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Benefits Specialist Support Staff Resume...
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Title Benefits Specialist Support Staff
Target Location US-NC-Lumberton
Email Available with paid plan
Phone Available with paid plan
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Candidate's Name
Lumberton, NC Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLEProfessional SkillsAnalyzing technical, operational, and administrative functions to recommend process improvements or increase program effectiveness. Skill in web-based navigation, virtual communication platforms, and common Microsoft Office applications.Extensive knowledge of the FACETS and AWS platform.Bilingual in conversational Tagalog. Interact effectively in situations where frequent changes, delays, or unexpected events arise and cause major shifts in priorities, timetables, or work assignments. Provide direction, guidance, or instruction to support staff or new professional staff. Working knowledge of HIPAA privacy rules and regulations. Persuade others to adopt new methods, procedures, or techniques to improve operations.Work ExperienceMedicaid Enrollment and Benefits SpecialistIndotronix International CorporationRemoteAugust 2022 to May 2024Assists with the processing of Medicaid, Food Stamp (SNAP), and other government assistance program applications for the New Mexico and State of Louisiana Human Services Department.Reviews eligibility criteria for potential applicants.Documents pertinent client information in multiple system platforms in a compliant manner.Reviews and identifies incorrectly processed applications, fixes the errors, and/or reprocesses the applications according to department guidelines. This may include initiating and documenting the application to completion.Identifies and reports potential fraud and abuse situations.Special Assets Collections RepresentativeTruist BankLumberton, NCNovember 2019 to July 2021Negotiated payment arrangements with borrowers, including offering suggestions as to how they could meet their obligations, propose alternative payment methods, and establish payment guidelines.Advised borrowers in devising a strategy to allow them to keep their vehicle while meeting the obligations of the loan.Accurately documented account information and collection activities.Located customers using databases and references (Skip Trace).Benefits Verification SpecialistBlue Cross and Blue Shield of North CarolinaFayetteville, NCOctober 2017 to October 2019 Processed changes to, reinstatement of, verification, and cancellation of insurance policies using the FACETS system. Compiled data on insurance policy changes. Compiled data on lapsed insurance policies to determine automatic reinstatement according to company policies. Received inbound calls from members to assist with questions regarding their healthcare coverage.Rental Sales AgentILM TransportationFayetteville Regional AirportFebruary 2016 to February 2017 Drafted car rental contracts for customers and was also able to successfully upsell insurance coverage and upgrade options which generated additional revenue for the company. Verified that all vehicles were accounted for with no damage at the end of the day. Created and maintained end-of-business-day sales reports.Team LeadProcall SolutionsBatangas, PhilippinesJanuary 2010 to January 2011 Supervised a team of 15 call center agents. Assisted with payroll processing. Interviewed potential candidates. Maintained quality control by monitoring phone calls and ensuring the security of all sensitive client data. Resolved customer complaints.EducationBachelor's degree in PsychologyFayetteville State University -Fayetteville, NCGraduation in December 2024Associates degree in General Education with a concentration in Business AdministrationFayetteville Technical Community CollegeFayetteville, NCJanuary 2013 to May 2017GPA 4.0Associates degree in ArtsFayetteville Technical Community College -Fayetteville, NCJanuary 2013 to May 2016GPA 4.0Member: Phi Theta Kappa Honor Society

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