SUMMARY OF QUALIFICATIONS
Talented, innovative creative worker with strengths in writing, editing, and journalism.
Highly organized and quick learner.
Strong work ethic.
Strong written, verbal communication and organization skills.
Thrives in team oriented environments.
PRIMARY SOFTWARE AND TOOLS USED
Windows XP, 2000, Vista, Windows 7
Microsoft Office 2000/2003/2007
Partial training in Final Cut Pro
GRLevel3
Movable Type
iNAV/ICOMS
EdgeHealth/Polaris
iCall
Data Entry
Typing-85 WPM
WORK EXPERIENCE
October 2015-Present Blue Cross Blue Shield of Louisiana Baton Rouge, LA
Provider Dispute Analyst
Coordinating response activities between the appropriate departments
Conducting necessary investigation by reviewing telecommunication tapes of calls, documentation, and claims submitted by providers or members
Sending out acknowledgement letters on all provider disputes within the requested timeframe notifying that we have received their request
Coordinating and hosting management level Provider Dispute meetings between internal management from various areas within the plan and the provider or their representative
Handling other assignments including but not limited to processing inventory from the Imaging Auto Work Distribution (IAWD) and serving as backup to the Appeals and Grievance analysts
Maintaining confidentiality and knowledge of company policies and procedures
October 2013-October 2015 Blue Cross Blue Shield of Louisiana Baton Rouge, LA
Account Advisor I/II
Provided customer service to existing members and providers
Maintained confidentiality of members’ medical policies and protected health information
Performed research on policies which include: type of policies, services covered under policies, processed and denied claims, member payments
Data entry in systems which includes: Facets, Doc Creation, Common Query, CRM
November 2012-October 2013 Capital One Bank Baton Rouge, LA
Full Time Teller I
Performed financial transactions which include: counting and & distribution of money, deposits & withdrawals, and balancing of customer accounts daily
Provided customer service to existing and potential customers
Maintained confidentiality of personal & business accounts
Customer referrals leading to new accounts and convenient customer services
January 2011-October 2012 Cox Communications Baton Rouge, LA
Technical Support Representative
Effectively troubleshooting customer equipment which include: operating signals in order to reboot for cable, Internet, and telephone services and manually resetting equipment for services
Scheduled technician appointments
Informed customers of all account services and billing information
Advised of current promotions and applying additional services to customer accounts
Provided customer service to current and potential customers
October 2010-January 2011 Home Depot Direct Baton Rouge, LA
Customer Service Representative
Effectively responding to customer inquiries regarding products, services, and orders
Handled cancellations and delivery schedules
Advised of current promotions
June 2009-October 2010 First Guaranty Bank Hammond, LA
Part Time Teller
Performed financial transactions which include: counting and & distribution of money, deposits & withdrawals, and balancing of customer accounts daily
Provided customer service to existing and potential customers
Maintained confidentiality of personal & business accounts
December 2008-August 2009 Haggar Clothing Company Gonzales, LA
Part Time Sales Associate
Provided customer service
Operation of cash register
Created visual displays
Maintained, opened, and closed store
August 2007-July 2009 SELU Dept of Foreign Languages Hammond, LA
Student Worker
Assisted professors and students
Proctoring of tests
Performed administrative duties which include: data entry, answering multi-line phones, sending emails, making copies and sending faxes
ACHIEVEMENTS AND AWARDS
Published news articles on NOLA.com
Southeastern LA University’s President’s List
Southeastern LA University’s Honor Roll
EDUCATION
May, 2010: Southeastern LA University, Bachelors of Arts in Communication
May, 2006: River Parish Community College, Associate of General Studies May, 2004: East Ascension High School, Diploma
MEMBERSHIPS
National Broadcast Society
Southeastern Times
Lions of Communications
REFERENCES
Furnished Upon Request