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Title Case Management Customer Service
Target Location US-AL-Birmingham
Email Available with paid plan
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DONNA DOEMAIL AVAILABLEPROFESSIONAL PROFILEExtensive experience in customer service, case management and resolutions by handling difficult situations with adaptability and resourcefulness. Investigate and process analysis procedure with excellent critical thinking skills, also adept in finding innovative solutions to complex problems.EXPERIENCE06/2024 to present10/2023 to 05/202401/2021 to 6/2023Self  employedBeauty IndustrySurge Support AnalystDeloitte ConsultingCompiles, reviews and analyzes documents and case management reportsAnalyzes and processes complex Medicaid cases by investigating and gathering information to determine the appropriate action plan within a timely resolution or facilitate the case to the appropriate department.Evaluate data from electronic sources to enter information into computer eligibility system to make corrections and adjustments as neededObtain and evaluate information provided by applicants and compute benefits based on eligibility determinationApply and explain detailed regulations and policies and perform arithmetic functionsMedicaid Eligibility SpecialistAlabama Medicaid AgencyProcess new applications and annual redeterminations for Medicare Savings Programs and Family Certification Program for Alabama Medicaid AgencyInterpreting, applying and communicating regulatory guidance to make determination of applicant's eligibility based upon established criteria in compliance with State and Federal laws, rules, and regulationsInvestigate, contact, and verify the accuracy of information provided by clients under the Medicaid Programs to determine eligibilityEffectively handle active telephone calls, determining the identity of the caller, obtaining needed information, and responding to caller questions or requestsProperly diagnose customer needs and proactively educated them about the features and benefits of the agency and services.Liability changes and update budget for Nursing Home casesCross trained in multiple departments to know all agency needs and train new employees.01/2016 to 07/2017Co-ManagerCitgoAssist in various human-resource-related activities, including but not limited to coaching, counseling, and performance managementPerform effective coaching and mentorship to various associates in an impactful, collaborative, and consultative mannerRecognize forthcoming customer initiatives and awareness of market trends to keep up with local competitorsEstablish effective customer and supplier relationship by ensuring efficient merchandise on the sales floor and in the stock roomAssist with the general maintenance and appearance of the store by ensuring a safe and pleasing environment for both customers and associates01/2010 to 12/2015ManagerMarathonAdminister the onboarding process of newly hired employees and first day orientation to acquaint them with the companys operational procedures and policiesPerform effective formal/informal coaching and mentorship to various associates at all organizational levels in an impactful, collaborative, and consultative mannerAccountable for store cash and all other financial assets, reconciling cash register drawers, preparing deposits, and ordering change from the bankAssist with the general maintenance and appearance of the store by ensuring a safe and pleasing environment for both customers and associatesFinancial research and evaluation by analyzing operating reports and updates superior on business performance, new initiatives, and make recommendations for changes and improvementUniversity of Alabama at BirminghamBachelor of Science- PsychologyMinor in MarketingEDUCATION

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