Angela R. Newton
Miami Gardens, FL 33056
**************@*****.***
Objective: To secure a position as a customer care representative wherein
I can use my knowledge and previous experience to provide customer care and
gain valuable experience and skills.
Qualifications:
. Effective oral and written communication skills
. Strong computer skills, including Microsoft Windows XP, Vista,
Microsoft Word, Excel.
. Inbound call center experience, able to provide one call resolution
. Ability to adapt quickly to new environment
. Capable of working quickly and accurately, able to multitask
. Familiar with some insurance procedures as it pertains to the patient
Education:
Keiser University of Fort Lauderdale, FL
Associate of Science in Physical Therapist Assistant, December
2011
Employment History:
United Health Group, Doral, FL
12/01/2014-Present
Provider Resolution Specialist
. Assist providers with reviewing claims and advising them of the claim
or appeal status.
. Assist providers with resubmitting claims for reconsideration.
. Provide providers with information or inquiries about the members
Medicaid plan including quoting benefits and eligibility.
. Determining the next appropriate step to help the provider have a
satisfactory resolution.
Emblem Health, Hollywood, FL 01/14-
10/15/2014
Coordination of benefits
. Coordinates benefits for members
. Answers inbound calls to assist eligible members with initial
enrollment to benefits.
. Update/terminate primary insurance coverage
. Determine what insurer will pay primary versus secondary.
. Also works in Recovery department, which is recovering funds that were
paid on a members behalf that another insurer is/was responsible for
paying.
. Provide general customer service and answering general inquiries.
FedEx Freight, Hollywood, FL
08/11- 01/ 14
Office support
. Answers incoming and outgoing calls, answers any questions pertaining
to freight shipments.
. Provides driver check- in and does the billing for the freight.
. Assist with setting appointments and general office personnel
. Assist with the OS&D department, which is the over, short, or damaged
department to investigate and locate lost, short, or damaged freight.
The Answer Group (TAG) Margate, FL 08/09-01/11
Motorola Technical Customer Support
. Answered inbound calls general questions
. Provided assistance and troubleshooting resolutions that they
experienced with their Motorola device (PDA/Smartphone, software,
accessories).
. Provided outbound calls to customer to follow up on their issue
. Quality customer service in a timely courteous manner
Precision Response Corporation (PRC) Sunrise, FL 02/05-07/08
AARP Customer Care 04/08-07/08
. Answered inbound calls and inquires pertaining to any billing or
questions about the customer's account
. Renewed/canceled memberships
. Assisted in providing help to customers needing to reach any other
programs that AARP provides for their customers (life, car, or home
insurance, discounts etc)
YUM Brands Customer Care 05/07-03/08
. Provided customer care for the customer's experience for Pizza Hut and
Taco Bell
. Provided one call resolution to handle customers needs in a timely
manner
. Set up callbacks with the regional manager if needed to resolve the
customer's issue.
Direct TV Customer Support 02/05-05/07
. Provided customer support to customers about any inquires about their
monthly bill, plan, equipment or account.
. Provided customer installation report to set up appointments to get
new installation done as well as selected the correct equipment.
. Team leader and assisted in training new classes to learn the
programs that we used to set up installation
. Worked on the escalations team to provide one call resolutions for
the customers
Employment gaps:
07/08-08/09 and 01/11-08/11: I was attending school full time and wanted
to focus on my studies.
Angela R. Newton
2920 N.W. 210TH Terrace
Miami Gardens, FL 33056
**************@*****.***
To whom it may concern,
I'm responding to the Claims Analyst position on your website. I am
interested in seeking this employment opportunity and would like to apply
for this posting. I consider my previous experience in customer
service/care and knowledge essential in becoming a candidate.
I understand and am able to adapt to working in different work settings. I
have the ability to mutli-task in a face paced setting in a timely manner.
For over 7 years it is has been my goal to provide excellent customer
service and
Customer satisfaction regardless of what realm of customer service that I'm
providing.
It would be a great pleasure to work for your company I would greatly
appreciate your consideration for this position.
Sincerely,
Angela R. Newton