements, labeling packages and checking merchandise for damage. Proficient in operating forklifts, pallet jacks and dollies to load and unload supplies weighing up to 50 pounds.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Medical Claims Processor
United Healthcare
10.2022 - Current
- Processed a high volume of claims efficiently while maintaining quality standards.
- Provided quality customer service to assigned, insured and claimants throughout claims process to deliver timely service to customers.
- Handled customer inquiries regarding insurance policy coverage details and payment status updates.
- Filed appeals on behalf of customers when necessary after denial of a claim due to insufficient evidence.
- Adhered to strict guidelines pertaining to confidentiality while handling sensitive personal information.
- Verified details with policyholders and requested additional information.
- Investigated facts, confirmed coverage and liability, negotiated settlements, and determined payments for claims.
- Processed high volumes of bodily injury claims efficiently while working in fast-paced environment.
- Educated customers on their rights under state and federal regulations governing insurance policies.
- Assisted claimants, providers and clients with problems or questions regarding claims.
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Precisely calculated refunds, premiums, and adjustments.
- Retained strong medical terminology understanding in effort to better comprehend procedures.
Chat Support Specialist
Wipro
01.2022 - 10.2022
- Processed applications for health insurance policies and ensured accuracy of information provided.
- Assessed customer needs and provided tailored solutions for their individual healthcare requirements.
- Provided advice and guidance to customers regarding health insurance plans, coverage options, and benefits.
- Provided online support by responding to customer complaints through social media platforms.
- Collaborated with other departments within the organization to ensure smooth functioning of operations.
- Performed data entry tasks such as entering customer information into databases accurately.
- Organized promotional events to increase awareness about different types of health plans.
- Responded promptly to client inquiries via phone, email or other communication channels.
- Ensured compliance with relevant regulations while providing advice on health insurance products.
- Monitored changes in state laws that may affect current or future health insurance plans.
- Resolved customer queries related to health insurance claims, payments, reimbursements.
Customer Service Representative
Salem Solutions
06.2021 - 12.2021
- Provided excellent customer service by responding to inquiries in a timely manner.
- Verified patient insurance coverage and eligibility for prescription medications.
- Maintained accurate records of all transactions, including refills and new prescriptions.
- Adhered to all HIPAA regulations regarding patient privacy and confidentiality.
Packing Specialist
IPG-Blythewood
12.2019 - 06.2021
- Paid attention to detail while completing assignments.
- Participated in team projects, demonstrating an ability to work collaboratively and effectively.
- Sealed products by applying appropriate fastenings and ties and confirmed seal integrity to prevent product and packaging damage.
- Utilized appropriate packing materials to guarantee fragile products arrived undamaged.
- Balanced the need for speed with attention-to-detail while working within tight deadlines successfully meeting targets consistently.
- Utilized various packing tools and equipment to securely package products, ensuring safe transport during shipment.
- Attached identification labels to finished packaged items and cut stencils and stencil information on containers such as lot numbers or shipping destinations.
- Adhered to strict industry guidelines for safe handling of fragile materials, reducing breakages and customer complaints.
- Sealed, packed, labeled and affixed postage on packages to prepare materials for shipping, utilizing postage meters, and sealing tools.
- Executed month-end inventory counts to identify discrepancies.
Customer Service Representative
TKJ FINANCIAL LLC
10.2019 - 12.2019
- Provided outstanding service to new and long-standing customers by attending closely to concerns and developing solutions.
- De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
- Asked probing questions to determine service needs and accurately input information into electronic systems.
- Escalated customer concerns, issues and requirements to supervisors for immediate rectification.
Packaging Associate
TRC Staffing Services Inc.
01.2017 - 10.2019
- Inspected items for defects and damage.
- Strengthened communication between team members resulting in improved collaboration to complete tasks efficiently.
- Streamlined inventory management by regularly conducting audits, updating records, and organizing materials.
- Demonstrated adaptability by quickly learning new equipment operations or adapting to updated procedures as needed.
- Secured items for storage or shipment.
- Monitored team work performance and elevated production or personnel issues to management.
- Recorded product, packaging and order information on specified forms.
- Achieved production targets by maintaining high productivity levels and communicating with team members regarding orders and fulfillment.
- Increased customer satisfaction by ensuring packages were securely sealed, labeled, and shipped accurately.
- Conducted basic repairs of vacuum sealers, pallet jacks, and lifts to keep equipment properly cleaned and maintained.
- Assisted with quality and production process improvements to support new packaging initiatives.
- Performed packaging tasks alongside team to demonstrate proper methods according to labor plan and assigned tasks.
- Ensured compliance with industry regulations regarding proper handling of products requiring special care during the packaging process.
- Operated manual pallet jacks and forklifts to move and store materials.
- Improved packaging efficiency by streamlining processes and implementing new techniques.
- Assembled boxes, cartons and containers to package items.
- Cleaned and maintained production area and equipment.
- Inspected products before packaging to prevent shipping defective and damaged goods to customers.
- Prepared orders for shipment by inserting associated paperwork, tagging boxes, and scanning barcodes to upload package data to tracking system.
- Proved successful working within tight deadlines and a fast-paced environment.
- Operated shrink wrap, banding and other wrapping machines.
Education
GED -
Georgia Institute of Technology
Atlanta, GA05.1997
Skills
- Provider Relations
- Meticulous recordkeeping
- Critical Decision-Making
- Customer Service
- Insurance Claims
- Medical Terminology
- HIPAA
- Shipping procedures
- Box assembly
- Quality Control
- Product Labeling
Certification
- 240
- 620
Timeline
Medical Claims Processor
United Healthcare
10.2022 - Current
Chat Support Specialist
Wipro
01.2022 - 10.2022
Customer Service Representative
Salem Solutions
06.2021 - 12.2021
Packing Specialist
IPG-Blythewood
12.2019 - 06.2021
Customer Service Representative
TKJ FINANCIAL LLC
10.2019 - 12.2019
Packaging Associate
TRC Staffing Services Inc.
01.2017 - 10.2019
GED -
Georgia Institute of Technology