Summary
Overview
Work History
Education
Skills
Timeline
Generic

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
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
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, Ca

Skills

  • 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
Tamara Scales