Neandra Mcdowell
Cleveland,OH
Summary
Dynamic and results-oriented professional with a strong background in finance and management, complemented by hands-on experience in small business operations. Proven track record of optimizing financial performance and driving strategic initiatives to enhance business growth. Skilled in web and graphic design, bringing a creative edge to digital marketing and branding efforts. Currently expanding expertise in cybersecurity and IT, with a commitment to enhancing organizational security and technological resilience.
Overview
6
6
years of professional experience
Work History
CLAIMS BENEFIT SPECIALIST
CVS
05.2023 - Current
- Reviews and adjudicates claims in accordance with claim processing guidelines
- Enhance and improve member satisfaction and retention by providing accurate and timely resolution in processing medical claims
- Key link in providing our customers with prompt, efficient, high quality claim service
- Determine and understand the coverage provided under a member's health plan
- Efficiently use multiple systems and screens to obtain and record claim information
- Review claims information to determine the nature of a member's illness or injury
- Identify claim cost management opportunities and refer claims for follow up
- Make claim payment decisions
- Process claims within quality and production standards
- Assist team members in support of achieving team, office, regional, and national goals
RECRUITER
DDC LOGISTICS, LLC
10.2021 - 12.2022
- Maintained files of work and services performed
- Conferred with customers or supervising personnel to address and resolve issues
- Relayed information to or from work crews using telephones and two-way radios
- Dispatched workers and crews to assigned locations
- Maintained all financial reporting including sending invoices, paying invoices and balancing the monthly financial reports
- Coordinated daily workflow in adherence with critical timelines
- Provided job posting marketing to attract new employees by using certain platforms such as indeed, LinkedIn, and Facebook
- Determined personnel and equipment requirements and generated work orders to facilitate dispatch
- Advised personnel of traffic delays due to construction areas and accidents
- Communicated clearly and concisely to reduce errors and provide complete dispatch data
E-COMMERCE MARKETING MANAGER/ SALES
AUBRI NICHOLE WIGS, LLC
04.2020 - 07.2022
- Reviewed operational records and reports to project sales and determine profitability
- Prepared budgets to approve budget expenditures
- Created websites, flyers, and managed email marketing
- Planned and directed staffing, training and performance evaluations to develop and control sales and service programs
- Determined price schedules and discount rates
- Managed sales team to consistently achieve growth and hit sales targets
- Monitored costs, competition and supply and demand to establish and adjust selling prices
- Resolved customer complaints regarding sales and service
- Maintained all financial reporting including sending invoices, paying invoices and balancing the monthly financial statements
CUSTOMER SERVICE REPRESENTATIVE
SYKES
11.2021 - 04.2022
- Manage large amounts of incoming phone calls
- Generate sales leads
- Identify and assess customers’ needs to achieve satisfaction
- Build sustainable relationships and trust with customer accounts through open and interactive communication
- Provide accurate, valid and complete information by using the right methods/tools
- Meet personal/customer service team sales targets and call handling quotas
- Handle customer complaints, provide appropriate solutions and alternatives within the time limits; follow up to ensure resolution
- Keep records of customer interactions, process customer accounts and file documents
- Follow communication procedures, guidelines and policies
- Take the extra mile to engage customers
AUTHORIZED MANAGER
MAHONE INC
11.2018 - 03.2020
- Overseeing day-to-day operations of the organization
- Making key decisions and implementing policies
- Managing and supervising employees
- Orientated and trained employees, encouraging confidence and helping individuals adapt faster to job roles
- Coached and motivated team, driving sales and delivering exceptional customer service
- Accomplished department objectives by managing staff and evaluating activities
- Budgeting and financial planning
- Drove continuous improvement and service delivery excellence using effective processes, workflow and technology
- Communicated plans and actions to meet departmental goals
Education
Bachelor Of Applied Science In Information Technology - Cybersecurity And Information Assurance
Western Governors University
Salt Lake City, UTASSOCIATE - ACCOUNTING
UNIVERSITY OF PHOENIX
Phoenix, AZ10.2022
Skills
- Claims analysis
- Microsoft Office
- Claim investigation
- Confidentiality handling
- Benefits Administration
- Policy Interpretation
- Claims Investigation
- Teamwork and Collaboration
- Customer Service
- Problem-Solving
- Time Management
- Attention to Detail
- Problem-solving abilities
- Multitasking
- Multitasking Abilities
- Organizing and Prioritizing Work
- Reliability
- Excellent Communication
- Critical Thinking
- Organizational Skills
- Team Collaboration
- Active Listening
- Effective Communication
- Adaptability and Flexibility
- Decision-Making
- Documentation skills
- Computer Proficiency
- Data Entry
- Claims adjustment
- Data Management
- Data Entry Software
- Skilled in Software
Timeline
CLAIMS BENEFIT SPECIALIST
CVS
05.2023 - Current
CUSTOMER SERVICE REPRESENTATIVE
SYKES
11.2021 - 04.2022
RECRUITER
DDC LOGISTICS, LLC
10.2021 - 12.2022
E-COMMERCE MARKETING MANAGER/ SALES
AUBRI NICHOLE WIGS, LLC
04.2020 - 07.2022
AUTHORIZED MANAGER
MAHONE INC
11.2018 - 03.2020
Bachelor Of Applied Science In Information Technology - Cybersecurity And Information Assurance
Western Governors University
ASSOCIATE - ACCOUNTING
UNIVERSITY OF PHOENIX
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