Summary
Overview
Work History
Education
Skills
Timeline
Generic
Shareese Baines

Shareese Baines

Newark,NJ

Summary

Compassionate and results-driven professional with 10+ years of experience in healthcare, banking, and high-volume service environments, transitioning into social work. Demonstrated ability to advocate for individuals, navigate complex systems, and support clients during high-stress situations. Strong foundation in behavioral science with a BA in Psychology (Expected May 2026), Dean’s List honors, and Alpha Sigma Lambda nomination. Committed to clinical social work and supporting underserved communities through trauma-informed, client-centered care.

Overview

13
13
years of professional experience

Work History

Member Services Associate

Horizon BCBSNJ
Newark, NJ
08.2025 - Current
  • Advocate for members navigating healthcare systems to access affordable, quality care
  • Resolve complex benefit, claims, and coverage issues while ensuring compliance and accuracy
  • Support individuals during high-stress situations with empathy and clear communication
  • Coordinate cross-functional efforts to remove barriers to care and improve outcomes
  • Analyze member concerns to identify patterns and recommend service improvements

Customer Service Call Center Specialist / Team Lead

Audible/Amazon
Newark, NJ
11.2022 - 08.2025
  • Led high-performing team delivering client-centered support in fast-paced environment
  • Managed escalations requiring conflict resolution, empathy, and problem-solving
  • Coached team members to improve communication, de-escalation, and service outcomes
  • Facilitated training sessions on compliance, fraud awareness, and service standards
  • Improved customer satisfaction and reduced repeat issues through process improvements

Senior Banking Associate

Affinity FCU
Basking Ridge, NJ
07.2021 - 01.2022
  • Supported clients in navigating financial services and resolving account concerns
  • Ensured compliance with regulatory standards and risk management procedures
  • Provided guidance to individuals experiencing financial stress or challenges
  • Collaborated with teams to improve efficiency and client satisfaction

Patient Care Coordinator / Team Lead

UnitedHealth Group
Secaucus, NJ
12.2019 - 07.2021
  • Coordinated patient care plans and insurance processes to ensure access to services
  • Served as escalation point for complex patient and provider issues
  • Supported patients during medical and administrative challenges with empathy
  • Maintained HIPAA compliance and quality assurance standards
  • Improved workflow efficiency and care coordination outcomes

Additional Experience

Valley Bank | Paychex | Bank of America
01.2013 - 01.2019
  • Provided client-centered support in regulated environments
  • Resolved complex financial and service-related issues
  • Maintained accurate documentation and ensured compliance
  • Developed strong communication, problem-solving, and advocacy skills

Education

Associate Degree - Business Administration

Gibbs College
05-2005

Bachelor of Arts - Psychology

William Paterson University
05-2026

Skills

  • Client Advocacy
  • Crisis Intervention
  • Healthcare Navigation
  • Cultural Competence
  • Active Listening
  • Case Documentation
  • Conflict Resolution
  • Team Leadership

Timeline

Member Services Associate

Horizon BCBSNJ
08.2025 - Current

Customer Service Call Center Specialist / Team Lead

Audible/Amazon
11.2022 - 08.2025

Senior Banking Associate

Affinity FCU
07.2021 - 01.2022

Patient Care Coordinator / Team Lead

UnitedHealth Group
12.2019 - 07.2021

Additional Experience

Valley Bank | Paychex | Bank of America
01.2013 - 01.2019

Associate Degree - Business Administration

Gibbs College

Bachelor of Arts - Psychology

William Paterson University
Shareese Baines