Customer Service Medical

JENKINS, KIMBERLY Y

P.O. BOX *****, CINCINNATI, OHIO 45246, 513-***-****, *********.*******@*****.***

OBJECTIVE

Customer-oriented individual who is self-motivated, detail-oriented, a with strong analytical, problem solving and

reasoning skills. Highly effective working in fast-paced environments and collaborating with various levels of personnel including employees, managers and clients.

EXPERIENCE

7/18/2011 TO PRESENT

Conduent/Xerox/Buck

Cincinnati, Ohio

Responsibilities under Conduent

SENIOR BENEFITS ADMIN ANALYST

Proactively shares experiences, insights, and knowledge with others; looks for ways to help others.

Participates in training and development of Project Analysts beyond minimum requirements.

Develops insight about needed improvements; takes action to address and improve highest priority needs.

Completes assigned tasks on time and to the satisfaction of the client; willing to work longer hours when needed

to meet a client requirement.

Establishes good working relationships with members of the client organization.

Consistently communicates progress of and difficulties encountered on projects to project leaders (i.e. throughout

the project).

Receive and review data from clients to ensure internal and year to year consistency on an individual basis.

Maintain contact with clients on data and administrative matters.

Adherence to client deadlines and contractual service delivery.

Handle special projects as instructed by supervisor and/or manager.

Respond to participant requests and support of our call center representatives.

Meet client service level agreements.

Participate in internal meetings.

Responsibilities under Xerox

SENIOR BENEFITS ASSOCIATE

Spends extra time or effort on a particular assignment or task when it is essential to success.

Accomplishes project or task and anticipates what other tasks may need to be done and completes them when

needed.

Anticipates and prevents problems in some instances.

Offer to help others in order to meet the objectives of the assignment.

Identifies the appropriate level of detail needed to achieve desired goals.

Manages increasing clients and workload within time and expense budgets.

Responsibilities under Buck Consultants

BENEFITS ASSOCIATE

Enforces established benefits-related policies, procedures and regulations.

Audits data entry of benefits related data to ensure accuracy of data to third party vendors including working

vendor error reports.

Works applicable internal reports for benefits analysis.

Assists in maintaining ongoing client relationships to ensure smooth maintenance and operation of services.

Supports the Health and Welfare administration work for assigned clients.

1/1/2003 TO 10/31/2005 Children’s Hospital Medical Center Cincinnati, Ohio

CUSTOMER SERVICE CLERK

Received inbound calls from parents through Children's Hospital Answering Services.

Keyed incoming calls using Extend Answer Pro System.

Located patients using KIDS system.

11/1/2000 TO 7/15/2011 UC Health formerly Health Alliance Cincinnati, Ohio

CUSTOMER SERVICE CLAIMS SPECIALIST

Responsible for alleviating customer concern, problem solving, and accurate dissemination information related to claims and/or benefits.

Ability to organize, prioritizes, and provides a high degree of accuracy in reporting and presenting financial and management information.

First line of communication with members, physicians, and other external customers of medical benefit plans administered by UC Health. Keyed incoming calls using Extend Answer Pro System.

Performed as Lead Customer Service Representative in the absences of Supervisor.

Processed eligibility updates and payments for COBRA participants.

Advises individuals regarding eligibility and coverage for medical plan.

Activated and terminated plan participants in the Web COBRA, Express Scripts RX, and Synertech Medical

Systems daily.

Ability to develop reports according to detailed instructions Ability to examine data for accuracy and completeness, make mathematical computations, and perform reconciliations.

Trained new employees.

Effectively performs as part of the Customer Service Team to meet corporate goals.

1/1/1998 TO 12/31/2002 Children’s Hospital Medical Center Cincinnati, Ohio

DATA MANAGEMENT SPECIALIST

Received inbound calls from community pediatric physicians and placing outbound calls from in-house physicians.

Paged physicians ensuring proper connections to appropriate parties and departments.

Received radiology reports, log results in system, and paged outside physicians to translate positive results

Trained new employees.

Gained knowledge of medical terminology.

2005-2009

Cincinnati State College

Cincinnati, Ohio

ASSOCIATE OF APPLIED SCIENCE: CHEMICAL TECHNOLOGY

REFERENCES

References are available on request.

Contact this candidate