There is a powerful driving force inside every human being that, once unleashed, can make any vision, dream, or desire a reality.
Tony Robbins
Summary
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
15
years of professional experience
1
Certification
Work History
Medica
Minnetonka, MN
Health Plan Specialist
05.2020 - 12.2022
Job overview
Reviewed and analyzed health care claims to identify discrepancies, errors or frauds.
Developed and implemented procedures for processing of medical claims and enrollments.
Managed the daily workflow of members' enrollment applications and insurance claims.
Researched and resolved complex customer service issues in a timely manner.
Conducted data entry activities for accurate maintenance of patient records.
Heartland America
Chaska, MN
Call Center Representative
05.2015 - 01.2020
Job overview
Developed effective working relationships with team members across multiple departments.
Stayed current on relevant product and service offerings as well as competitor pricing models.
Answered incoming calls from customers and provided assistance with product inquiries, billing questions, and other customer service related issues.
Provided accurate information regarding products and services while upselling additional products when appropriate.
Cambria
Le Sueur, MN
Quality Control Inspector
01.2008 - 01.2015
Job overview
Inspected products for defects and conformance to customer specifications using precision measuring instruments.
Monitored production processes to ensure quality standards were met and documented results of inspections.
Analyzed data from process control systems to identify trends in product quality.
Conducted root cause analysis investigations when issues arose with production processes or end-products.
Education
Brown College
Bachelor: Criminal Justice of Science
Skills
Critical Thinking
Claims Information Gathering
Verbal and Written Communication
Insurance Coverage Verification
Call Center Customer Service
Life Insurance
Certification
Meditation administration, 5 years
Behavior Crisis, 3 years
Certified in handling Commercial, Medicare, and Strategic Insurance Plans, 2 years
Accomplishments
Database Entry
Different computer softwares
Experienced devising and implementing helpful plans for Mentally Dependent/high risk individuals overall monitored and correct behaviors