Tamara Scales
Elk Grove,CA
Summary
Detailed-oriented and highly skilled professional with experience in data entry, office administration and customer service. Adept at handling high-value enrollment transactions, claims processing, and administrative support while maintaining accuracy and compliance with government policies. Strong multitasking abilities and a proven ability to manage urgent and escalated issues with professionalism and efficiency.
Overview
23
23
years of professional experience
Work History
Enrollment Representative II
HealthNet Federal Services
Rancho Cordova, Ca
04.2002 - 01.2025
- Processed enrollment transactions, change request, voluntary dis-enrollment request, and applied government-mandated policies and procedures
- Keyed relevant enrollment information into government systems while ensuring accuracy, compliance, and meeting production standards
- Managed multiple Tricare Plan types and systems efficiently throughout the day
- Managed urgent and escalated issues as the point of contact for external contractors and internal departments, research and resolved beneficiaries' concerns involving enrollment and eligibility issues
- Also, sent direct reports to the Government Point of Contact reporting system issues with beneficiary's enrollment and eligibility issues that prevented internal processing
- Provided support for New Hire training, auditing & feedback
- Along with working with internal Departments as an Intake Representative & Authorization/Referrals Representative (2014-2015) Processed referrals and authorizations in accordance with government policies and procedures and Claims Examiner (2014-2015) Reviewed and processed claims for eligibility and payment accuracy ensured compliance with quality and production standards
Sales Associate
Catherine's Plus Sizes
Elk Grove
08.2005 - 05.2015
- Organized racks and shelves to maintain store visual appeal, engage customers, and promote specific merchandise.
- Handled cash transactions efficiently while adhering to company cash handling policies, ensuring accuracy in all financial exchanges.
- Built relationships with customers to encourage repeat business.
- Prepared merchandise for sales floor by pricing or tagging.
- Helped customers locate products and checked store system for merchandise at other sites.
- Answered customer questions about sizing, accessories, and merchandise care.
- Provided positive first impressions to welcome existing, new, and potential customers.
- Solved customer challenges by offering relevant products and services.
- Educated clients on current promotional offerings and products using persuasive selling tactics.
- Worked to meet or exceed special targets for credit card applications, special donations and specific product promotions.
- Maintained up-to-date knowledge of store sales, payment policies and security standards.
Education
Some College (No Degree) - Business / Accounting
Cosumnes River College
Sacramento, CaSkills
- Office Administration
- Reception
- Enrollment Processing
- Compliance
- Claims Examination
- Authorization Processing
- Customer Service
- Issue Resolution
- Multitasking
- Time Management
- Mindfulness
- Accuracy
- Government Policy Adherence
- Goal oriented
- Follow-up skills
- Strong organization
Timeline
Sales Associate
Catherine's Plus Sizes
08.2005 - 05.2015
Enrollment Representative II
HealthNet Federal Services
04.2002 - 01.2025
Some College (No Degree) - Business / Accounting
Cosumnes River College