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Click here or scroll down to respond to this candidateCandidate's Name
Professional ExperienceUnited HealthcareMember Retention & Concierge Lead 2023-Current Perform Metric coachings with Member Retention & Concierge advocates. Check Real time Adherence to ensure Service Level Agreements are met. Respond and assist in Microsoft Team questions from both advocates and leaders. Audit Member Retention calls for quality checks and proper procedural guidelines. United HealthcareDigital Advocate 2021-2023 Interface with multiple members on real time chat platforms while interpreting claims and benefits. Escalate and resolve helpdesk technology issues. Respond and resolve members emails including outreach to providers, pharmacies, and plan care coordinators. Respond to emails & digital website issues.United HealthcareSenior Customer Service Advocate and Former Compliance Officer September 2018-2021 Coach fellow UHC Advocates on proper Compliance documentation and reporting including Quality of Care Grievances. Claim research and escalation, including direct member reimbursement claims. Document and update member information in accordance with The Centers of Medicaid & Medicare. File verbal grievances and organization determinations to ensure quality care to our members. PCM Lewis Center, OhioTrainer and Help Support Desk October 2017-August 2018 Train new hires to resolve website technical support issues. Troubleshooting employee credentialing issues and point of sale technical support. I.T. support for Samsung Galaxy tablets, Care Credit iPads, and Moen digital displays, with the ability to remote in for additional support. Multitasking high volume calls inbound calls, including creating and resolving help desk tickets, while meeting service level agreements.Alliance Data Systems Columbus, OhioCredit Card Specialist/ Credit Bureau Disputes Team November 2014-January 2017 High volume call center to resolve consumer credit card issues and complaints. Updating credit bureau reports to avoid negative impacts on clients credit score. Maintaining both accuracy and integrity in a fast-paced environment. Professional phone etiquette always.UCT Insurance Company Columbus, OhioCustomer Service Rep/ Client Service Rep January 2008-November 2014 Supplemental Insurance Company providing eligibility and claim status. Data Entry. Sorting and filing claims including medical, dental, life, and accidental. Processing account closures due to death and past due premiums. |
