Nicole Nance
Marshall,TX
Summary
Multitasking Benefits Specialist promoting a career supporting corporations in new employee enrollment and open enrollment. Focused individual proudly demonstrating knowledge in employee benefits laws. Seeking an exciting new position with an established organization where attention to detail and great time management skills will be appreciated.
Overview
20
20
years of professional experience
Work History
Customer Advocate Specialist
Blue Cross Blue Shield of Texas
Marshall, TX
10.2022 - Current
- Identified areas of improvement within customer service processes and procedures.
- Performed quality assurance checks on customer service representatives' work.
- Responded promptly to all customer inquiries and requests for assistance.
- Maintained up-to-date knowledge of products, services, policies, procedures, and regulations.
- Collaborated with colleagues across teams to resolve escalated customer cases efficiently.
- Followed established protocols for responding to complaints or difficult situations.
- Provided regular updates on progress of outstanding cases to both internal staff and customers.
- Utilized problem solving skills when faced with complex or unique customer issues.
- Participated in weekly team meetings to discuss new developments or initiatives related to improving customer service operations.
- Adjusted claims to resolve customers' service or billing complaints.
- Improved product knowledge on continuous basis to provide optimal service and achieve sales quotas.
Benefit Value Advisor
Blue Cross Blue Shield of Texas
Marshall, TX
08.2021 - 10.2022
- Provided assistance to plan participants by explaining benefits information to ensure educated selections.
- Checked accuracy and completeness of benefits applications and documents.
- Monitored data integrity and confidentiality by observing strict regulations and procedures.
- Maintained employee benefits programs and informed employees of benefits by studying and assessing benefit needs and trends.
- Prioritized and organized tasks to efficiently accomplish service goals.
- Supported efficient handling of complex claims and followed up on open, denied or suspended claims to complete required line items.
- Reviewed documentation and accounts to gain full picture.
- Researched and reviewed information to determine validity of insurance claims and contacted companies and customers about decisions.
Stocker
Mrs. Bairds - David Londeau
Marshall, TX
01.2011 - Current
- Followed proper stock rotation procedures to minimize obsolescence and remove out of date items from sales floor.
- Counted and stocked different types of merchandise to comply with inventory control tag requirements.
- Identified defective, incorrect or missing merchandise and promptly reported to supervisor.
- Tracked inventory, conducted cycle counts and audits and resolved issues to maintain accurate records.
- Noted current product inventory levels to support completion of order requests and audits.
Department Manager
Wal-Mart Stores Inc.
Marshall, TX
09.2006 - 01.2019
- Kept department on-target to meet sales and profit objectives by minimizing waste and pursuing revenue generation opportunities.
- Oversaw efficient receiving and inventory management to keep stock within optimal levels.
- Cultivated talented team of departmental employees through outstanding mentoring, coaching and teaching skills.
- Collaborated with visual merchandising team to develop strategies to drive profitability.
- Enforced safety rules and other policies to protect employees and minimize company liability.
- Balanced workloads to meet targets without overtaxing employees.
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Worked closely with sales associates to complete tasks.
- Supported shrinkage and safety awareness, reviewed sales and inventory data, identified trends and prepared reports for management.
- Treated associates with fairness and respect, providing recognition of accomplishments.
- Demonstrated excellent communication skills in resolving product and consumer complaints.
- Delegated work to staff, setting priorities and goals.
Education
Associate of Applied Science - Health Information Technology
Panola College
Carthage, TXSkills
- Bluestar
- Claims gui
- Aris
- Carelon
- Blue Squared
- Emulators
- Active listening
- Critical thinking
- Training & Development
- Work ethic
- Neehr Perfect EHR
- 3M Encoder
- Claims trained
- Micorosoft Excel
- Micorosoft Word
- Powerpoint
Timeline
Customer Advocate Specialist
Blue Cross Blue Shield of Texas
10.2022 - Current
Benefit Value Advisor
Blue Cross Blue Shield of Texas
08.2021 - 10.2022
Stocker
Mrs. Bairds - David Londeau
01.2011 - Current
Department Manager
Wal-Mart Stores Inc.
09.2006 - 01.2019
Associate of Applied Science - Health Information Technology
Panola College