Seasoned Program Coordinator with broad-ranging expertise in operations management and financial administration. Highly skilled in overseeing budget planning and championing strategic visions. Committed to driving teams toward success and sustaining organizational missions.
Overview
20
20
years of professional experience
Work History
Program Coordinator/Contractor
Illumifin
Greensboro, NC
08.2022 - 07.2023
Fields incoming calls and day-to-day activities for Silver Brick Road, Provider Pathways, customers and potential customers/participants including, but not limited to:
Initialize, assist and establish Silver Brick Road personal sites for customers
Provide navigation and site-use assistance to customers for all web portals
Provide customers with technical and understandable information to answer questions concerning all web portals products and service
Provides ongoing, compassionate and proactive customer support to all customers by providing referral services to assist individuals in finding the provider or vendors to meet their care needs
Utilizes multiple illumifin-specific database platforms to input, access and follow-up on customer, provider information, and other activity
Maintains the Unified Provider Database to assure accurate and complete information on all LTC providers, services and products
Manages and completes external requests received from clients regarding provider information which may include; provider profile, licensure, liability and/or W-9
Executes work activities associated with telephonic facility evaluations, home care research, Silver Brick Road and Provider Pathways within established practices and timeframes
Maintains quality metrics within established departmental guidelines
Provided guidance and support to program participants in navigating resources, services, and opportunities.
Assisted in developing training materials and providing instruction on how to use them effectively.
Claims Specialist
State Farm Mutual Automobile Insurance Company
Richardson, TX
04.2018 - 08.2022
Analyze and investigate complicated insurance claims to help prevent fraud
Review and process new claims reports and court verdicts
Uphold relationships and communication with insurance departments and clients
Organize and present claim review plans
Negotiate settlements
Resolve claims in a timely manner
Reviewed and analyzed insurance claims to determine validity, completeness, accuracy, and eligibility for payment.
Processed payments for valid claims according to established procedures.
Facilitated communication between claimants, providers, attorneys, adjusters, employers, and other parties involved in a claim.
Resolved disputes between claimants and providers through negotiation.
Business Office Manager
Water Health and Holistic Services
Plano, TX
04.2011 - 03.2018
Serve as the point person for office manager duties including: Maintenance, Mailing, Supplies, Equipment, Bills, Errands, Shopping
Organize the office layout and order stationery and equipment
Maintain the office condition and arrange necessary repairs
Partner with HR to update and maintain office policies as necessary
Organize office operations and procedures
Manage office budget expenses, ensure accurate and timely reporting
Provide general support to visitors
Assist virtual offices scan documentation and postal services