- Volunteer Travel
- Outdoor Recreation
- I participate in low-impact exercises to strengthen core muscles
- Gym Workouts
- Backpacking and Hiking
- Learning new cooking techniques and expanding my culinary skills
- Strategy Games
- Exploring famous landmarks, historical sites, and cultural attractions in a new destination
- Avid Reader
- Gardening
- Enjoy hobbies that combine physical activity with outdoor exploration
- Woodworking
- Crafting and DIY Projects
- I like working with my hands and fixing things
- I enjoy helping others and giving back to the community
- Participate in hockey and golf, as recreational activities to maintain physical fitness
- High-Intensity Interval Training
- Fundraising Events
- Playing Sports
- Team Sports
THOMAS MARCHEWKA
CHEEKTOWAGA
Summary
Dynamic and professional individual with extensive experience in provider relations and health insurance sales at Independent Health Association Inc. Proven track record in driving sales growth and enhancing customer satisfaction. Expert in strategic planning and negotiation, achieving significant operational improvements and fostering strong client relationships. Committed to delivering exceptional results in fast-paced environments, experienced with risk assessment, policy enforcement, and incident investigation, utilizing effective strategies to prevent theft and enhance operational security. Track record of maintaining high standards of safety and compliance through diligent oversight and team coordination.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Provider Relations Representative
Independent Health Association Inc.
02.2025 - Current
- Full time: 40 hrs. per week
- Monitored changes in relevant regulations, government legislation and industry standards affecting provider relations activities.
- Instructed providers on procedures and policy limitations for and plans.
- Maintained accurate records of all communications with providers including emails, letters, phone calls.
- Prepared reports summarizing key metrics related to provider relations activities such as number of contracts executed, average time-to-payment.
- Verified patients' insurance and payment methods during admissions or check-in processes.
- Stayed current on available policies and plans.
- Provided guidance on contract language, policy interpretation and reimbursement procedures to providers.
- Handled many calls each day with consistent high satisfaction ratings from callers.
Health Insurance Agent
USHEALTH Advisors
12.2022 - 02.2025
- Full time: 40 hrs. per week
- Guiding clients in choosing health insurance, focusing on self-employed and small businesses
- Achieved over $480,000 in annual sales volume, demonstrating strong sales capabilities.
- Address client inquiries and manage claims with attention to detail and client satisfaction
- Develop new client relationships through strategic prospecting and effective communication
- Drove over $480,000 in annual sales volume, managing client relationships, prospecting, and handling claims for self-employed individuals and small businesses
- Analyzed market trends to tailor health insurance solutions, addressing unique needs of self-employed clients and small businesses, resulting in improved coverage options
- Provided comprehensive support to clients, expertly addressing inquiries and concerns, ensuring smooth claims processing and high customer satisfaction rates
- Developed innovative strategies to expand client base, implementing targeted outreach campaigns that significantly increased new customer acquisition
Loss Prevention Lead
Dicks Sporing Goods
03.2020 - 11.2022
- Full time, 45-55 Hours per week
- Maintained accurate records of all investigations, incidents, and resolutions for future reference and analysis.
- Coordinated with other Loss Prevention Leads to share best practices and collaborate on initiatives that could benefit multiple store locations.
- Evaluated new technologies for possible adoption into existing loss prevention programs, staying abreast of industry advancements for continuous improvement efforts.
- Developed strong partnerships with other departments to ensure seamless integration of loss prevention initiatives across the organization.
- Assisted law enforcement agencies in investigating cases involving theft or fraud, providing evidence and witness statements as necessary.
- Implemented policies for secure cash handling procedures, minimizing risks associated with monetary transactions within the store environment.
- Enhanced store safety by conducting frequent audits, ensuring compliance with company policies and local regulations.
Assistant Store Manager/Store Manager
DICK'S Sporting Goods
03.2022 - 11.2022
- Full time: 40 hrs. per week
- I run the daily operations of Dick's Sporting Goods as an assistant store manager.
