Experience

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  CareFirst BlueCross BlueShield

  • Baltimore, Maryland Area

  • Sr. Customer Service Advisor

    • Nov 2016 - Present
    • Baltimore, Maryland Area

    • Quote benefits• Resolve provider inquiries• Process premium payments• Verify eligibility and product selections• Assist members with locating providers• Assist members with customer complaints and appeals• Answer and resolve billing inquires for premiums and/or claims• Assist policyholders/members with eligibility and product changes• Answer general questions surrounding healthcare policies for CareFirst BCBS – CD SBU.• Perform Initial 3 Way Calls for the “Patient Centered Medical Home” Program• Applications and case maintenance will be performed utilizing: SIR, Facets, CD Hub, FileNet, Wiki, Vendor: Further • Record all conversations with clients with details of inquiries or complaints and action steps that were taken.• Understand the company’s insurance policies and products and be able to tell whether a policy covers a type of loss or not.• Call up customers who had previously called to complain to know if their challenges have been resolved and to ensure that they are now satisfied.• Forward all filed claims to the appropriate department for handling and investigation.

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  Maryland Department of Health

  • 6 St. Paul st

  • Office service clerk

    • Sep 2010 - Oct 2016
    • 6 St. Paul st

    • Serve as an Office Service Clerk for The Maryland Health Connection, Family Planning, Qualified Healthcare Plan, Qualified Medicare Beneficiary and Primary Adult Care OES Eligibility Determination Division. • Performed a range of clerical duties, including managing inbound and outbound phone calls• Process applications received for Medical Assistants. Applications include single adults, annual redeterminations, and perform ongoing case maintenance as required. Applications and case maintenance will be performed utilizing the DHR CARES computer program and Maryland Health Benefit Connection HXB System. Applications and documents will be scanned into the ECMS and ACS system along with other duties. • Mail daily and monthly notices to applicants explaining their status. • Resolve problems by assisting eligibility determination.

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  Maryland Department of health and mental hygiene

  • Essex, Maryland

  • CSC/ Census

    • Jul 2009 - Jul 2010
    • Essex, Maryland

    Took part of the “Operational Test and Dry Run” (OTDR) for the 2010 Census forms processing at the BDCC. Essential Job Functions: Unload mail from trucks, transfer mail to carts, prepare mail for sorting and move carts of mail and forms throughout the facility. Work on a team operated high speed mail sorting machines. Prepare forms by removing them from envelopes, smoothing folds and creases, removing unneeded material and place prepared forms in boxes for scanning, Operated high speed image scanning machines. Perform key from image data entry. Check out all scanned forms using electronic bar code scanners and load completed forms into boxes and onto carts for storage.Data Entry (KFI) 30wpm and 7800kph Numeric/6800kph Alpha

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  Dreyer's Grand Ice Cream

  • Laurel, Maryland

  • Relief Operator

    • Aug 2005 - Apr 2008
    • Laurel, Maryland

    Supervise and coordinate 15 staff members working in manufacturing line production. I cross-trained and assisted in all business aspects by writing production schedules, attending production strategy meetings, and calculating production statistics. Safely operate all facility equipment: conveyors, sorting, and extrusion machinery. Maintain, monitor, test, changeover and troubleshoot equipment to optimize productivity, safety and quality. Assist with material handling: load and unload material, monitor quantity and quality of raw ingredients and finished product; assist with material changeovers. Communicate relevant information to team members and management. Maintain and enforce highest housekeeping standards in all areas of the facility. Follow and enforce company and OSHA safety policies and procedures. I also functioned as Equipment Operator and Quality Inspector. I'm known for excellent communication skills and the ability to resolve conflicts and motivate staff.