Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Technical Team Expert
BlueCross BlueShield Of Tennessee Inc.
05.2023 - Current
Skilled at working independently and collaboratively in a team environment.
Proven ability to learn quickly and adapt to new situations.
Assisted with day-to-day operations, working efficiently and productively with all team members.
Prepared detailed reports on interviewed candidates for hiring managers'' review, helping them make informed decisions quickly and efficiently.
Reviewing and resolving quality errors and providing feedback; performing audits as needed.
Correspondent
BlueCross BlueShield Of Tennessee Inc.
03.2021 - 05.2023
Remained knowledgeable regarding company policies and procedures and current developments within operational departments.
Processed and finalized appeals and grievances within agreed-upon turnaround time.
Submitted verbal and written notification to members and providers.
Affirmed or denied coverage fairly based on thorough investigations.
Consumer Advisor Expert
Blue Cross Blue Shield Tennessee
03.2018 - 03.2021
Provide independent decision making skills & demonstrate initiatives to resolve issues for internal and external customers.
Maintain acceptable quality accuracy and productivity goals based on division guidelines
Conduct outbound calls for Member Reconsideration and Compliance dept as requested
Backup TTE & Mentor
Supervisor
Sportsbarn
02.2012 - 12.2018
Motivated and trained employees to maximize team productivity.
Enforced regulatory and company policy compliance to improve workplace and employee safety and readiness.
Evaluated strengths and weaknesses of candidates through effective screening processes.
Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
Education
Certificate - Cosmetology
Regency Beauty Institute
Chattanooga, TN
10.2013
Skills
Proficient in Microsoft Office (Outlook, Word, Excel and Powerpoint)
Ability to work independently or in team
Excellent oral and written communication skills
Operational Efficiency
Employee Performance Evaluations
Motivational Leadership
Certification
Lean Six Sigma Certification - April 2024
Timeline
Technical Team Expert
BlueCross BlueShield Of Tennessee Inc.
05.2023 - Current
Correspondent
BlueCross BlueShield Of Tennessee Inc.
03.2021 - 05.2023
Consumer Advisor Expert
Blue Cross Blue Shield Tennessee
03.2018 - 03.2021
Supervisor
Sportsbarn
02.2012 - 12.2018
Certificate - Cosmetology
Regency Beauty Institute
Lean Six Sigma Certification - April 2024
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