Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

TAMARA KALILIKANE

PO Box 832 Keaau,HI

Summary

To secure a position with a reputable company that has advancement opportunities where I can best utilize my skills, experience and willingness to assist and communicate with others.

Overview

22
22
years of professional experience

Work History

Engagement Solutions Coordinator 1

HMSA, Hawaii Medical Service Association
09.2023 - Current

Supervisor: Andrea Uta

Phone number: 808-983-7206


•Solve complex member cases.

•Research claims issues related to First Source.

•Facilitate weekly meetings with First Source to identify trends and resolutions.

•Assist Medicare Stars Programs with Medicare Welcome calls and CAHPS calls.

• Work with Supervisor and Manager to create process improvements where needed.

Senior Health Plan Navigator

HMSA, Hawaii Medical Service Association
04.2017 - 09.2024

Supervisor: Sharla Wise

Phone Number: 808-952-7834


• Receive customer inquiries via phone, fax, mail, e-mail, etc.

• Probe for additional helpful information in order to effectively handle inquiry.

• Initiate investigation process based on the nature of the inquiry.

• Utilize available resources to quickly and efficiently resolve or redirect inquiries in accordance with departmental process.

• Accurately document customer inquiries and actions taken with departmental quality guidelines to ensure appropriate follow up.

• Follow up on unresolved issues in a timely manner, escalating call trends to management.

• Deliver an excellent customer service experience while meeting quality and production standards.

• Perform other relevant tasks as assigned by management.

Patient Service Representative

BAY CLINIC INC
05.2013 - 04.2014

Supervisor: Maleah Lerma

Phone Number: 808-965-3030


• Provide quality service by greeting patients.

• Checking patients in.

• Verifying insurance eligibility.

• Answer telephones.

• Scheduling appointments.

• Other miscellaneous tasks.

Customer Service Representative

BEI Hawaii
04.2014 - 04.2017

Supervisor: Jonelle Moses

Phone Number: 808-933-7800


• Provide quality service by interacting directly with customers.

• Provide verbal and printed information and explains the features and benefits of the appropriate product.

• Researches and resolves question from customers on products.

• Perform a variety of clerical tasks, including answering the telephone, processing orders and other miscellaneous tasks.

Patient Service Representative

DR. GUTTELING/HILO URGENT CARE
08.2011 - 04.2013

Supervisor: Brenda Dunne

Phone Number: 808-969-3051


• Provide quality service by greeting patients.

• Checking patients in.

• Verifying insurance eligibility.

• Answer telephones.

• Scheduling appointments.

• Other miscellaneous tasks.

Cashier

SACK N SAVE
02.2004 - 04.2004

Supervisor: Stacy Kurohara

Phone Number: 808-935-3113


• Provide customer service by ringing up customer purchases.

• Operated cash register for cash, check and credit card transactions.

• Helped customers complete purchases, locate items and join rewards program.

Accounts Receivable Clerk

MIHARA TRANSFER
05.2011 - 02.2012

Supervisor: Elise Nakamura

Phone Number: 808-935-1597


• Prepared and mailed invoices to customers.

• Obtains revenue by verifying transactions.

• Scheduled deliveries.

• Maintains financial records by filing accounting documents.

• Other miscellaneous tasks.

Cashier

DAIRY QUEEN/ORANGE JULIUS
07.2002 - 08.2003

Supervisor: Keith Fukunaga

Phone Number: 808-935-6832


• Provide customer service by taking orders, preparing orders, cashiering.

• Operated cash register for cash and credit card transactions.

• Worked flexible schedule and extra shifts to meet business needs.

Education

Waiakea High School, Graduated
2002

Skills

  • Call Documentation
  • Customer Data Confidentiality
  • Building Customer Trust and Loyalty
  • Efficient and Detail-Oriented

References

Chassy Kunihiro

PO Box 1838

Keaau, HI 96749

Phone: 808-938-0093


Samantha Calicdan

PO Box 4594

Hilo, HI 96720

Phone: 808-896-1332

Timeline

Engagement Solutions Coordinator 1

HMSA, Hawaii Medical Service Association
09.2023 - Current

Senior Health Plan Navigator

HMSA, Hawaii Medical Service Association
04.2017 - 09.2024

Customer Service Representative

BEI Hawaii
04.2014 - 04.2017

Patient Service Representative

BAY CLINIC INC
05.2013 - 04.2014

Patient Service Representative

DR. GUTTELING/HILO URGENT CARE
08.2011 - 04.2013

Accounts Receivable Clerk

MIHARA TRANSFER
05.2011 - 02.2012

Cashier

SACK N SAVE
02.2004 - 04.2004

Cashier

DAIRY QUEEN/ORANGE JULIUS
07.2002 - 08.2003

Waiakea High School, Graduated
TAMARA KALILIKANE