Experienced with resource allocation, process optimization, and data analysis. Utilizes data-driven insights to enhance operational efficiency and support strategic planning. Track record of effective team collaboration and adaptability to dynamic environments.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Resource Planning Analyst
EviCore Healthcare Formerly Care Core National
10.2023 - Current
Analyzes call center trends, including call volume, call patterns, staff productivity, attrition rates, and resource allocation.
Monitors inbound call traffic and ensures efficient distribution based on staff availability.
Identify areas for improvements to workforce productivity and modifications to programs as required.
Provides standard professional advice and creates initial reports/analyses for review.
Provides guidance, coaching and direction to more junior members of the team in Resource Planning.
Sales Associate
Gabes, Gabriel Brothers
08.2022 - Current
Assisted customers with product selection and inquiries to enhance shopping experience.
Maintained organized merchandise displays to drive sales and attract customer attention.
Processed transactions accurately using point-of-sale systems, ensuring efficient checkout procedures.
Collaborated with team members to meet store promotional goals and improve overall performance.
Resource Planning Lead Representative
EviCore Healthcare Formerly Care Core National
03.2022 - 10.2023
Analyzes call center trends, including call volume, call patterns, staff productivity, attrition rates, and resource allocation.
Monitors inbound call traffic and ensures efficient distribution based on staff availability.
Maintains frequent contact with other departments when outages occur and calls need to be redirected.
Acts independently working under limited supervision.
Customer Service Representative
EviCore Healthcare Formerly Care Core National
03.2020 - 03.2022
Resolved customer inquiries and issues efficiently, enhancing overall satisfaction levels.
Trained new team members on best practices and operational procedures.
Collaborated with cross-functional teams to improve service delivery processes.
Utilized CRM systems to track customer interactions and ensure accurate follow-up.
Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
Developed rapport with customers through active listening skills, leading to higher retention rates and positive feedback from clients.
· Special project: Trained as a backup Physician Support Unit (PSU) agent to assist during high call times. Assisted with calls in PSU from Aug 2020-Oct 2020. In PSU gave the MDO/Site/Member the post denial options. Scheduled/Rescheduled a Peer2Peer with a Physician if requested.
Customer Service Associate Representative
EviCore Healthcare Formerly Care Core National
04.2019 - 03.2020
Managed customer inquiries through phone, ensuring prompt resolution of issues.
Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
Handled customer complaints professionally, resulting in satisfactory outcomes and positive feedback.
Maintained a high level of product knowledge, providing accurate information to customers.
Collaborated with cross-functional teams to enhance service delivery and operational efficiency.
Developed and maintained comprehensive knowledge of healthcare services to assist clients effectively.
Regional Support Center 2
Spectrum
06.2015 - 01.2019
Self-motivated, with a strong sense of personal responsibility.
Worked effectively in fast-paced environments.
Skilled at working independently and collaboratively in a team environment.
Proven ability to learn quickly and adapt to new situations.
Trained new hires in the cable billing system.
Award: · Nominated by a team member for always going above departmental expectations and received Employee of the Quarter 11/15/15.
Customer Service Representative at EviCore Healthcare Formerly Care Core NationalCustomer Service Representative at EviCore Healthcare Formerly Care Core National
Customer Service Representative - Intake Rep II at EviCore Healthcare Formerly Care Core NationalCustomer Service Representative - Intake Rep II at EviCore Healthcare Formerly Care Core National
Senior Intake Specialist and Subject Matter Expert at EviCore Healthcare Formerly Care Core National/ CignaSenior Intake Specialist and Subject Matter Expert at EviCore Healthcare Formerly Care Core National/ Cigna