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Title Customer Service Managed Care
Target Location US-IN-Crown Point
Email Available with paid plan
Phone Available with paid plan
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Candidate's Name
Crown Point, IN Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLEOutgoing and friendly customer service representative with 11+ years of experience providing incomparable customer service and maintaining a polite, friendly, and professional demeanor Authorized to work in the US for any employerWork ExperienceEligibility SpecialistKnowledge Services-Crown Point, INNovember 2023 to PresentExecute managed care enrollment tasks using the Welfare Management System (WMS) Review enrollment concerns through WMS, and other State Medicaid Data systems. Assess managed care issues within the State of Health framework and determine subsequent actions Collaborate with local district, State Department Of Health and Enrollment Broker personnel to address managed care issues Adhere to all standards specified for this role as outlined in the corresponding annual performance criteria and bonus template Perform managed care enrollment activities on the Welfare Management System (WMS) Review enrollment issues using WMS, eMedNY and other State Medicaid Data systems Evaluate State of Health managed care issues and make next step determinations Interact with local district, SDOH, eMedNY and Enrollment Broker staff to resolve MC issues Meets all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this positionBottling TechnicianAlbanese Confectionery Group-Merrillville, INJune 2023 to November 2023 Provide operational support to maintain production flow of operational work areas. Works cooperatively and effectively with fellow team members. Operate and maintain production support equipment. Complete daily paperwork as required and applying proper documentation practices. Confirms and documents materials used in manufacturing processes. Perform inspections of products for non-conforming conditions Correctly identify and label products Understand and adhere to quality requirements. Communicate effectively with team members, leaders, and supervisors. Support and perform tasks related to startup, changeover, cleaning, and shutdown of work areas and equipment. Maintain a clean and safe work area. Ensure proper sanitation procedures are adhered to. Interpret and adhere to all Standard Operating Procedures Comply with all company Quality, HACCP, GMP and Food Safety Standards Comply with all company safety policies and procedures. Other duties as assigned.Customer Service RepGDKN Corporation-FL, JacksonvilleJuly 2022 to May 2023Created a new customer database by entering customer information into a database Handled customer inquiries, answered questions, and resolved problems in a timely manner Kept accurate records of all interactions, including customer names, addresses, phone numbers, credit card information, and product salesCustomer Service Representative LeadTeleperformance-MerrillvilleJanuary 2016 to July 2022Created a new customer database by entering customer information into a database Reduced average call duration by 58%Developed a better understanding of the company's product offerings, creating greater enjoyment of the store's merchandiseReduced complaints by 40%Housekeeping Attendant Lead/GroundsKeeperRadisson Hotels Americas-Merrillville, INJuly 2013 to January 2016Created a team culture of exceeding customer expectations, exceeding all company performance goals and standardsUpheld the highest standards of cleanliness and staff conduct and reduced complaints by 60% Mows lawns, trims weeds, and rakes leaves as assigned. Picks up and removes trash prior to mowing a designated area. Empties trash and recycling containers.Trims bushes, shrubs, and hedges.Prepares soil and plants flowers, bushes, hedges, or shrubs. EducationDiploma in General StudiesDenison High School - Denison, IAJanuary 2012 to May 2013Skills Microsoft wordCustomer ServicePower pointLeadershipsCommunicationEmpathyActive listeningproblem-solving Data Entry Sales Customer service Sales Computer skills HIPAA Groundskeeping Communication skills Microsoft Outlook Microsoft Excel Maintenance Mechanical knowledge Facilities maintenance Plumbing HVAC Electrical experience Custodial experience Commercial cleaning Janitorial experience Cash register Floor careCertifications and LicensesDriver's LicenseNon-CDL Class CCertified Coding Associate

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