Chelsea St Fort
Athens
Summary
Results-driven Client Operations Specialist with a strong background in healthcare administration, insurance, and client service. Proven ability to streamline processes, improve client satisfaction, and manage high-volume client accounts. Experienced in utilizing Salesforce and other CRM tools to optimize workflow and retention. Licensed in health insurance across four states and currently pursuing a Bachelor of Science in Cloud Computing at Western Governors University, with an expected graduation date of June 2027. Adept at problem-solving, project coordination, and ensuring compliance with HIPAA regulations.
Knowledgeable Client Operations Specialist with strong background in operations management. Proven track record of optimizing workflows and implementing process improvements to enhance efficiency. Demonstrated expertise in team collaboration and problem-solving to achieve operational goals.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Client Operations Specialist
Allied Benefit Systems
11.2021 - Current
- Managed up to 200 client files, ensuring accurate documentation and monthly follow-ups
- Assisted members in finding providers and understanding insurance details while ensuring HIPAA compliance
- Developed innovative solutions to complex problems, improving operational efficiency
- Served as a key point of contact for members with PPO plans, enhancing client acquisition and retention
- Streamlined internal processes, resulting in increased client satisfaction and improved workflow
- Oversaw day-to-day operations, delegating tasks appropriately to ensure smooth workflow and timely completion of projects.
- Boosted customer satisfaction, addressing client concerns in a timely and professional manner.
Client Service Representative
Empire Blue Cross Blue Shield (Anthem)
10.2019 - 11.2021
- Coordinated and verified all necessary project deliverables, ensuring timely completion
- Provided direct support to project leads by developing timelines, scheduling meetings, and documenting key decisions
- Assisted members with inquiries, resolving issues efficiently through collaboration with internal teams
- Executed and refined processes to ensure deliverables met schedule requirements
- Developed creative solutions to complex challenges, enhancing overall client experience
- Handled sensitive client information with discretion, ensuring confidentiality at all times.
- Delivered outstanding customer service by maintaining a professional demeanor during high-pressure situations.
Customer Service Representative
Walmart
03.2018 - 11.2019
- Coordinated the manager's interest, resources, production, and information requirements in operational planning to ensure effective management of personnel, equipment, and material to meet operational objectives
- Collaborated with team members to develop clear project goals and objectives
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Responded to customer requests for products, services, and company information.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
Education
Bachelor of Science - Cloud Computing
Western Governors University
06.2027
Skills
- Client Operations & Relationship Management
- Process Optimization & Workflow Improvement
- Health Insurance & HIPAA Compliance
- Salesforce & CRM Systems
- Project Coordination & Documentation
- Problem-Solving & Critical Thinking
- Customer Service & Retention Strategies
- Planning and coordination
- Project management
- Operational efficiency
Additional Information
Remote Work Experience, Strong Interpersonal & Communication Skills, Proven Track Record in High-Volume Client Management, Quick thinking to resolve client issues and minimize disruptions, Analytical skills to assess client needs and proactively offer solutions, Strong decision-making under pressure, Experience coordinating across departments to improve client experience
Certifications And Education
- Licensed Health Insurance Agent, 4 States
- Bachelor of Science in Cloud Computing, 06/01/27, Western Governors University
Certification
- Health Insurance License - State of Georgia
- Health Insurance License- State of Texas
- Health Insurance License- State of Louisiana
Timeline
Client Operations Specialist
Allied Benefit Systems
11.2021 - Current
Client Service Representative
Empire Blue Cross Blue Shield (Anthem)
10.2019 - 11.2021
Customer Service Representative
Walmart
03.2018 - 11.2019
Bachelor of Science - Cloud Computing
Western Governors University
Similar Profiles
Ashley CooperAshley Cooper
Customer Experience Specialist I at Allied Benefit Systems, LLCCustomer Experience Specialist I at Allied Benefit Systems, LLC
Simone DennySimone Denny
BILLING ADMINISTRATION MANAGER at Allied Benefit SystemsBILLING ADMINISTRATION MANAGER at Allied Benefit Systems
Amanda NolanAmanda Nolan
Supervisor, Customer Experience at Allied Benefit SystemsSupervisor, Customer Experience at Allied Benefit Systems