Summary
Overview
Work History
Education
Skills
Timeline
Generic

PAMELA BRAKEFIELD

Clermont,FL

Summary

Individual with over ten years customer service experience looking to use my communication, time management and computer skills to ensure life long learning in students.

Overview

28
28
years of professional experience

Work History

Cashier

Publix Super Markets, Inc.
01.2017 - Current
  • Greeted customers entering store and responded promptly to customer needs.
  • Worked flexible schedule and extra shifts to meet business needs.
  • Operated cash register for cash, check, and credit card transactions with excellent accuracy levels.
  • Built relationships with customers to encourage repeat business.
  • Welcomed customers and helped determine their needs.

Teacher ESE/1st-B K-2

Lake County School Board
10.2024 - 02.2025
  • Developed strong relationships with students, parents, and colleagues by maintaining open lines of communication and fostering a supportive learning environment.
  • Managed classroom behavior effectively by establishing clear expectations, modeling appropriate conduct, and consistently enforcing established rules and consequences.
  • Developed and executed formative and summative assessments to monitor student progress, adjusting teaching strategies accordingly.
  • Designed and implemented differentiated instruction strategy to meet diverse learning needs, enhancing educational outcomes.

Senior Customer Service Representative

Cigna Healthcare
07.2023 - 10.2024
  • Provide exceptional customer service to Cigna members through various communication channels
  • Process inquiries, resolve issues, and offer support with a focus on empathy and understanding
  • Educate members on Cigna products, services, and benefits
  • Ensure accurate and timely documentation of member interactions
  • Collaborate with cross-functional teams to find solutions and improve the overall customer experience
  • Maintain a high level of professionalism, confidentiality, and courtesy in all member interactions

Revenue Cycle Administrator

MyEyeDr
06.2022 - 07.2023
  • Claim life cycle management for assigned payors
  • Process patient insurance claims efficiently and in a timely manner
  • Obtain missing or invalid claim data from field offices
  • Provide customer service support to MED office staff and patients to help address billing inquiries and other routine matters
  • Investigate and resubmit denied/returned claims and partial payments
  • Escalate data processing and/or customer service needs to Claim Supervisor and/or Assistant Director of Managed Care, as necessary
  • Assist with patient billing and posting
  • Other duties, as assigned

Patient Service Coordinator

MyEyeDr
11.2019 - 06.2022
  • Front desk coordinator at a busy eye doctors office
  • This includes greeting and processing all incoming/outgoing patients
  • Scheduling patients and obtaining and verifying insurance eligibility
  • Closing and balancing POS software at the end of the day, completing daily deposit, ensuring that it properl
  • Managed sensitive patient data with strict adherence to HIPAA regulations, ensuring privacy and confidentiality at all times.
  • Provided patient with after-visit summary and scheduled next appointment to maintain continuous care and facilitate treatment plan.

4th Grade Teacher

Lake County School Board
08.2015 - 01.2016
  • Managed classroom behavior effectively, establishing clear expectations and consequences while fostering a respectful learning environment
  • Collaborated with fellow teachers to design interdisciplinary lesson plans, reinforcing key concepts across subjects
  • Utilized assessment data to inform instructional decisions, tailoring lesson plans to target areas needing improvement.

Substitute Teacher

Lake County School Board
01.2014 - 06.2015
  • Followed classroom plans left by class teacher to continue student education and reinforce core concepts
  • Upheld classroom routines to support student environments and maintain consistent schedules
  • Assisted in creating a safe and nurturing classroom environment that promoted emotional well-being and academic growth for all students
  • Developed strong rapport with students through consistent encouragement and support, fostering a positive learning atmosphere conducive to academic growth

Elementary School Volunteer

Lake County School Board
08.2009 - 05.2015
  • Collaborated with other volunteers to create and maintain a safe and welcoming environment for students
  • Coordinated volunteer efforts during school-wide events, ensuring seamless and successful execution
  • Aided classroom management by providing one-on-one support for students requiring additional assistance
  • Supervised recess periods, ensuring safety rules were followed while promoting healthy physical activity

Senior Administrative Assistant/Office Manager

United Healthcare Insurance Company
07.2000 - 03.2003
  • Various administrative duties for the Regional CFO and Directors of Finance
  • Various projects and analysis as needed
  • Served as a reliable point of contact for both internal and external stakeholders, demonstrating strong problem-solving skills to address any issues that arose.
  • Supported project teams in achieving their goals through proactive assistance with research, data analysis, and report preparation.
  • Supported program operations by preparing and updating documents, reports and spreadsheets.

Benefits Service Associate

Uniprise
10.1999 - 06.2000
  • Handled high-volume calls, effectively addressing customer needs while maintaining professionalism.
  • Managed customer issues and enhanced satisfaction by matching optimal solutions to individual customer needs.
  • Assisted customers with inquiries, resolving issues promptly for improved customer retention.
  • Maintained accurate records of customer interactions, ensuring consistency in service delivery.

Reinsurance Analyst

Kaiser Permanente
11.1996 - 10.1999
  • Ran monthly reports to identify potential reinsurance claims
  • Verified the accuracy of the reports, researching any discrepancies and filed claims with the reinsurance carrier
  • Performed monthly updates and analysis of expenses and reimbursements
  • My personal accomplishment in this position was saving the company over $500,000 in claim over payments

Education

Bachelor's Degree - Business Administration

Siena College
Latham, New York

Skills

  • Customer Service
  • Experienced with Microsoft Office Suite
  • Computer Proficiency
  • Analytical Problem Solving
  • Data Analysis
  • Effective Team Collaboration
  • Strong Organizational Abilities
  • Interpersonal Communication Skills
  • Office Management Skills
  • Office Administration
  • Independent Problem Solver
  • Responsive to Change
  • Effective Conflict Resolution

Timeline

Teacher ESE/1st-B K-2

Lake County School Board
10.2024 - 02.2025

Senior Customer Service Representative

Cigna Healthcare
07.2023 - 10.2024

Revenue Cycle Administrator

MyEyeDr
06.2022 - 07.2023

Patient Service Coordinator

MyEyeDr
11.2019 - 06.2022

Cashier

Publix Super Markets, Inc.
01.2017 - Current

4th Grade Teacher

Lake County School Board
08.2015 - 01.2016

Substitute Teacher

Lake County School Board
01.2014 - 06.2015

Elementary School Volunteer

Lake County School Board
08.2009 - 05.2015

Senior Administrative Assistant/Office Manager

United Healthcare Insurance Company
07.2000 - 03.2003

Benefits Service Associate

Uniprise
10.1999 - 06.2000

Reinsurance Analyst

Kaiser Permanente
11.1996 - 10.1999

Bachelor's Degree - Business Administration

Siena College

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PAMELA BRAKEFIELD