Results-oriented professional with 21.5 years of experience within the healthcare insurance industry and a proven knowledge of membership enrollment, review of appeals, data collection and analysis and report generation. Aiming to leverage my skills to successfully fill a position within your company.
Overview
26
26
years of professional experience
Work History
Salesperson
1st Choice Auto Sales
09.2019 - Current
Worked to build relationships with customers and built potential for additional sales.
Developed relationships with clients for increased loyalty and repeat business.
Offered each customer top-notch, personal service to boost sales and customer satisfaction.
Boosted sales by consistently engaging with customers and addressing their needs effectively.
Membership Issue Resolution Specialist
Blue Cross Blue Shield of MS
03.1998 - 08.2019
Logs, tracks, resolves and responds to all assigned inquiries and complaints while meeting all regulatory, CMS, and BCBS Corporate guidelines in which special care is required to enhance BCBS relationships; while meeting and exceeding all performance standards
Thoroughly researches issues and takes appropriate action to resolve them within turnaround time requirements and quality standards
Identify root cause issues to ensure enterprise solutions and communicate findings as needed
Acts as a liaison between internal departments on data gathering and problem solving while investigating problems of an unusual nature in the area of responsibility
Presents proposed solutions in a clear and concise manner
Assists with special projects as assigned or directed
Member enrollment, maintenance on group account and review appeals.
Education
High School Diploma -
Callaway High School
Jackson, Mississippi
05.1992
Computer Science -
Jackson State University
Jackson, Mississippi
1992
Skills
Microsoft Word
Microsoft Excel
Adobe Acrobat
Data Collection
Appeals Review
Timeline
Salesperson
1st Choice Auto Sales
09.2019 - Current
Membership Issue Resolution Specialist
Blue Cross Blue Shield of MS
03.1998 - 08.2019
High School Diploma -
Callaway High School
Computer Science -
Jackson State University
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