Proficient in assigned clients policies and procedures.
Identifies and corrects potential claim problems, such as balance billing or incorrect re-pricing.
Identifies and updates any provider database discrepancies in the operating system and report to Claims Manager if deemed necessary.
Answers phones in a clear, polite speaking voice. Provides requested information in a timely, accurate, and professional or directs the call to the proper party.
Identifies needs to request additional information in order to adjudicate a claim (e.g. medical records), communicates with Claims Support Team and Client Service Coordinators to ensure that information is requested.
Reviews medical records for claims adjudication purposes
Case Manager/Paralegal
Landau & Associates/Buckeye Law Group
Sunrise, FL
03.2022 - 02.2023
Provided case management services including intake, assessment, crisis intervention, advocacy, referral and monitoring of families.
Facilitated communication between clients, families, caregivers, social services and other agencies to ensure client needs were met.
Collaborated with medical professionals to coordinate treatment plans for clients.
Maintained accurate case records and documentation according to agency guidelines.
Collaborated with healthcare providers, lawyers, employers and other stakeholders involved in a client's case.
Admissions Counselor
Keiser University
Fort Lauderdale, FL
06.2021 - 03.2022
Develops prospects from current students, faculty, referral leads,
conferences, educational fairs, career days or campus tours.
Contacts prospective students to present information and/or explain
available programs and services. Communicates with prospects about
admission requirements, program offerings, curriculum, and/or basic
financial aid information by various means of communication.
Manages yield strategies for prospects and applicants. Collaborates with
admissions colleagues, academic advisers, financial aid officers, and
residential life personnel to create an effective yield team and ensure a
smooth transition from inquiry to enrolled student status. Prepares reports
of activities and tracking of prospects' and suspects' inquiries, applications,
and student outcomes up to and including enrollment.
Maintained accurate records of all inquiries, applicants, acceptances, denials, and withdrawals from admission processes.
Supervisor
Steps New York
Pembroke Pines, FL
08.2019 - 03.2021
Developed and implemented operational policies and procedures to ensure efficiency and accuracy of workflows.
Recruited, hired, trained, mentored, coached, evaluated, and terminated staff as necessary.
Worked closely with human resources to support employee management and organizational planning.
Maintained accurate records of employee performance, attendance, leave requests, and disciplinary actions.
Conducted weekly meetings with team members to discuss upcoming tasks and project deadlines.
Supervisor
Lucky Brand Jeans
Pembroke Pines, FL
03.2019 - 08.2019
Ensured compliance with workplace safety regulations by providing training sessions for all staff members.
Monitored employee productivity levels on a regular basis to identify areas of improvement.
Created new strategies for improving customer service standards within the organization.
Reviewed reports from subordinate staff members before submitting them to senior management.
Assistant Manager
Charlotte Russe
Pembroke Pines, FL
08.2015 - 03.2019
Managed the day-to-day operations of the store, including customer service, inventory management and staff scheduling.
Interviewed and vetted job applicants to make effective hiring decisions and fill vacancies with strong team members.
Supervised a team of employees and provided ongoing training to ensure high levels of customer satisfaction.
Maintained accurate records of all transactions, stock levels and employee performance metrics.
Customer Service Representative Travel Agent Hybrid at Generali Global AssistanceCustomer Service Representative Travel Agent Hybrid at Generali Global Assistance