Sarita Gaines
Oak Park,MI
Summary
Goal oriented and results-driven professional with 15 years of experience. Strong background of successful accomplishments and demonstrates loyalty, integrity and sound judgment
Ability to provide exemplary support too leadership and support the day-to-day operations. Detail-oriented with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
24
24
years of professional experience
Work History
Sr. Field Service Rep
Blue Cross Blue Shield Of Michigan
09.2014 - Current
- Strong UAW customer focus and sense of urgency with ability to be flexible to changing circumstances and customer needs in order to satisfy employer groups.
- Established and maintained good working relationships at all levels to exhibit tact and diplomacy.
- Investigate, resolve and respond to sensitive/complex employer group issues for key large account group UAW Ford Motor Co.
- Highly organized, motivated, responsible self-starter with excellent time management skills & excellent follow-up skills.
- Provide extensive support for leadership and sales staff at Blue Cross that requires analytical and problem-solving skills.
- Thorough knowledge of Blue Cross Blue Shield benefits, claims, and eligibility functions.
- Act as subject matter expert on complex benefits questions during enrollments, health fairs, and employee meetings.
- Proven success in developing and delivering several oral presentations.
- Excellent verbal and written communication skills.
- Assist with benefit interpretation and in resolution of claim issues, administrative presentations, member retention and increasing new membership.
- Visit assigned employer group location(s) and identify problems/discrepancies in interpretation of Blue Cross Blue Shield administrative processes and take necessary steps to correct problem.
- Act as liaison between group/agent and appropriate departments and communicate final resolution of issue to customer.
- Educate groups/agents/managing agents/sales staff on administrative guidelines and products through formal educational programs and training presentations.
Administrative Manager
Wayne State University Physician Group
09.1999 - 05.2013
- Conducted sales workshops and training for new staff while sponsoring lectures events for CME credits for physicians and evening events with key- note speakers to promote products and services.
- · Supported and coordinated marketing specific strategic plans to retain funding
- · Provided pharmaceutical sales quotes, coordinate and approve purchases of supplies/services and vendor invoicing for government and all funded projects
- · Responsible for monitoring grant personnel, operations management, contract administration/negotiation for budgets for divisions of Endocrinology, Rheumatology and General Medicine.
- · Develop budgets, coordinate and manage electronic submission, consistently track and maintain multi-million dollar budgets
- · Directs, coordinates, and monitors fiscal budget and activities of 3 divisions to ensure compliance with goals of University
- · Provides federal research grant and pharmaceutical contractual support to Principal Investigators of Wayne State University Department of Medicine
- · Prepare special status reports and analyses for School/College/Division or University administrators on research proposals and projects
Education
MBA -
Central Michigan University
Mount Pleasant, MIBachelor of Science -
Davenport University
Grand Rapids, MI03.2000
Skills
- Organizational Development
- Project Management
- Strategic Marketing
- Motivation Business Development
- Presentations
- Customer Service
- Employee /Vendor Relations
- Business Development
- Event Planning
- Branding
- Public Relations
Timeline
Sr. Field Service Rep
Blue Cross Blue Shield Of Michigan
09.2014 - Current
Administrative Manager
Wayne State University Physician Group
09.1999 - 05.2013
MBA -
Central Michigan University
Bachelor of Science -
Davenport University
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