TAYLOR EAST
Raleigh,NC
Summary
Dynamic and detail-oriented administrative professional with a passion for providing excellent customer service. Leveraging 5 years of experience in public safety, health insurance, customer service, and sales. Possesses a comprehensive background in detailed data collection and records management, call center services, policy implementation, customer relationship building, and sensitivity to working with a culturally and socio-economically diverse population. Organized and able to multi-task in a fast-paced environment utilizing clear and professional communication to collaborate with a variety of colleagues, business partners, and clients. Able to work independently and/or remotely with little to no supervision, as well as in a team environment. Career supported by a bachelor’s degree in Criminal Justice with a concentration in Homeland Security.
Professional with strong background in maintaining safety and security within facilities. Skilled in crisis management, conflict resolution, and enforcing rules and regulations. Focused on collaboration and achieving results, adaptable to changing needs. Known for reliability and effective communication, with keen observational skills and strong sense of integrity.
Overview
9
9
years of professional experience
Work History
Correctional Officer III
North Carolina Department of Corrections
Raleigh, NC
11.2024 - Current
- Enforced facility rules and regulations to maintain order and safety.
- Conducted regular inspections of inmate living areas for contraband and safety violations.
- Responded promptly to emergencies, ensuring the safety of inmates and staff.
- Prepared, processed and maintained forms, reports, logs, records, and activity journals.
- Evaluated security measures, recommending improvements to enhance overall facility safety.
- Managed high-risk situations with professionalism and composure, ensuring the safety of all involved parties.
- Observed and supervised inmates throughout visits, meal time, recreation, phone calls, and showers.
Medical Management Specialist
Elevance Health
Raleigh, NC
02.2023 - 11.2024
- Responsible for providing non-clinical support to the Medical Management and/or Operations areas.
- Gathers clinical information regarding case and determines appropriate area to refer or assign case (utilization management, case management, QI, Med Review).
- Provides information regarding network providers or general program information when requested.
- Assist with complex cases.
- Act as liaison between Medical Management and/or Operations and internal departments.
- Maintains and updates tracking databases.
- Prepares reports and documents all actions.
- Responsibilities exclude conducting any utilization management review activities which require interpretation of clinical information.
Health Insurance Verification Specialist
IBM
Raleigh, NC
09.2021 - 02.2023
- Completed insurance verification supporting an insurance client in the Business Process Outsourcing Organization, Cognitive Process Services.
- Screened participants and kept accurate records, updating all data in a timely manner.
- Took incoming and outgoing calls in a call center environment to enter detailed information and process transactions utilizing excellent communication skills and proficiency in a variety of computer programs.
- Claims processing policies
- Update claim information based on research and communication from member or provider
- Multi-tasked multiple health insurance projects while meeting competing deadlines and focusing on accuracy to collect billing, verification of insurance, and resolution of problems to ensure a clean billing process.
- Collaborated with others in a team environment to collect payment information, maintain patient demographic information, and answer questions from patients, clerical staff, and insurance companies.
- Maintained strict information confidentiality, adhering to all HIPAA guidelines and regulations; flagged and addressed potential errors.
Correctional Officer III
North Carolina Department of Public Safety
Raleigh, NC
11.2019 - 09.2021
- Ensured the care, custody, and control of offenders, including youth, as a member of a team.
- Surveyed assigned areas to observe inmate activity in-person and on closed-circuit monitors.
- Assisted in maintaining accurate inmate counts and cell assignments. Recorded essential information and communicated effectively with offenders, staff, and the public.
- Assisted in identifying inmates with behavioral, medical, or other issues to implement necessary safety and security measures during crises. Supported the safe escort of inmates within and outside the institution.
- Executed comprehensive security measures to prevent escape attempts and ensure safety of inmates, visitors, and staff.
- Conducted searches of inmate visitors, cells, and surrounding areas for weapons and contraband. Monitored inmate and staff movement to maintain safety and security.
Business Office Associate
CarMax
Raleigh, NC
08.2017 - 08.2019
- Provided an excellent customer service experience by ensuring customers could purchase the vehicle that fits their needs; offered support during every step of the purchase experience through administrative support.
- Guided customers through the completion of purchase documents; reviewed and processed forms, took payment, and supported the functions of all store departments to exceed goals.
- Assisted customers with questions on tag and title information and prepared DMV documents.
- Multitasked in a fast-paced office environment to answer phone calls, contact customers, obtain payoff information for banks, and communicate with business partners.
Research Investigator Intern
Shamrock Investigative Agency
Raleigh, NC
08.2018 - 12.2018
- Supported the administrative duties necessary to conduct successful private investigations.
- Performed claims investigations utilizing a variety of online tools and resources as requested by examiners and clients.
- Reviewed video surveillance footage conducted pre-surveillance and social media investigations, and collected/analyzed data to complete detailed surveillance reports.
- Compiled information utilized for background investigations; maintained proper documentation for all relevant facts in the appropriate claim handling system.
- Supported the marketing and sales department through digital and print services.
Sales & Support Generalist
Victoria Secret
Raleigh, NC
08.2017 - 07.2018
- Drove sales growth by supporting multiple areas of the store to include direct customer sales, cashier duties, processing, product replenishment, and setting floor sets.
- Worked in a fast-paced environment to deliver a friendly and efficient manner while encouraging additional sales and building customer loyalty.
- Proactively engaged with customers and took the time to understand their needs to fit them with the perfect product; trained monthly to stay up to date on the newest merchandise, offers, and promotions.
- Reinforced store strategy to prevent larceny, reduce shrink, and organization in both the front and back room of the store.
Education
Bachelor of Science (B.S.) - Criminal Justice with a concentration in Homeland Security
North Carolina Central University
Skills
- Customer Service
- Inbound Call Handling
- Outbound Calls / Patient Outreach
- Active Listening
- Call Documentation
- High Call Volume Management
- HIPAA Compliance
- Medical Terminology
- Insurance Verification
- Verbal Communication
- Remote Work Experience
- Problem Solving
- Time Management & Self-Motivation
- Data Entry
- Microsoft Office (Excel, Word, Outlook)
- Multitasking Between Systems
Timeline
Correctional Officer III
North Carolina Department of Corrections
11.2024 - Current
Medical Management Specialist
Elevance Health
02.2023 - 11.2024
Health Insurance Verification Specialist
IBM
09.2021 - 02.2023
Correctional Officer III
North Carolina Department of Public Safety
11.2019 - 09.2021
Research Investigator Intern
Shamrock Investigative Agency
08.2018 - 12.2018
Business Office Associate
CarMax
08.2017 - 08.2019
Sales & Support Generalist
Victoria Secret
08.2017 - 07.2018
Bachelor of Science (B.S.) - Criminal Justice with a concentration in Homeland Security
North Carolina Central University