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Customer Service Managed Care

Location:
Crown Point, IN
Posted:
August 02, 2024

Contact this candidate

Resume:

Leonard Brooks

Crown Point, IN *****

ad7ptv@r.postjobfree.com

+219*******

Outgoing and friendly customer service representative with 11+ years of experience providing incomparable customer service and maintaining a polite, friendly, and professional demeanor Authorized to work in the US for any employer

Work Experience

Eligibility Specialist

Knowledge Services-Crown Point, IN

November 2023 to Present

Execute managed care enrollment tasks using the Welfare Management System (WMS)

• Review enrollment concerns through WMS, and other State Medicaid Data systems.

• Assess managed care issues within the State of Health framework and determine subsequent actions

• Collaborate with local district, State Department Of Health and Enrollment Broker personnel to address managed care issues

• Adhere to all standards specified for this role as outlined in the corresponding annual performance criteria and bonus template

• Perform managed care enrollment activities on the Welfare Management System (WMS)

• Review enrollment issues using WMS, eMedNY and other State Medicaid Data systems

• Evaluate State of Health managed care issues and make next step determinations

• Interact with local district, SDOH, eMedNY and Enrollment Broker staff to resolve MC issues

• Meets all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position

Bottling Technician

Albanese Confectionery Group-Merrillville, IN

June 2023 to November 2023

• Provide operational support to maintain production flow of operational work areas.

• Works cooperatively and effectively with fellow team members.

• Operate and maintain production support equipment.

• Complete daily paperwork as required and applying proper documentation practices.

• Confirms and documents materials used in manufacturing processes.

• Perform inspections of products for non-conforming conditions

• Correctly identify and label products

• Understand and adhere to quality requirements.

• Communicate effectively with team members, leaders, and supervisors.

• Support and perform tasks related to startup, changeover, cleaning, and shutdown of work areas and equipment.

• Maintain a clean and safe work area.

• Ensure proper sanitation procedures are adhered to.

• Interpret and adhere to all Standard Operating Procedures

• Comply with all company Quality, HACCP, GMP and Food Safety Standards

• Comply with all company safety policies and procedures.

• Other duties as assigned.

Customer Service Rep

GDKN Corporation-FL, Jacksonville

July 2022 to May 2023

Created a new customer database by entering customer information into a database Handled customer inquiries, answered questions, and resolved problems in a timely manner Kept accurate records of all interactions, including customer names, addresses, phone numbers, credit card information, and product sales

Customer Service Representative Lead

Teleperformance-Merrillville

January 2016 to July 2022

Created a new customer database by entering customer information into a database Reduced average call duration by 58%

Developed a better understanding of the company's product offerings, creating greater enjoyment of the store's merchandise

Reduced complaints by 40%

Housekeeping Attendant Lead/GroundsKeeper

Radisson Hotels Americas-Merrillville, IN

July 2013 to January 2016

Created a team culture of exceeding customer expectations, exceeding all company performance goals and standards

Upheld the highest standards of cleanliness and staff conduct and reduced complaints by 60% Mows lawns, trims weeds, and rakes leaves as assigned. Picks up and removes trash prior to mowing a designated area. Empties trash and recycling containers.

Trims bushes, shrubs, and hedges.

Prepares soil and plants flowers, bushes, hedges, or shrubs. Education

Diploma in General Studies

Denison High School - Denison, IA

January 2012 to May 2013

Skills

• Microsoft word

Customer Service

Power point

Leaderships

Communication

Empathy

Active listening

problem-solving

• Data Entry

• Sales

• Customer service

• Sales

• Computer skills

• HIPAA

• Groundskeeping

• Communication skills

• Microsoft Outlook

• Microsoft Excel

• Maintenance

• Mechanical knowledge

• Facilities maintenance

• Plumbing

• HVAC

• Electrical experience

• Custodial experience

• Commercial cleaning

• Janitorial experience

• Cash register

• Floor care

Certifications and Licenses

Driver's License

Non-CDL Class C

Certified Coding Associate



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