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Customer Service Insurance

Location:
Memphis, TN
Posted:
April 28, 2015

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Resume:

CARTER A. MITCHELL

**** ***** **

MEMPHIS, TN ***27

Business/ Cellular Phone 901-***-****

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

OBJECTIVE:

To obtain a career-oriented position with a growing company with the possibility of

advancement in the future.

QUALIFICATIONS

Seven years of customer service and data entry experience. Maintains exceptional verbal and

written communications skills in corporate environment. Works efficiently and productively

without direct supervision. Possess the knowledge of various Windows computer software and

internet operating systems. Relates co-operatively and professionally with all levels of co-

workers. Experienced at creating and working from Excel spreadsheets. Also experienced in

working with Excel, Oracle, Stellent, and some SAP systems.

EMPLOYMENT

FEBRUARY 2013- OCTOBER 2014 ROYALTY SPECIALIST, SERVICEMASTER CORPORATE

Review monthly revenue for all ServiceMaster franchises in the Eastern, Southeastern,

Northeastern regions of the United States and all FurnitureMedic franchises in the United States.

Complete audit review of all invoices for subcontracted services being taken as an adjustment

against the monthly gross revenue for each franchises. Create coversheets for emailed or faxed

reminder notices sent to franchises that have not submitted monthly revenue documentation.

Transfer the revenue documentation into the revenue system. Review documentation to ensure

subcontracted services are allowed per the ServiceMaster & FurnitureMedic Revenue

Addendums and policies. Assist franchisees with submitting the monthly Revenue Report on

time. Manually enter and edit the monthly reports. Recalculate the amount of additional

Royalties and National advertising fees due for the month. Schedule payments for the additional

fees due for the month. Apply and credit the scheduled payment in the Oracle banking system.

Perform a quarterly presentation for new franchisees. Enter new franchisees business start dates

and Royalty fee percentages into Home Office system. Complete a walk-thru on how to submit

monthly revenue with each new franchisee. Update franchisee contract renewal information into

the Home Office system as well as franchisees terminating their contract with ServiceMaster.

April 2012-February 2013 Accounts receivable, ServiceMaster Corporate

Process payments from the insurance companies to ServiceMaster and FurnitureMedic

franchisees in North America for residential and commercial restoration services. Export claim

payments from insurance company payment systems. Convert payment format into Word

documents. Convert Word document into Excel spreadsheet. Verify the insureds’ and the

insurance companys’ information with ServiceMaster franchisees to be processed and deposited

into their accounts. Investigate insurance payment sent to ServiceMaster Corporate for

franchisees with incorrect insured information such as name and claim number. Contact

franchisees to verify the claim information and if the unidentified payment belongs to them.

Create Excel spreadsheet for unidentified payments and send for processing. Verify claim

payments status for ServiceMaster and Furniture Medic franchisees.

May 2010-April 2012 Customer Services Representative, ServiceMaster Corporate

Answer inbound calls from insurance representatives, homeowners and franchise employees.

Enter service information into the Respond program. Make outbound calls to dispatch the

gathered information to the local ServiceMaster for that area for emergency services. Additional

projects such as Lead Fee Disputes, Data entry of electronic State Farm insurance claims, and

assist new hires/temps with protocols for each insurance program. Also, act as coordinator in

some instances when leadership is not available.

October 2009-May 2010 Customer Services Representative, Randstadt temporary services

Completed Temporary assignment with ServiceMaster and phased into permanent position with

ServiceMaster Claims Capture Unit.

September 2006-April 2009 Customer Services Representative, Accredo Health Corporation

Answer inbound and outbound calls for over 150 medications. To assist providers and clients

with scheduling of medication shipments as well as verifying eligibility and coverage for their

specific group insurance plans. Maintain and document daily scheduled orders. Assist members

with requesting updated referrals and authorizations from their provider. Create and run test

claims for verification of benefit coverage. Responsible for calling members assigned to my

Worklist by leadership for daily scheduling on an as needed basis. Change and update member

information such as addresses, credit cards, prior approvals, identification numbers, and

members’ insurance profiles. Transfer member to appropriate team member for completing the

processing and scheduling of their shipment. Create the ScriptMed Dailys Newsletter for the

entire Accredo division of Medco. Created and documented all returned, lost/stolen or damaged

medication shipments for the entire Accredo division of Medco. Training new hire employees on

how to schedule order, verify benefits on Medicare and completing macros for pharmacy

technicians and pharmacists.

March 2002-Jan 2006 Customer Services Representative, Memphis Managed Healthcare

Corporation

Hired permanent via a temporary assignment from Randstad USA, October 2002. Assist

members of the State Tenn Care Medicaid insurance with ordering i.d. cards, changing doctors

and hospitals, provider information, and coverage needs. Communicate with customers in a

professional manner daily. Provide the doctors and hospitals with verification of claimant

eligibility. Research and investigate claims processing errors for adjusted payments to claims.

Responsible for remailing information to assist member with benefits and updating address along

with eligibility. Nominated Employee of the Quarter-2004.

EDUCATION

1987-1991 HIGH SCHOOL DILOMA, Oakhaven High School

1991-1992 No Degree obtained, University of Tennessee at Knoxville

1992-1993 No Degree Obtained, Shelby State Community College

Classes completed at Open Road Technologies on Windows 98 and Internet Explorer



Contact this candidate