MELITA EDWARDS

Email: ac8t44@r.postjobfree.com Mobile: 604-***-****

Vancouver, BC

HIGHLIGHTS OF EXPERIENCE

Effective time management skills

Strong multi-tasking skills

Strong interpersonal skills

Exceeds key performance indicators

High levels of customer service and creating customer rapport

Resilient under pressure

Strong attention to detail

Managing insurance risks

Ensuring all legal requirements are adhered to

Training and development of employees

Proficient in administration tasks

Leadership skills

Quality assurance assessing

Proficient in MS Office, Outlook and Internet

Solutions focused

Handling complaints and escalations

EDUCATION

Bachelor of Arts – Criminology Completed 2018

University of Auckland - Auckland, New Zealand

-Minor in Psychology

WORK EXPERIENCE

Senior Claim Approvals Consultant

2011, June – 2019, February

Southern Cross Health Society – Auckland, New Zealand

Assessing risk for surgical and claim requests

Identify non-disclosure pre-existing conditions, and take appropriate actions

Liaising with other departments; ACC, Underwriting, Case Managers and Business Improvement

Provided accurate information pertaining to plan coverage, potential ACC/TI issues via phone, email or in person

Manage inquiries on existing claims/approval requests, following up with customers and medical specialists for additional information required, avoiding delays in processing requests

Addressing and handling complaints and escalations

Help Desk; helping and support to other consultants

Quality Assurance for Helpdesk; monitoring of quality calls between senior and junior consultants

Claims Approval Training; new consultants and up-skilling existing consultants to advance levels

Creating training documents, assessments and implementing areas for revision

Mentoring and one-on-one call coaching

Understanding the medical and surgical terminology

Senior Bartender and Duty Manager

2011, February – 2011, June

Senior/VIP Bartender - Whiskey Bar – Auckland, New Zealand

Duty Manager - Dirty Martini & Third and Social – Auckland, New Zealand

Staff management and bartending; VIP section, specialising in cocktails

Building customer and business relationships

Responsible for achieving monetary targets

Ensuring legislative regulations are met

Duty Manager

2009, November – 2011, February

O’Carroll’s Bar – Auckland, New Zealand

Staff management and bartending

Building customer and business relationships

Training and development of new and current staff

Nightly event creations and promotions

Ensuring the establishment meets legislative regulations

Duty Manager

2008, March – 2009, October

Cowboys – Auckland, New Zealand

Bartending; serving standard beverages and cocktails

High level of customer service and building rapport customers

Promotions and business development. Organizing and advertising events

General Manager

2007, June – 2008, March

Portovino – Auckland, New Zealand

Hiring, training and developing employees, addressing and resolving employee problems

Staff management, bartending and specializing in wines and cocktails

Building customer and business relationships

Responsible for achieving monetary targets. Monitoring and reporting on standards and performance targets

Creating business promotions, organizing events and live music

Ensuring the establishment adheres to liquor licensing regulations

Control of inventory, stock take and ordering and analyzing any discrepancies. Involvement of new products selection

REFERENCES

Anita Patel – Previous Team Leader at Southern Cross Health Society

Email: ac8t44@r.postjobfree.com

Phone: +64 21 426 998

Jessica Beaumont – Team Leader at Southern Cross Health Society

Email: ac8t44@r.postjobfree.com

Phone: +64-210-***-****

Contact this candidate