Strong leader and problem-solver dedicated to streamlining operations to decrease costs and promote organizational efficiency. Uses independent decision-making skills and sound judgment to positively impact company success.
Overview
11
11
years of professional experience
Work History
General Manager
Sonic Drive-In
03.2022 - Current
Introduced new methods, practices, and systems to reduce turnaround time.
Implemented operational strategies and effectively built customer and employee loyalty.
Developed and maintained relationships with customers and suppliers through account development.
Maximized efficiency by coaching and mentoring personnel on management principles, industry practices, company procedures, and technology systems.
Maintain Daily Operations of Resturant
Cusomer service representative II
CENTENE CORPORATION
01.2022 - 03.2022
Resolve customer inquiries via telephone and written correspondence in a timely and appropriate manner
Reference current materials to answer escalated and complex inquiries from members and providers regarding claims, eligibility, covered benefits and authorization status matter
Aid members and/or providers regarding website registration and navigation
Educate members and/or providers on health plan initiatives Provide first call resolution working with appropriate internal/external resources and ensure closure of all inquiries
Document all activities for quality and metrics reporting through the Customer Relationship Management (CRM) application
Process written customer correspondence to the appropriate level of follow-up in a timely manner
Research and identify processing inaccuracies in claim payments and route to the appropriate team for claim adjustment
Identify trends related to member and/or provider inquiries that may lead to policy or process improvements that support excellent customer service and impact quality and performance standards
Work with other departments on cross functional tasks and projects
Maintain performance and quality standards based on established call center metrics including turn-around times.
Inbound contact represenative ii
humana corporation
04.2020 - 12.2021
Addresses customer needs which may include complex benefit questions, resolving issues, and educating members
Records details of inquiries, comments or complaints, transactions or interactions and takes action in accordance to it
Escalates unresolved and pending customer grievances, complaints, appeals, and disputes from providers
Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion
Assisted with enrollment, eligibility, and pre authorizations for Medicaid policyholders, and providers.
Account Research Specialist II
TOTAL SYSTEMS
04.2018 - 11.2021
Researches and responds to customer requests via mail, email, fax and other means pertaining to cardholder/corporate accounts and ensures compliance with client, regulatory, and Association rules and regulations
Utilizes extensive knowledge of banking products and services to research, update and document cardholder accounts
Recognizes potential fraud, credit, collection and chargeback issues and forwards them to the appropriate department
Performs routine updates and documentation (e.g
Name/address changes, returned mail, etc.) of cardholder/corporate accounts
Begins to utilize knowledge of client products and services to research, update, and document moderately complex (i.e., low financial/compliance risk related) cardholder requests as directed; researches credit balance refunds, payments, fees, cash advance options, etc
Follows client policies and procedures to validate report disputes and remove/update inaccurate information from appropriate credit bureau systems
Determines/recognizes basis of cardholder requests that involve potential fraud, credit, Collection or chargeback issues and forwards to the appropriate department for resolution
Picks up, reviews, sorts, digitally scans, and distributes mail for appropriate action.
Manager l
ROAD AMERICA
01.2013 - 04.2017
Handles the daily operations of individual teams in a productive manner to maintain contracted client performance standards
Monitors the time and attendance and adherence of policy for team members to include any necessary training
Coaches, develops and counsels existing team member to higher performance
Hires new team members
Conducts training for customer service processes for team members, clients, and merchants (as applicable)
Reinforces training (post classroom or on the job) through day-to-day interactions
Meets with Clients and Leadership team to participate in call quality calibration and operations meetings to understand Client needs and deliver to expectation
Collaborates with the Account management and/or other teams to ensure contractual requirements are met
Educates team members on quality assurance and productivity
Monitors work queues, assigns daily work, and verifies completion to achieve service level standards
Adjusts daily staffing work plans to meet business needs as changes occur
Creates and adjusts staff schedules to effectively manage volumes
Recommends changes in work processes to increase productivity and efficiency
Audits agent system activity to ensure policy compliance
Manages escalated Customer issues that are not resolved at the agent level
Provides recommendations to reduce and/or eliminate issues that impact overall service quality
Tracks and reports to appropriate teams for further research and action
Suggests improvement to products and services for future needs.