Talesha Curry

• Acted as a liaison between providers and company leadership, effectively communicating concerns and feedback to facilitate continuous improvement initiatives.
• Facilitated smoother claims processing by rigorously verifying provider information.
• Verify claim activity
• Verify member insurance eligibility
• Process prior authorizations

• Set and adjusted to schedules to maintain optimal coverage and service levels.
• Worked with management to develop strategic and tactical plans to meet different requirements.
• Created training materials for new employees to provide information about attendance guidelines.
• Managed overtime, shift swaps, breaks and PTO requests.
• Advocated for staff members, helping to identify and resolve conflicts.

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• Learned and maintained in-depth understanding of insurance plans and service information to offer knowledgeable and educated responses to diverse member questions.
• Processed and finalized appeals and grievances within agreed-upon turnaround time.
• Verify eligibility
• Review claims
• Refer health specialist
• Assist setting appointments

• Assisting clients with daily personal tasks, including bathing, dressing, meal prep, transportation, and appointments.
• Encouraging client engagement in social networks and communities.
• Assisted with crisis intervention to de-escalate challenging behavior and maintain peaceful encounters.
• Developed and implemented individualized care plans to meet individual needs of each client.
• Completed regular check-ins and progress report for each client.

• Utilizes continuous improvement mindset and assists in identifying opportunities to improve processes
• Follows good manufacturing practices and required work safe practices
• Trained new team members by relaying information on company procedures and safety requirements.
• Evaluated employee skills and knowledge regularly, training, and mentoring individuals with lagging skills.

• Assist with placement of orders, refunds, or exchanges
• Resolve customer complaints via phone, email, mail
• Updated account information to maintain customer records.
• Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.

• Research employee benefits plans and vendors to identify those that present the best value
• Coordinate daily benefits processing
• Oversee maintenance of employee benefits files, maintain group benefits database and update employee payroll records
• Reviewed benefits paperwork for accuracy and completeness.