Summary
Overview
Work History
Education
Skills
Timeline
Generic

Richard Cooke

Coral Springs,FL

Summary

Industrious and enthusiastic Manager proven to consistently meet productivity, business and customer service objectives. Skillfully works with all employees to enhance performance and improve day-to-day processes. Diplomatic in resolving internal and customer issues to maximize satisfaction.

Overview

18
18
years of professional experience

Work History

Member Engagement Manager

Signify Health
09.2021 - Current
  • Expanded cross-functional organizational capacity by collaborating across departments on priorities, functions and common goals.
  • Adjusted job assignments and schedules to keep pace with dynamic business needs, factoring in processes, employee knowledge and customer demands.
  • Cross-trained existing employees to maximize team agility and performance.
  • Approved regular payroll submissions for employees.
  • Prepared and recommended long-range plans for development of department personnel.
  • Evaluated report data to proactively adjust and enhance operations.
  • Applied performance data to evaluate and improve operations, target current business conditions and forecast needs.
  • Maximized productivity by keeping detailed records of daily progress and identifying and rectifying areas for improvement.
  • Raised performance in areas of sales, management and operations by identifying and targeting areas in need of improvement.
  • Evaluated employees' strengths and assigned tasks based upon experience and training.

Customer Service Supervisor

Humana
02.2021 - 09.2021
  • Coached employees through day-to-day work and complex problems.
  • Established and updated work schedules to account for changing staff levels and expected workloads.
  • Led process improvement and problem-solving efforts to create standard procedures and escalation policy for customer support team.
  • Compiled and analyzed customer feedback data to develop new strategies and corrective action.
  • Assessed personnel performance and implemented incentives and team-building events to boost morale.
  • Monitored metrics and developed actionable insights to improve efficiency and performance.

Claims Supervisor

Aetna
07.2018 - 02.2021
  • Built talented teams of claims processors dedicated to timely and compliant resolutions.
  • Cultivated productive relationships with stakeholders, facilitating claims lifecycle.
  • Investigated, evaluated and adjusted multi-line claims in accordance with standards and laws.
  • Monitored team performance, enforcing compliance with corporate claims processes and procedures.
  • Drove operational improvements which resulted in efficiency and client retention.
  • Developed team communications and information for meetings.
  • Reviewed outstanding requests and redirected workloads to complete projects on time.
  • Managed quality assurance program, including on-site evaluations, internal audits and customer surveys.

Senior Operations Analyst

Aetna
02.2014 - 07.2018
  • Participated in high-level strategy meetings, contributing to financial and logistical framework planning.
  • Authored operational forecast documents, helping senior leadership predict and prepare for forthcoming changes in finances or production.
  • Employed stochastic-process models to detect predictable patterns in seemingly random operational variances.
  • Collaborated with management and employees to assess business practices and determine areas for analysis.
  • Developed program plans, goals, objectives, and milestones for evaluating and measuring effectiveness of operations.
  • Created models to forecast and predict quantitative and comparative evaluations of various business solutions.
  • Developed written documents and reports related to programs and operations.
  • Designed plans to improve operations and suggested changes to systems for overall organization.

Operations Scheduler

Aetna
11.2010 - 02.2014
  • Worked with supervisors and team members to understand productivity needs and bring levels within desired tolerances.
  • Completed logs and reports detailing production data, helping management to make accurate operational decisions.
  • Gauged production progress to inform leaders of performance concerns.
  • Presented production schedules to team outlining milestones and deadlines.
  • Completed daily logs for management review.

Procurement Analyst

Aetna
03.2008 - 11.2010
  • Reduced downtime in warehouse operations by ensuring reorders were aligned with projections and backlog.
  • Performed yearly inventory audits in collaboration with managers and associates to provide feedback.
  • Made valuable contributions to planning of pricing and inventory levels, enhancing inventory flow, revenue and profits.
  • Reduced production downtime by overseeing quality control and assembly.
  • Drove operational improvements which resulted in savings and improved margins.

Customer Service Representative

Aetna
12.2006 - 03.2008
  • Used company troubleshooting resolution tree to evaluate technical problems while leveraging personal expertise to find appropriate solutions.
  • Fielded general customer queries.
  • Provided primary customer support to internal and external customers in fast-paced environment.

Education

Bachelor of Science - Business Administration W/ Concentration in M.I.S

Southern New Hampshire University
Hooksett, NH
06.2024

Diploma - Computer Studies

University of Technology
Kingston, Jamaica
09.2002

Skills

  • Supervision
  • Communications
  • Team building
  • Relationship development
  • Negotiation and mediation skills
  • Business operations
  • Organization
  • MS Office
  • Excel Mastery
  • Power BI Skills
  • Data Cleaning
  • Analytical Problem Solving
  • Data Analysis
  • Analytical Skills
  • Process improvement

Timeline

Member Engagement Manager

Signify Health
09.2021 - Current

Customer Service Supervisor

Humana
02.2021 - 09.2021

Claims Supervisor

Aetna
07.2018 - 02.2021

Senior Operations Analyst

Aetna
02.2014 - 07.2018

Operations Scheduler

Aetna
11.2010 - 02.2014

Procurement Analyst

Aetna
03.2008 - 11.2010

Customer Service Representative

Aetna
12.2006 - 03.2008

Bachelor of Science - Business Administration W/ Concentration in M.I.S

Southern New Hampshire University

Diploma - Computer Studies

University of Technology
Richard Cooke