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Customer Service Project

Location:
Louisville, KY
Posted:
October 26, 2012

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Resume:

Breanna Tindall

Email: *********@********.***

Address: **** ****** ** #*

City: Louisville

State: KY

Zip: 40205

Country: USA

Phone: 417-***-****

Skill Level: Experienced

Salary Range: 50

Primary Skills/Experience:

See Resume

Educational Background:

See Resume

Job History / Details:

Breanna Tindall

1929 Spring Drive #2, Louisville, KY 40205

**************@*****.***

417-***-****

Summary Of Qualifications

Over six years of experience in the insurance industry specializing in the following areas: Operations, Implementations, Project Coordination, Process Improvement.

Proven analytical and project management skills evidenced by successful implementation of self insured large and locally owned businesses.

Successful lead and implementation of large scale groups with proven ability to deliver member cards and pay first claim with 100% accuracy

Experience in managing and implementing performance guarantees with 95% minimum required to meet deliverables

Proven ability to meet pre-implementation audit guidelines with 100 test scenarios to ensure benefit coding accuracy with $35 K risk fee

Successfully managed the delivery of 7,000 ID cards to health plan participants

Expertise

Project Coordination and Ownership

Large Group Implementation

Microsoft Project Ownership

New Product Implementation and Migrations

SharePoint Implementation, Design and Configuration

Microsoft Office Products

Process Improvement Coordination and Development

Subject Matter Expert of Implementation Process

Experience

WellPoint, Inc.

Implementation Coordinator Lead May 2009 - Present

Responsible for leading and managing new National and Local Account Group Implementations and existing migrations

Prepare for and facilitated implementation kickoff meetings

Work closely with groups and/or consultants to define group structure, reporting and implementation requirements

Facilitate internal and external implementation status meetings

Define benefit requirements with groups, benefit coders and operations

Maintain frequent client interaction to extract, evolve and finalize all system and operational requirements

Maintain applicable status logs, forms and databases

Oversee testing process and supported coordination of pre-implementation audits for assigned groups

Lead and maintained active SharePoint sites for document libraries, meeting agendas and team collaboration facilitation

Serve on Committee to identify key processes and guidelines for newly formed Local NASCO team

Customer Care Hotline Associate August 2007 - May 2009

Served as primary resource to claims, customer service or enrollment and billing queries on a day-to-day basis

Provided support to the sales team, ensuring service objectives were met

Responsible for customer service duties including answering customer queries, problem solving and providing detailed information on new and current products

Generated repeat business through successful client follow-up

Communicated with brokers and internal sales agents via phone or e-mail on escalated issues ranging from incorrect benefits, claims errors, and product setup errors

Focused on resolving issues within 24-48 hours

Kept daily spreadsheet of incoming calls and e-mails with resolution and actions taken

Assisted Operations Experts with floor support and responding to phone representatives questions

Reviewed and create Clear Quests (log) to have systematic errors corrected

Upon manager requests, followed up on Concierge hotline calls that are escalated to the President

Made inbound and outbound calls when necessary to resolve escalated problems that require verbal and/or written communication

Customer Care Associate March 2006 - August 2007

Assisted both Customers and Health Care providers to ensure their total satisfaction while answering any, and all questions, related to health care benefits and claim information

Was recognized several months in a row for achieving 100% quality based on positive feedback from both customers and direct managers

Kelly Services

Customer Care Associate for WellPoint -temp September 2005 - March 2006

Assisted both Customers and Health Care providers to ensure their total satisfaction while answering any, and all questions, related to health care benefits and claim information

Was recognized several months in a row for achieving 100% quality based on positive feedback from both customers and direct managers

Present

Education and Certifications

B.S. (Business Administration) University of Phoenix, Springfield, Missouri, 2008.

Drury University, Springfield, Missouri, 2002-2004

Graduated magna cum laude.

Academic and music scholarship

Actively participated in the Drury Quartet- violin and viola

Demonstrated multiple successes as both a Musical and Academic Tutor

Organizations:

Toastmasters International

Associate Giving Campaign Committee



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