Shari Iglehart
Richmond
Summary
Dedicated professional prepared to bring extensive expertise and results-oriented approach to Specialist role. Known for effectively managing tasks and supporting organizational goals through collaborative efforts and adaptive strategies. Recognized for excellent communication and analytical skills, ensuring seamless operations and consistent outcomes.
Overview
11
11
years of professional experience
Work History
CRG Speciaist
United Health Care
11.2021 - Current
- Perform high level research on complex member requests
- Maintaining accurate documentation in ORS/ Service forms
- Meet Quality, Productivity and Attendance requirements
- Provide strong example of exemplarily leadership
- Ensure satisfaction by providing assistance to providers/ members with timely and accurate status updates to their requests.
- Perform any follow-up work needed for resolving and close requests
- Identifying and resolve anticipated member issues to prevent future calls
- Maintain proficiency in all technical applications (technical skills and system knowledge)
- Comply with all current policies, procedures and workflows.
- Extensive work experience, possibly in multiple functions.
- Work does not usually require established procedures.
- Works independently.
- Acts as a resource for others.
Advisor II
Health and Human Services Commission
11.2018 - 11.2021
- Interview applicants and recipients in person or by inbound or outbound telephone calls to obtain pertinent financial and personal information to determine financial eligibility for public assistance programs.
- Evaluate data from various electronic and other sources to enter information into a computer-based eligibility system.
- Compute and authorize benefits based on eligibility determination.
- Process work in accordance with state and federal regulations and established procedures, guidelines, and timeframes.
- Perform other duties, as assigned.
- Use fact-finding techniques to obtain, relate and evaluate information provided by applicants.
- Read, understand, apply, and explain detailed regulations and policies.
- Perform basic arithmetic functions.
- Manage time efficiently by establishing priorities in accordance with importance of deadlines.
- Establish and maintain effective work relationships with others.
- Ability to communicate effectively both verbally and in writing.
- Follow written and oral directions and instructions.
- Operate computers to perform data entry and basic office software use such as Microsoft Word, Outlook, and Excel.
Customer Service Representative
Medical Transportation Management
08.2013 - 10.2018
- Certifies program eligibility, computes benefit levels, and determines the length of eligibility.
- Conducts reviews to determine or verify new and continued program eligibility. Assists advisors in resolving complaints and escalated issues.
- Respond and document customer complaints.
- Respond to all inquiries within a timely and professional manner.
- Schedule trips that are most cost effective manner
- Provide top-quality customer service experience to diverse customer population.
- Handle inbound calls from Members, Clients and Facilities to verify eligibility and coordinate non-emergent transportation and/or para transit services utilizing transportation management systems in order to meet contract service levels.
Education
Bachelor of Arts - Social Work
University of Houston Downtown
Houston, TX05-2026
Associate of Arts - General Studies
Houston Community College
Houston, TX05-2018
Skills
- Customer relations
- Expert problem solving
- Analytical thinking
- Documentation management
- Persuasion
- Collaboration
- Adaptability
- Time Management
- Conflict Resolution
- Research
- Ambitious
- Communication
Timeline
CRG Speciaist
United Health Care
11.2021 - Current
Advisor II
Health and Human Services Commission
11.2018 - 11.2021
Customer Service Representative
Medical Transportation Management
08.2013 - 10.2018
Bachelor of Arts - Social Work
University of Houston Downtown
Associate of Arts - General Studies
Houston Community College
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