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Email: EMAIL AVAILABLE Phone: PHONE NUMBER AVAILABLE LinkedIn: LINKEDIN LINK AVAILABLEPROFESSIONAL SUMMARY:Detail-oriented individual with experience in developing detailed analytical reports, managing multiple projects, and performing consumer/provider outreach. Skilled in communication, workflow prioritization, organizational management, social media, and CRM administration. Experienced trainer, Campaign and multicultural consumer engagement, SQL, and Claims. Strong decision-making and problem-solving abilities.RELATED SKILLS:Strong written and verbal communication skills  Highly motivated and a self-starter  Prioritization of workflow  Strong organizational skills  Experience with excel for data organization  Retail Marketing, Campaign and multicultural consumer engagement, and social media  CRM administration  Strong decision-making and problem-solving abilities  Knowledge of SQL, Claims, Sellpoint, Diamond, Quest, CMCA, Salesforce, Siebel, EIP, PIP, RBMS, Client Letter, PIMS, Blues Enroll, Bill Trust, Prime, Members Edge, ICB, Blue Squared, Adobe Express, Canva Waypoint, Mellon, PSP, Edifics, ITS, RSA Archer, Nasco, PAIS, RBMS, JIVA, Salesforce, SalesConnect, Agentpoint, Client letter, Prime, ACA and Pre-ACA business  Proficient in Microsoft Word, Microsoft Outlook, Access, Microsoft Excel, Microsoft Power Point, Intranet Navigation, Query, SharePoint, PIMS, QuickBooks, Experience with CMS Audit files and 1095 updates, PAIS, JIVA, PIMS, RBMS, PCM, Legacy, Blue Squared, Claims Repository, knowledge of Florida Blues health ancillary products, and system.PROFESSIONAL EXPERIENCE:BLUE CROSS BLUE SHIELD OF FLORIDA, Jacksonville, FLSpecialist IIIa Jan 2024 - PresentAdd New Groups and update existing groups on MBI Storyboard for all HMIG groups.Run Reporting for and submit monthly reports to partner for HMIG filings within 3 days.Compile submit and track all HMIG group filings -1 quarter  3 weeks MBI upload.Work any pended claims for HMIG group filings.Escalate Pend issues as needed to Analyst III position.Keep Issue tracking log up to date for regular staff meeting discussion, escalate long-standing issues for immediate attention.Keep log of manual components and socialize for tracking and credit issuing manual credit components and escalate manual credits needed on a monthly/weekly basis.Identify and socialize any process improvement ideas during regular staff meetings.Manage Subrogation Process include claims and correspondence.Sales Support Specialist June 2020- Jan 2024 Analyzed, interpreted, and maintained data structure of custom and non-standard groups. Collaborated with applicable business partners to ensure timely processing of new sales, renewal, and maintenance files. Utilized a systematic approach to find facts and available information to analyze and develop logical assumptions. Created, summarized, analyzed, modified, validated, and prepared data, and reconciled sales data for non-standard strategic accounts.Manage and plan mailbox management of MHP/ MV testing and maintain results, provide results and reporting of data.EM& B Transaction Advocate IV October 2013- June 2020 Performed billing and account maintenance adjustments, maintain Customer experienceResearched account inaccuracies and bill adjustments as needed, performed data collectionCompleted special projects including but not limited to PSP updates Edifics errorsVOLUNTEER ACTIVITIES: Tomorrows Leaders Today Award- 1995, President Clinton Summit for Volunteerism State Delegate 1997, Excel Church- 2006- present,Florida Blue Foundation June 2024-presentGrant ReviewerApplication reviews orientation of the Foundations grant management system and the application review.Review the application in detail as well as the criteria for scoring each application and the dates for all deliverables.Review applications will be sent prior to the orientation for review and to discuss during the orientation.Parent Advocate, Jacksonville Public Education Fund 08/2019- 05/2020Teaches parents/caregivers who want to improve the lifelong health of Jacksonville safety and learning of children.Training to become civic leaders in civics and democracy of the Jacksonville Community.ASPIRE Community Marketplace Director, GuideWell- 2018- PresentWorks with board and/or partners with peer COMMUNITIES to develop and maintain plans for key initiatives related to the marketplace as relevant to objectives identified for COMMUNITY.Research, aggregates, and understands affinity-based customer experience, presents information, and recommends solutions to the board.Seeks out relationships and potential opportunities for COMMUNITY to integrate with initiatives led by areas like Health Insurance Markets, Customer Experience, Brand, Social Media, Member/Provider Communications, Delivery System, IMI, business units like GuideWell Connect, GuideWell Source, and GuideWell Health, etc. Establishes committees to engage COMMUNITY members in planning and execution of specific initiatives.Manage social media campaigns for employee resource group including but not limited to Linked In, Twitter, Facebook, and Instagram. Respond to emails and social media inquiries for ASPIRE.