Summary
Overview
Work History
Education
Skills
Timeline
AssistantManager

Shante Smith

Homestead,FL

Summary

To obtain a position where I can use my knowledge and strengths to help others achieve goals as well as myself. To obtain employment with a company that can both utilize and expand my job skills and experience.

Hardworking and passionate job seeker with strong organizational skills eager to secure an entry-level position. Ready to help team achieve company goals.

Dedicated healthcare and insurance professional with history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.

Experienced Customer Service Representative in healthcare , billing and finance with 20 years of experience in customer service . Excellent reputation for resolving problems and improving customer satisfaction.

Collaborative individual with expertise in providing exemplary service regarding benefits support. Multitasking Benefits Specialist knowledgeable in state and federal regulations and maintaining employee confidentiality.

Self-motivated Benefits Specialist demonstrating superior understanding of employee benefits laws and human resource software systems. Astute professional providing benefits support in fast-paced corporate settings.

  • Reliable employee seeking a customer success position. Offering excellent communication and good judgment.

To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Overview

17
17
years of professional experience

Work History

Rewards Specialist

American express
  • Responding to phone calls from existing customers of, card holders that is currently enrolled in a rewards program with their card account, educating card members on the program, such as what points can be redeemed for, assisting with travel arrangement utilizing their rewards towards travel, ordering merchandise with rewards earned and cross selling other useful products to the consumer, handling a volume of inquiries on the program
  • While in all meeting a sales quota each month.

Inbound Contact Rep

Humana, Inc
Miami, FL
03.2020 - Current
  • In this position that I’m currently in, I’m addressing incoming telephone calls in a high call volume atmosphere, that includes me addressing customers benefits needs, assisting with grievances and educating the members about their insurance, I handle complex administrative and operational and customer support assignments
  • This role includes me documenting member’s inquiries and resolutions provided per centers for Medicare and Medicaid compliance criteria, I also make outbound calls in the member services department, including handling organization and coverage determinations and appeals in my role currently

Claims Processor

United Healthcare Group
Doral, Fl
02.2018 - 03.2020
  • I am responsible for handling incoming healthcare claims, managing Medicare cost for hospitals and private practitioners maximizing productivity by processing claims accurate
  • My duty is to review, research, and process medical claims
  • It's complex, detailed work
  • It's a fast-paced challenge, that I’ve adapted to very well.

Ecommerce Specialist

Walgreens Ecommerce
08.2016 - 01.2018
  • My role was to connect with Walgreens patients to help them with order details if it was for retail orders or medications orders, order processing, troubleshooting issues with website, appointment scheduling and other general customer service for the rewards program Walgreens offered ,overall customer service over the phone for Walgreens customers

Customer Service Sales Rep

Alorica
Miami Lakes, Fl
06.2011 - 08.2016

Phone Banker

Wachovia
Doral, FL
12.2010 - 03.2011
  • In this role, I was responsible to resolve customer concerns over the phone and to offer products that meet customer’s ongoing financial needs, basically to expand their banking relationship
  • In addition, I had to solve complex problems with multiple software programs.

Customer Care Professional

American Express Card Service
Plantation, FL
08.2007 - 09.2010
  • Responding to phone calls from existing customers, making it easy for them to do business with , recognizing their value to us and solving their issues,and also responsible for evaluating and analyzing account information.Gave prompt service to incoming customer inquiries, by actively listening to card member’s requests
  • Including sales of relevant products, services and membership privileges
  • Three years of client contact experience in the financial services

Customer Installation Support Rep

Precision Response Corp
Miami, FL
02.2005 - 05.2007
  • Telecommunications Services
  • Provide support to new and existing directv customers purchasing systems or upgrades and order cancellations
  • Dispatched calls to technicians out to customers homes for service calls and new installations of service
  • Reviewed billing statements with customers also with programming options.

Education

G.E.D - undefined

Miami Dade College

Skills

  • Sales Associate "PowerPoint" Intermediate
  • Data Integrity
  • Eligibility Determinations
  • Benefits Explanations
  • Ongoing Assistance
  • Special Projects
  • Service Quality
  • Compensation and Benefits
  • Customer Inquiries
  • Benefits Strategies
  • Open Enrollment
  • Customer Care
  • Microsoft Office Suite
  • Program Options
  • Payment Collection
  • Invoice Reconciliation
  • Workflow Processes
  • Electronic Filing System
  • Reading Comprehension
  • Claims Adjustments
  • Daily Logs
  • Complex Problem-Solving
  • Advanced Excel Spreadsheet Functions
  • Customer Satisfaction
  • Clerical Support
  • Team Meetings
  • Verbal and Written Communication
  • Vision and Dental Insurance
  • Performance Improvement
  • Mathematical Calculations
  • Data Communications
  • Patient Contact
  • Prescription Refills
  • Intake Interview
  • Healthcare Administration
  • Process Improvement Initiatives

Timeline

Inbound Contact Rep

Humana, Inc
03.2020 - Current

Claims Processor

United Healthcare Group
02.2018 - 03.2020

Ecommerce Specialist

Walgreens Ecommerce
08.2016 - 01.2018

Customer Service Sales Rep

Alorica
06.2011 - 08.2016

Phone Banker

Wachovia
12.2010 - 03.2011

Customer Care Professional

American Express Card Service
08.2007 - 09.2010

Customer Installation Support Rep

Precision Response Corp
02.2005 - 05.2007

Rewards Specialist

American express

G.E.D - undefined

Miami Dade College
Shante Smith