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Customer Service Case Manager

Location:
Tampa, FL
Posted:
September 23, 2024

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Resume:

Julie Buckner **** E Idlewild Ave, Tampa, FL, ****0 813-***-****

ad8yes@r.postjobfree.com

234.11 Mbps, Hardwired Connection

Career Objective:

To bring my management experience and unparalleled creativity to a new organization and secure a position where I can begin a new career.

Summary of Qualifications

I have worked as a case manager and have experience communicating with individuals and assisting them with assessing their needs. I have excellent verbal and written communication skills. I have five years of supervisory experience and work well under pressure. I possess a Florida 2-15 Insurance license. In addition, I have 8 years of experience as a server in a casual dining atmosphere. In total, almost all of my work experience has related to serving others, providing me with a strong customer service background, as well as excellent problem solving skills. I am very motivated and an extremely fast learner. Professional Experience

Customer service representative, KG call center, Tampa, Florida 9/12/2023-3/2024

● Assisting individuals with enrolling into Marketplace health insurance plans.

● Gathering information to complete an application and determining if individual qualifies for a premium tax credit.

● Filtering plans to find what is most suitable to specific needs.

● Answering questions and helping customers understand the annual enrollment process. Warehouse Associate, Pacesetters, Tampa, Florida 5/1/2023-8/1/2023

● Working on short term projects in warehouses and on Construction sites.

● Working with a small team and coming up with a plan to efficiently complete the project at hand. Sales Agent, TogetherHealth, Tampa, Florida 9/12/2022-3/3/2023

● Enrolling individuals in Medicare Advantage plans

● Both inbound and outbound calls.

● Completing a thorough needs analysis and pitching a plan appropriate for the individuals needs.

● Meeting performance metrics.

Point of contact, Rep for Vets, Tampa, Florida, 5/2021-12/31/2021.

● Responsible for overseeing approximately 250 clients appealing decisions from claims requested through the Department of Veterans Affairs.

● Acted as a liaison between the attorney and clients.

● Obtained medical records and other important evidence for claims.

● Answered client questions and reviewed correspondence from the Department of Veterans Affairs. M & B Products-Warehouse 2/2020-5/2021

● Loading boxes into the machine.

● Inspecting and overseeing machines for any issues Customer Support Representative, Verizon Wireless, Tampa, Florida, March 2018-August 2019

● Assisted customers with billing.

● Provided technical support for customers experiencing issues with a device.

● Provided education and made recommendations for upgrades. Sales Representative and closer, Great Vacations, Tampa, Florida, June 2016-March 2018

• Worked as a Representative giving individuals details of their promotional vacation package. Was promoted to take over and close calls.

• Trained representatives to set calls up correctly and use the most appropriate rebuttals. Sales Representative, KB Promotions, Tampa, Florida, December 2014-June 2016 Work in a call center registering customers for a complimentary cruise. • After registering customers, upsell vacation packages.

Customer Care Associate, Health Plan Services, Tampa, Florida, March 2014-September 2014

• Worked in a call center taking mostly inbound calls for Florida Blue.

• Assisted members with payments, answering general questions about their policies and directing them to appropriate department when necessary.

• Assisted members with making corrections to t hi toheir policies and directing them on what steps to take to make changes to policies.

• Documented the reason and outcome of each call.

• Further developed multi-tasking skills as the call volume could require taking up to 90 calls per day. Administrative Assistant, Creative Inflation, Tampa, Florida, April 2013-Janurary 2014. Worked for an entertainment company which focuses on balloon artistry and face painting, answering phone calls and emails regarding services.

• Answered questions and negotiated prices for services.

• Typed and emailed entertainment contracts to customers, and followed up with reminders a few days prior to the party or event.

• Kept track of inventory and ordered supplies as needed. Case Manager, Lynk Services, Tampa, Florida, October 2003-March 2013.

• Assisted consumers of the Medicaid Waiver to identify and apply for needed services.

• Assisted consumers with finding providers for approved services and ongoing monitoring of service providers.

• Helped consumers with getting services not paid for by the waiver through other sources, such as Medicare or Medicaid.

• Entered budgets and service authorizations into the states system for approval.

• Visited consumers in their homes and in the community to assess satisfaction with providers and services.

• After four years of experience, went on to supervise and provide training to the eight other case managers who worked for the company.

Group Advisor, Tampa Bay Academy, Tampa, Florida, October 2001-September 2003.

• Assisted patients to identify problems and develop appropriate coping strategies.

• Helped provide a stable and safe environment for the patients.

• Worked to provide structure and help patients accept the consequences of their actions.

• Observed and recorded data related to the behavior of the patients. Direct Care, Reach Inc., Bozeman, Montana, April 2001-August 2001.

• Assisted residents in daily aspects of living.

• Monitored residents performances in specifically developed programs geared toward helping them attain more independence.

Server, Holiday Inn Executive Center, Columbia, Missouri, May 1997-March 2001.

• Worked in the restaurant of the hotel, serving guests food and beverages.

• Occasionally worked in the night club of the hotel, serving beverages. Server, George’s, Columbia, Missouri, September 1992-March 1997.

• Worked in a family owned restaurant, serving guests food and beverages. Education

Bachelor of Arts-Psychology, University of Missouri, Columbia Missouri, 1995



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