Yanin Sims

Serves as a Regional CHIC (Continuation of Health Insurance Coverage) Eligibility Coordinator. Designs, coordinates, and implements the operations of the CHIC Program. Assesses CHIC applications to ensure all eligibility criteria are fulfilled and final, time sensitive enrollment eligibility. Functions as a liaison with the CHIC payment agent. Receives and reviews fiscal vouchers/statements for accuracy and submits statements to the fiscal unit to initiates reimbursement of CHIC services to payment agent.

Critically assesses, makes final determination, and coordinates correspondence with Program applicants and appropriate case managers associated with applications, in particular as it related to applicant’s Medicare eligibility. Oversees tracking/monitoring and action steps required to transition enrolled individuals to other state assistance programs, Medicaid, Insurance Marketplace, and the Medicare wrap-around Program through Social Security (Low Income Subsidy). Assists in the assessment of application to determine benefits, enrolling clients innecessary services. Performs entries of action steps taken into the Provide Enterprise database.

Assists in the development and enforcement of policies and procedures associated with ADAP and CHIC in consort with the Administrator to ensure that both ADAP and CHIC programs are consistent and compliant with federal and state regulations and statutes.

• Managed workload effectively by prioritizing tasks according to deadlines while maintaining attention to detail in all aspects of the assessment process.
• Streamlined assessment processes for increased efficiency by implementing advanced software tools and innovative methodologies.
• Produced reports with detailed valuations.
• Maintained professional, organized, and safe environment for employees and patrons.
• Enhanced customer satisfaction by resolving disputes promptly, maintaining open lines of communication, and ensuring high-quality service delivery.
• Cross-trained existing employees to maximize team agility and performance.
• Communicated clearly with employees, suppliers and stakeholders to keep everyone on same page and working toward established business goals.
• Developed a strong company culture focused on employee engagement, collaboration, and continuous learning opportunities.

• Adhered to strict client confidentiality laws and site-specific procedures to uphold privacy and provide best experience possible.
• Prepared documents for review and completion by service applicants, supporting completion and responding to questions.
• Inputted information and obtained quantitative and qualitative data on client details to provide services requested.
• Established positive relationships with aid recipients and assessed goals, working hard to address individual needs and tailor services to suit them.
• Utilized complex client management systems, both digital and manual and maintained sensitive information in highly encrypted databases.

• Handled incoming calls professionally, routing callers appropriately or offered assistance when available.
• Reduced errors in data entry tasks by meticulously reviewing documents and cross-referencing information.
• Provided exceptional support during peak periods, regularly prioritizing tasks based on urgency while maintaining attention to detail.
• Improved customer satisfaction rates by providing prompt assistance with inquiries, concerns, or requests for information.
• Managed daily data entry and kept clerical information accurate and up-to-date.

• Handled customer inquiries and suggestions courteously and professionally.
• Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
• Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
• Resolved customer complaints with empathy.
• Answered constant flow of customer calls with minimal wait times.
• Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.

• Improved overall brand positioning in the marketplace by refining messaging strategy across all communication channels.
• Conducted market research to identify new opportunities for growth and expansion.
• Increased brand awareness by creating and implementing strategic marketing campaigns.
• Generated leads through targeted email marketing campaigns and follow-up strategies.
• Enhanced social media presence by regularly posting engaging content, interacting with followers, and analyzing performance metrics for continuous improvement.
• Developed compelling content for company website, social media channels, and newsletters to drive engagement and conversions.

• Actively participated in team meetings to share knowledge, exchange ideas, address challenges, and collaborate on potential solutions.
• Developed high-quality documentation to support training efforts, helping employees fully understand new systems and procedures.
• Interacted with internal customers to understand business needs and translate into requirements and project scope.
• Applied honed problem-solving skills to analyze and resolve issues impacting business operations and goal achievement.
• Improved business direction by prioritizing customers and implementing changes based on collected feedback.
• Managed vendor relationships to negotiate contracts, secure favorable pricing, and ensure timely delivery of products or services.