Charmaine M.
Customer Advocate at SunFire- Claim this Profile
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Bio
Experience
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SunFire
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United States
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IT Services and IT Consulting
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1 - 100 Employee
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Customer Advocate
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Jun 2023 - Present
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Grand Prairie Services
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17746 Oak Park Ave
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Pre - Authorazation Specialist
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Mar 2022 - Present
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The Owens Group, Inc.
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United States
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Insurance
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1 - 100 Employee
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Disability Case Manager
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Nov 2019 - Feb 2022
Analyze medical, psychological, psychiatric, educational and vocational evidence to properly determine the level of claimant’s impairment and the correct onset date. Can properly understand and evaluate disability claims with the ability to apply federal and state laws and/or requirements for client's specific disability plan. Analyze medical, psychological, psychiatric, educational and vocational evidence to properly determine the level of claimant’s impairment and the correct onset date. Can properly understand and evaluate disability claims with the ability to apply federal and state laws and/or requirements for client's specific disability plan.
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Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas
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United States
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Hospitals and Health Care
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700 & Above Employee
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Customer Advocate II - SSD
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Jul 2018 - Nov 2019
~Provide outstanding customer service and communication to clients while exceeding expectations. ~Strive for first call resolution by applying the ability to think outside the box. ~Adjust and process medical claims submitted by healthcare providers. ~Provide prompt accurate thorough and courteous responses to all client inquiries. ~Perform research as needed to resolve customer inquiries. ~Provide outstanding customer service and communication to clients while exceeding expectations. ~Strive for first call resolution by applying the ability to think outside the box. ~Adjust and process medical claims submitted by healthcare providers. ~Provide prompt accurate thorough and courteous responses to all client inquiries. ~Perform research as needed to resolve customer inquiries.
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Baker and McKenzie LLP
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Greater Chicago Area
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Quality Review Assistant
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Jun 2016 - Nov 2017
•Review draft bills and final invoices. •Ensure compliance with Global Time Entry Standards and Billing Policies. •Perform quality review of time records for grammar, spelling, rates and correct client/matter. •Research accuracy of client billing information and client billing addresses. •Effectively respond to partner/client/billing coordinator inquiries and special projects. •Conduct department audits to ensure invoices are prepared in accordance with Firm Standards. •Other duties and projects as assigned. Show less
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JPMorgan Chase & Co.
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United States
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Financial Services
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700 & Above Employee
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Case Manager
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Jul 2013 - Jun 2016
•Responsible for providing customer service for employees who need to take a leave of absence from work. •Handle calls/and or emails from employees, Managers and or Medical Physicians on a daily basis. •Determine the type of disability an employee qualifies for. •Consult with managers and doctors •Performed and kept an account of data for FMLA claims and STD Claims. •Make independent decisions on a regular basis, but will consult with Supervisors. •Ability to handle complex and often sensitive situations and employees. Show less
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Comcast
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United States
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Telecommunications
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700 & Above Employee
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Customer Account Executive
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Dec 2007 - Sep 2009
•Elicits and records customer information and inquiries while following prompts from a computerized system. •Troubleshoot and resolve technical problems over the phone. •Interacts with customers to maximize the experience. •Demonstrates the ability to articulate relevant information and directions in an organized and concise manner. •Demonstrated ability to establish and maintain effective relationships with customers. •Effectively gaining the customer's cooperation to work through the troubleshooting process, while delivering the Comcast experience. •Documented all processes used to correct issues, that reported consistent problems to the escalation agent. •Proactively learned new technologies within the Comcast products while preparing work orders when required during appropriate procedures. Show less
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Education
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Chicago State University
Bachelor of Arts (B.A.), Education -
Robert Morris University
Associate's degree, Computer Science