Detail-oriented team player with strong organizational skills and the ability to handle multiple projects simultaneously with a high degree of accuracy. Seeking a career to utilize personal experiences to contribute to the success of a company that will provide professional advancement and growth potential.
Overview
24
24
years of professional experience
Work History
Medicare Administrative Contractor
CGS Administrators
03.2023 - Current
Served as point of contact for clients, addressing inquiries promptly and professionally to maintain positive relationships.
Collaborated with cross-functional teams to achieve project objectives within set time frame.
Researched denied and rejected claims via Common Working File.
Provided general information on various inquires.
Research reopening, adjustments, and redetermination of claims.
Maintain policies per CMS guidelines.
Advised providers on how to resolve denied and rejected claims.
Benefits Service Representative
Conduent/Aetna
05.2022 - 07.2022
Maintained detailed records of all customer interactions using CRM software for effective follow-up actions when necessary.
Efficiently manage high call volumes while maintaining a professional demeanor under pressure, exemplifying strong problem-solving abilities.
Responded to customer requests for products, services, and company information.
Documented customer interactions and transactions for accurate, up-to-date records.
Scheduled office and home health visits.
Educated members on their plans benefits and claims.
Provided first call resolution.
Customer Support Fraud Claims
TTEC/ Bank Of America
07.2019 - 08.2021
Enhanced customer satisfaction by resolving issues promptly and professionally.
Streamlined support processes for increased efficiency and reduced response times.
Managed high-volume inbound calls, providing exceptional service to customers in need of assistance.
Collaborated with cross-functional teams to improve overall product quality and customer experience.
Served as an key liaison between customers and internal departments, facilitating timely resolutions for urgent matters.
Upheld strict confidentiality standards when handling sensitive customer information, instilling trust among clientele.
Researched fraud claims from customers.
Associate 1
Amazon
07.2018 - 06.2019
Worked varied hours to meet seasonal and business needs.
Stocked merchandise, clearly labeled items, and arranged according to size or color.
Sort customer packages according to zip code using RF scanner.
Build secure pallets for shipping.
Worked independently in a demandaning environment.
Processed 180+ packages per shift.
Enhanced team productivity by streamlining communication and implementing efficient project management tools.
Seasonal Staffing Coordinator
Amazon
10.2018 - 12.2018
Enhanced candidate placement by streamlining recruitment processes and utilizing effective communication strategies.
Increased client satisfaction by maintaining thorough knowledge of client needs and matching suitable candidates for open positions.
Managed a database of qualified candidates, ensuring accuracy and up-to-date information to expedite the hiring process.
Utilized Salesforce for high volume hiring.
Assisted in onboarding new hires, facilitating a smooth transition into their roles and supporting employee retention efforts.
Coordinated background checks, reference evaluations, and drug screenings as part of due diligence for successful placements.
Developed and facilitated new-hire orientations.
Retail Sales Associate
Goodwill Industries
05.2016 - 09.2017
Boosted customer satisfaction by providing exceptional service and addressing concerns promptly.
Increased sales revenue through effective product recommendations tailored to individual customers.
Maintained a clean and organized store environment, enhancing the overall shopping experience for customers.
Assisted in managing inventory levels, accurately processing shipments, and restocking merchandise as needed.
Checked pricing, scanned items, applied discounts, and printed receipts to ring up customers.
Opened, shelved and merchandised new products in visually appealing and organized displays for optimal sales promotions.
Sorted gently used clothing donations to be sold in store.
Sales Agent Representative
U-Haul International
10.2014 - 02.2016
Increased sales revenue by developing and maintaining strong client relationships.
Implemented effective sales strategies for consistent growth in market share.
Exceeded monthly sales targets through proactive prospecting and lead generation.
Provided exceptional customer service, resulting in high levels of customer satisfaction and repeat business.
Answered customer questions about products and services, helped locate merchandise, and promoted key items.
Performed in a fast-paced sales environment while focusing on quality and detail.
Secured 12+ U-Haul rentals per shift.
General Warehouse Associate
Rachel Screen Printing And Apparel
10.1999 - 02.2015
Increased warehouse efficiency by implementing effective inventory management and organization strategies.
Streamlined order processing for faster customer fulfillment and improved satisfaction rates.
Safely operated various warehouse equipment, including forklifts, pallet jacks, and hand trucks, to move products efficiently.
Collaborated with team members to complete daily tasks and ensure smooth workflow in a fast-paced environment.