YULANDA HARRIS

**** ******* *****

Perth Amboy, NJ 08861

Home: 732-***-****

Email: aceq1l@r.postjobfree.com

OBJECTIVE:

To secure a position in the Insurance/Customer Service field that offers growth and advancement.

TECHNOLOGIES:

Medical: HIPAA Certified, ICD-9-CM & CPT-4 Coding, Medical Terminology, Transcription, Insurance and Claim Forms, and Medisoft

Software: Advanced Microsoft Office 2003/2007 Professional Suite (Word, Excel, Access, Outlook, PowerPoint), Windows XP/Vista, Web Design using HTML 4

Languages: HTML

SOFT SKILLS:

Effective user of technology (Microsoft Office and MediSoft software); Keyboarding (55 wpm); Demonstrates honesty and integrity at all times; Strong multi-tasking capabilities with a high degree of flexibility; Solid analytical skills; Ability to work effectively with people in a courteous and effective manner; Team player with the ability to organize a team.

EXPERIENCE:

Chubb Group of Insurance, Whitehouse Station, NJ 09/2011- 10/2013 Personal Lines Assistant

Handled a high volume of inbound calls, email requests, and customer inquiries in a fast environment

To contribute to established service goals, while using business, product as knowledge to ensure quality on all transactions.

Consistently met department service standards for call center productivity by achieving minimum average work/availability phone system and non-phone related work results in ensure availability to provide quality customer service.

Consistently contribute to department customer service goals by providing professional comprehensive service and achieving high levels of customer satisfaction, which focuses on business needs of each customer and delivers One Call Resolution.

Drive customer satisfaction by adhering to department service response guidelines for requests, using established workflow and escalation procedures and collaborating with internal/external customers to ensure processing of quotes and policy changes within department standards.

Performed various job functions or projects as assigned by team specialists or supervisors.

LOGISTICARE, Edison, NJ 09/2010-07/2011

Assistant Transportation Coordinator

Expeditiously scheduling, routing and dispatching of trips for clients.

Trouble-shoot coordination of patient public transportation needs.

Implement the volunteer driver/gas reimbursement program resulting in savings to the providers and firm.

Efficiently liaise between the transportation providers and health care facilities to resolve issues of varying complexities.

Cohesive communications with all office staff in pursuit of superior customer service.

HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY, Newark, NJ 2/2008-5/2009

Grievance Specialist II

Responsible for the efficient work flow of the appeals process while ensuring that timeliest, guidelines and accuracy stands are met.

Coordinates and Manages oral and written communications with dental network managers, provider offices, and members regarding denials, appeals, and review.

Investigates and resolves complicated appeals, coordinating with the legal department as necessary.

Prepares and presents appeals to Appeals Committee in accordance with Dental Policy, and coordinating with independent Utilization Review Organization.

HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY, Newark, NJ 8/2006-2/2008

YULANDA HARRIS

1092 Andrews Drive

Perth Amboy, NJ 08861

Home: 732-***-****

Page 2

Dental Claim Specialist

Provide timely and accurate customer service through routine telephone inquiries and written correspondence

Answers written and telephone inquiries from providers, subscribers group and internal customers regarding dental claims.

Communicates on the telephone or in writing with customers, providers, groups, co-workers and other source to gather additional information, resolve issues and to complete claims adjustments.

Effectively communicates information and actively listens to customers and co-workers in an effort to provide world class customer service internally and externally.

DELTA DENTAL PLAN OF NEW JERSEY, Parsippany, NJ 8/2003-8/ 2006

Customer Service Agent

Advised subscriber/provider inquires for their Dental Benefits while meeting the department goals.

Advised subscribers on the 800 lines concerning their group plan with the company.

Answer benefit inquiries, resolve claim issue for the provider, and handle eligibility questions.

Explained guidelines of dental claims to subscribers and providers.

Maintain above target through production and quality from monthly stat report and recognized through management.

UNITED STATES ARMY, Korea 1995-1997

Unit Supply Specialist

EDUCATION:

Middlesex County College, Edison, NJ 03/2010-05/2010 Certification: Computerized Medical Coding and Billing

Middlesex County College, Edison, NJ 05/2010-08/2010

Certification: Microsoft Office User Expert

Middlesex County College, Edison, NJ 01/2005-05/2005

Certification: Liberal Arts

St. John?s University, Staten Island, NY 08/1994-05/1995

Certification: Business Management

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