Summary
Overview
Work History
Education
Skills
Timeline
Generic

Tracey Mitchell

Sanford,Fl

Summary

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Overview

22
22
years of professional experience

Work History

Insurance Customer Service Representative

Tokio Marine HCC
01.2020 - Current

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  • Checked documentation for accuracy and validity on updated systems.
  • Verified client information by analyzing existing evidence on file.
  • Maintained strong knowledge of basic medical terminology to better understand services and procedures.
  • Maintained confidentiality of patient finances, records and health statuses.
  • Prepared insurance claim forms or related documents and reviewed for completeness.
  • Evaluated and settled complex insurance claims in strict timeframes.
  • Answered incoming phone calls to articulate product value to prospective customers and support current policyholders.
  • Initiated outbound customer calls to review policy reviews and late payments to avoid lapse in coverage.
  • Directed incoming calls to internal personnel and departments, routing to best-qualified department.
  • Investigated and resolved customer inquiries and complaints quickly.
  • Responded proactively and positively to rapid change.
  • Exhibited high energy and professionalism when dealing with clients and staff.
  • Delivered prompt service to prioritize customer needs.
  • Met customer call guidelines for service levels, handle time and productivity.
  • Responded to customer requests, offering excellent support and tailored recommendations to address needs.
  • Developed highly empathetic client relationships and earned reputation for exceeding service standard goals.
  • Cross-trained and provided back up for customer service managers.

Case Manager

Childrens Home Society
12.2019 - 12.2020
  • Provides comprehensive data updates to Program Manager regarding status of screening/assessment activity.
  • Managed caseload of 25+ children in welfare system to provide comprehensive, community-based care.
  • Partnered with physicians, social workers, activity therapists, nutritionists and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems.
  • Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations and procedural costs.
  • Managed support services and fostered communication among social workers, therapists, hospital staff and patients.
  • Increased referral rates by providing excellent service and building meaningful relationships with patients and caregivers.
  • Collaborated with external agencies to meet educational and transitional needs of students.
  • Educated patients and loved ones about different treatment options and outside care approaches to reduce burden on hospital resources.
  • Developed positive relationships with parents to foster communication and encourage involvement for student growth.
  • Evaluated IEP for compliance with state and federal requirements regulations and rectified non-compliance issues immediately.
  • Monitored student progress and reviewed and revised IEP to meet emerging student needs.

Claims Adjuster

Liberty Mutual
05.2016 - 12.2019
  • Apply critical thinking and problem-solving skills to research, troubleshoot, and walk clients through system to provide solutions
  • Communicate effectively with clients using phone, text, or email
  • Establish customer relationships and follow up with customers, as needed
  • Schedule appointments for estimates and/or repairs, identify customer needs, and provide options
  • Follow up on pending issues seeking resolution
  • Provide thorough, accurate and ethical customer support to clients
  • Develop and maintain strong relationships with clients and team members
  • Respond to emails in timely manner creating effortless experience for client
  • Serve as Mentor on Liberty Mutual Mentor Team mentoring New Trainees during their “Nesting” period.
  • Liaised between account holders and various departments.
  • Listened attentively to client feedback and worked with product development team to introduce new services.

Case Management Specialist

Aon Hewitt
10.2014 - 05.2016
  • Demonstrated “I CAN HELP ATTITUDE”
  • Excellent writing skills, concise and accurately constructed correspondence
  • Detail oriented with ability to manage time effectively as hourly production is measured accordingly
  • Sustain productivity and quality targets
  • Provided one call resolution to each problem that arose
  • Review detailed medical records, itineraries and other documentation
  • Proactive work to resolve claims as expeditiously as possible; decisions are made based on authority levels, policies and documented procedures.
  • Answered questions about eligibility determinations and plan options.
  • Processed enrollment paperwork and benefits forms.

Payment Specialist

Chase Bank
04.2001 - 10.2014
  • Responded to customer inquiry calls, quickly assessing consumer needs and problems in order to deliver ideal solution
  • Ability to multitask different screens using dual monitors
  • Provided One shop stop addressing all customer concerns
  • Exceeded monthly goals that were required
  • Spoke with business owners to service credit cards and payment issues
  • Engaged customers about their benefits by asking probing questions
  • Drove dispute resolutions using effective problem-solving and by guiding mutual understanding of opposing viewpoints.
  • Performed duties in accordance with applicable standards, policies and regulatory guidelines to promote safe working environment.
  • Maintained energy and enthusiasm in fast-paced environment.
  • Used critical thinking to break down problems, evaluate solutions and make decisions.
  • Offered friendly and efficient service to customers, handled challenging situations with ease.

Education

Bachelor of Applied Science - Health Service Administration, Health Service Information

University of Central Florida
Orlando, FL
08.2014

Associate of Applied Arts - Health Service Administration

Seminole State College of Florida
Sanford, FL
12.2010

Skills

  • Excellent verbal and written communication skills
  • Case Management Tracking
  • Multitasking and Organization
  • MS Office
  • Operational Standards
  • Data Entry and Analysis
  • Conflict Resolution
  • Superb active listening skills
  • Implementation and configuration
  • Issue resolution
  • Able to establish rapport and create positive customer experience
  • Capable of engaging customers easily
  • Medical terminology knowledge
  • Professional telephone demeanor

Timeline

Insurance Customer Service Representative

Tokio Marine HCC
01.2020 - Current

Case Manager

Childrens Home Society
12.2019 - 12.2020

Claims Adjuster

Liberty Mutual
05.2016 - 12.2019

Case Management Specialist

Aon Hewitt
10.2014 - 05.2016

Payment Specialist

Chase Bank
04.2001 - 10.2014

Bachelor of Applied Science - Health Service Administration, Health Service Information

University of Central Florida

Associate of Applied Arts - Health Service Administration

Seminole State College of Florida
Tracey Mitchell