Customer Service Assistant
Resume:
Elise Lunsford
**** **** ***** **** *****, NC ***62
Contact: 336-***-****
Email: ablpz7@r.postjobfree.com
August 27, 2010
Dear Human Resource Department:
I understand you are currently accepting applicants for experienced
individuals. I am such a person. I am a highly qualified professional with
an extensive background working with the communities in various areas. I
have three years of experience in this field that has prepared me with the
skills necessary to perform at an exceptional level for the position you
are looking to fill. I have completed Early Childhood Credentials I & II,
as well I am currently completing a Bachelor's degree, and in addition I
have worked with the Rockingham County Department of Social Services
performing various jobs as related to eligibility and data entry.
The qualifications and professional knowledge I can bring to your
organization include:
. Team player
. Exceptional Organizational Skills
. Detail-oriented
. Exceptional Oral Communication Skills
. Exceptional Written Communication Skills
In review of your company's objectives and possible openings, I believe
that my experience is in perfect line with your current needs. If your
company is looking for a dependable, results-oriented professional with a
solid performance track, I would be interested in speaking with you to
discuss the value that my strengths and experience can bring to your
company. I can be reached in confidence at the above telephone numbers or
email address and I look forward to hearing from you.
Sincerely yours,
Elise Lunsford
Enclosure: Resume
Elise L. Lunsford
1227 Delk Drive
High Point, NC 27262
OBJECTIVE
A challenging and responsible position which would effectively utilize
prior experience, training and abilities, offering opportunities for
professional growth and advancement.
EDUCATION
High School
Rockingham County High School August 1996-June 2000
College
Rockingham Community College January 2001-July 2003
Strayer University October 2009-Present (January 2011)
Certifications
Early Childhood Credentials I & II
STRENGTHS
My hard work, dedication, and team player attitude are just a few of the
qualities that define my exceptional work ethic. My ability to adapt to
change in any environment, attention to detail, and ability to adhere to
performance outlines while maintaining a level of excellence are those
demonstrated in my daily duties and activities. I am driven by the ability
to help others and feel accomplished when my goals are.
EXPERIENCE
Aetna Health Insurance Company- Customer Service Representative
High Point, NC
August 2009-Present- Responsibilities included however not limited to the
following:
. Strong communication and problem-solving skills
. Exceptional written communication skills
. Answer questions and resolves issues based on phone calls/letters from
members, providers, and plan sponsors. Triage resulting rework to
appropriate staff.
. Knowledge of Procedure and Diagnosis Codes
. Document and tracks contacts with members, providers, and plan
sponsors
. Computer knowledge and experience
. Knowledge in Coordination of Benefits
. Knowledge and understanding of medical and mental health benefits
. Review claims to ensure correct processing
. Determines applicable coverage provisions and verifies member plan
eligibility relating to incoming correspondence and internal referrals
. Prompt handling of member request and commitments
. Attending scheduled training and meetings
. Completing required trainings promptly
. Ensuring member files are updated accurately and in a timely manner
. Punctual adherence to schedule
. Educate members of benefits and services available to them
. Meet performance goals set by company
United Healthcare- Health Advocate
Greensboro, NC
August 2006- June 2009- Responsibilities included however not limited to
the following:
. Assist members with receiving appropriate medical and mental health
services
. Advocate for the members when speaking for physicians and other
medical & behavioral health providers
. Traditional customer service duties such as corresponding with members
and physicians, assisting with benefits and claims, and ensure prompt
handling of claims.
Rockingham County Head Start-Teacher Assistant
Reidsville, NC
September 2004-June 2006-Responsibilities included however not limited to
the following:
. Plans and maintains a safe, clean, learning environment, and assures
the well being and safety of children in her/his care.
. Plans and implements activities with children between the ages of
three and five years, consistent with the curriculum provided and Head
Start mandated outcomes.
. Follows the Head Start Program Performance Standards, all RCCDC
policies and procedures, and the RCCDC written work plan.
. Supervises guides, and models appropriate behavior and teaching
techniques for teacher assistant and volunteers under her/his
supervision in the classroom.
. Maintains a cooperative attitude of working together with teacher
assistant, volunteers, parents, and program specialists in planning
and implementing classroom activities.
. Plans and implements daily activities that engage children in
literacy, language, and math activities using songs, books, and games
that are integrated with the theme/topics.
. Maintains accurate and current assessment information noting child's
progress across all developmental domains utilizing anecdotal notes
and/or examples of children's work.
. Accurately completes all paperwork, including home visit forms,
parent/teacher conference forms, lesson plans and transition forms.
. Reviews child's master file, documents parent contact, and files
paperwork upon completion.
. Develops and implements weekly lesson plans that are consistent with
the program curriculum and pre-K guidelines.
. Implements behavior plans designed by the mental health specialist
and/or resource teacher and reports on the effectiveness of the plan
after sufficient time for implementation.
. Observes children to detect signs of illness, injury, emotional
disturbance, learning disorder, speech problem, or other special need
and reports these signs immediately to the center director for needed
follow-up.
. Observes children for any suspected or disclosed signs of child abuse
or child neglect and reports them immediately to the center director
or person in charge in accordance with the RCCDC Child Abuse/Neglect
Reporting Policy and Procedures.
. Visits each child's home twice per year as indicated on the planning
calendar, meeting with parents, becoming familiar with the child's
home environment, and getting to know the family.
. Holds two parent/teacher conferences per year as designated on the
planning calendar to share each child's progress with parents.
. Works cooperatively with the teacher assistant, resource teacher and
family advocate assigned to her/his classroom as a team to involve all
parents with their children and to encourage the active participation
of all parents in the program.
. Enters accurate attendance records into the HSFIS computer program
daily.
. Maintains 85% average daily attendance, discounting excused absences,
each month.
. Works cooperatively with the assigned family advocate following up on
all children who are absent, contacting the parents to determine the
reason for the absence.
. Recruits volunteers for classroom to provide for a third person in the
classroom each day.
. Safeguards all classroom supplies and equipment, and accounts for any
misused, damaged, or missing supplies or equipment.
. Attends all training opportunities provided by RCCDC and all staff
meetings called by the center director.
. Performs any other tasks deemed necessary by the center director.
REFERENCES
Professional and personal references upon request.
Contact this candidate