- My job is to make sure the employees are happy, the store is clean and up to date, and the customers get the merchandise they have been searching for
- My goal is to make every athlete that comes into the store leave with a happy smile and the satisfaction of knowing they got the best equipment with the best help possible
- The current store I am located in was a $7 million dollar box store and now we are currently a $10 million dollar box store
- It was a challenge at first to find a new spot for all the merchandise, but with hard work we have seen an improvement of sales up by as high as 72%
- Fostered a positive work environment, ensuring employee satisfaction and optimal store conditions while meeting customer needs and expectations
- Transformed store performance through strategic planning and execution, significantly improving sales metrics and operational efficiency
- Cultivated a positive work environment, enhancing employee satisfaction and store conditions while meeting customer needs and driving operational excellence
- Implemented creative solutions to optimize merchandise placement, overcoming space constraints and contributing to substantial sales growth
- Managed daily hardlines operations, ensuring efficient workflow and exceptional customer service
- Collaborated in management meetings, contributing to strategic store improvements
- Streamlined service processes, enhancing employee performance and customer satisfaction
Education
ASSOCIATE OF APPLIED SCIENCE - Business
Genesee Community College
Batavia, NY03.2025
HIGH SCHOOL DIPLOMA - GENERAL STUDIES
Cheektowaga High School
Cheektowaga, NY06.2016
Skills
- Leadership (Expert)
- Merchandising (Experienced)
- Retail Management (Expert)
- Sales Management (Expert)
- Team Management (Expert)
- Freight Experience (Expert)
- Front-End Development (Expert)
- Web Services (Experienced)
- Problem management (Expert)
- Retail sales (Expert)
- Insurance Sales (Expert)
- CRM software (Experienced)
- Microsoft Office (Expert)
- Microsoft Word (Expert)
- Microsoft Excel (Skillful)
- Microsoft Outlook (Expert)
- Microsoft PowerPoint (Expert)
- Microsoft Teams (Expert)
- Customer Engagement (Expert)
- Negotiation Skills (Experienced)
- Conflict Resolution (Experienced)
- Time Management (Experienced)
- Strategic Planning (Experienced)
- Claims reviewing
- Health plan operations
- Provider support
- Strategic business relationships
- Sales experience
- Conflict management
- Relationship management
- Incident reporting
- Security protocols
- Policy enforcement
- Loss prevention strategies
- Asset protection
- Surveillance systems
- Investigations
- Theft deterrent plans
- Store audits
- Problem-solving
Accomplishments
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Supervised team of 45 staff members.
- Documented and resolved theft issues which led to low shrinkage and high arrest.
Affiliations
- Wisdom Farms
Certification
- Licensed Health Insurance advisor
Boy Scouts of America
I was in the Boy Scouts of America for over 10 years. I started off as a Cub scout with my local troop. After completing Cub Scouts, I quickly rose the ranks into becoming a Patrol leader in the Boy Scouts. A few short months after becoming a Patrol Leader, I became the whole troops Senior Patrol Leader, leading 30 Boy Scouts.
As a Boy Scout I completed multiple merrit badges, focused on building teamwork, and maintaining good communication between the Boy Scouts and the adult leaders. I have achieved the rank of becoming a Life Scout and helped ensure the completion of many charity events and programs to help others in need.
Interests
Timeline
Provider Relations Representative
Independent Health Association Inc.
02.2025 - Current
Health Insurance Agent
USHEALTH Advisors
12.2022 - 02.2025
Assistant Store Manager/Store Manager
DICK'S Sporting Goods
03.2022 - 11.2022
Loss Prevention Lead
Dicks Sporing Goods
03.2020 - 11.2022
HIGH SCHOOL DIPLOMA - GENERAL STUDIES
Cheektowaga High School
ASSOCIATE OF APPLIED SCIENCE - Business
Genesee Community College
Similar Profiles
THOMAS MARCHEWKATHOMAS MARCHEWKA
Provider Relations Representative at Independent Health Association Inc.Provider Relations Representative at Independent Health Association Inc.
Pamela AmalinzePamela Amalinze
Servicing Engagement Specialist at Independent Health Association Inc.Servicing Engagement Specialist at Independent Health Association Inc.
Wade GreenWade Green
Supervisor, Accounts Receivable at Independent Health AssociationSupervisor, Accounts Receivable at Independent Health Association
Madeline JordanMadeline Jordan
Quality Control Inspector at Goya FoodsQuality Control Inspector at Goya Foods
Michael BurressMichael Burress
Unarmed Security Guard at Allied Universal Security ServicesUnarmed Security Guard at Allied Universal Security Services