Multi-tasking Quality Assurance Officer trained to handle issues and remain level-headed at all times.
Responsible Quality Assurance Officer with more than 4 years of expertise developing top-notch skills in quality management and process improvement.
Overview
17
17
years of professional experience
Work History
Senior Quality Assurance Analyst
Amazon
Remote
09.2020 - Current
Coached and offered improvement insight to team of employees, boosting efficiency in Contact Center department.
Conducting quality assessments and evaluations of contact center interactions.
Developed and implementing quality assurance processes and procedures.
Collaborating with management to implement strategies for enhancing overall service quality.
Serving as a subject matter expert in quality assurance methodologies and best practices.
Offer constructive coaching and feedback that enhances advisors' skills in explaining products and services effectively, whether in recorded or real-time settings.
Undertake additional tasks as delegated or assigned.
Patient Registration Specialist
Vision Partners
Mobile, AL
04.2019 - 03.2020
Greeted patients and visitors, verified their identification, and collected necessary information to complete registration process
Verified patient insurance coverage and obtained authorization as required
Ensured the accuracy of patient data entry into the electronic health records (EHR) system
Scheduled patient appointments and provided necessary instructions and documentation
Responded to patient inquiries and requests in a timely and professional manner
Maintained patient confidentiality and HIPAA compliance at all times
Explained financial responsibilities to patients as well as payment options and potential collection procedures imposed upon patients and other responsible parties
Collaborated with the billing department to ensure accurate processing of patient payments and billing information, improving revenue collection and financial transparency for Vision Partners.
Desk Adjuster
Catastrophe National Claims
Mobile, AL
08.2016 - 02.2019
Conducted thorough investigations of claims and determined coverage based on policy terms and conditions
Evaluated damages and negotiated settlements with policyholders, claimants, and attorneys
Communicated with insureds, agents, and other stakeholders to gather information and answer questions
Ensured timely and accurate processing of claims and documentation of all activities in the claims system
Collaborated with other departments and vendors to resolve complex claims and minimize costs
Participated in training sessions and mentored new adjusters to ensure consistency in claim handling
Utilized advanced negotiation techniques to handle high-stakes claim settlements and achieve mutually beneficial outcomes for all parties involved
Showed empathy and active listening skills to effectively communicate with policyholders during difficult and emotional claim situations, ensuring a positive customer experience and retention.
Enrollment Agent
MorphoTrust
Carson, CA
04.2011 - 12.2015
Conducted enrollment services for various identity management programs
Assisted clients with completing enrollment applications and capturing biometric and biographic information, such as fingerprints, facial images, and demographic data
Ensured compliance with strict privacy and security standards to safeguard client information and prevent identity theft
Troubleshot technical issues with enrollment equipment and software to ensure efficient and accurate processing of enrollment data
Collaborated with other enrollment agents and program managers to share best practices and improve the overall enrollment experience for clients
Leverage data analytics to identify patterns and trends in enrollment processes, enabling continuous improvement in efficiency and accuracy for MorphoTrust's identity management programs.
Call Center Lead
Blue Cross Blue Shield
Los Angeles, CA
06.2007 - 01.2011
Answered inbound calls from customers and assisted with their inquiries, questions, and concerns related to health insurance policies and claims
Made outbound calls to follow up on customer inquiries, conduct surveys, or provide information about new products and services
Documented customer interactions and updated customer information in the company's database
Resolved customer complaints and escalated complex issues to the appropriate department or supervisor
Met performance metrics such as call quality, customer satisfaction, and average handle time
Participated in training and coaching sessions to improve knowledge and skills
Implemented strategies to increase team productivity and efficiency, such as optimizing call center workflows, providing ongoing training and development opportunities for team members, and monitoring key performance indicators to identify areas for improvement.
Skills
Comprehensive knowledge of disability laws, regulations, and best practices
Strong communication and interpersonal skills
Ability to work collaboratively with healthcare providers, employers, and other stakeholders
Proficiency in case management and record-keeping
Excellent problem-solving and decision-making abilities