Customer Service Medical
Resume:
Phone: 423-***-****
Email: actnhg@r.postjobfree.com
Dunlap, Tennessee 37327
SKILLS:
Competent graduate experienced in health, athletic, and consumer behavior environments
Highly motivational through a competitive environment
Ability to multitask while being dedicated to meet deadlines
Fast learner and proficient with Microsoft programs
Detail oriented with ability to thrive in time-sensitive situations
EDUCATION:
University of Tennessee-Chattanooga 2011-2013
Chattanooga, Tennessee Sports Administration Major
Bachelor of Science Degree in Health and Human Performance Business Administration Minor
Tennessee Wesleyan College 2009-2011
Athens, Tennessee Sports & Fitness Management Major
Business Administration Minor
Sequatchie County High School 2005-2009
Dunlap, Tennessee
High School Diploma
EXPERIENCE:
Unum Insurance: Family Medical Leave Specialist Chattanooga, TN August 25, 2014 - present
Processing of medical, family, and personal leaves
Determine eligibility and FMLA regulations for employees requesting leave
Review medical certification and other documentation submitted
Serve as a Safety Team Member in general area
Cigna Insurance: Customer Service Advocate Chattanooga, TN January 27, 2014 - August 22, 2014
Professionally handle incoming telephone calls from provider’s offices
Communicate pricing of medical claims for doctor’s remittance and member’s savings
Attend available training sessions to further enhance skills
Unum Insurance: Medical Records Specialist Chattanooga, TN September 30, 2013 - January 24, 2014
Make calls to doctor’s offices and medical providers to request medical records
Metric driven; 56 calls a day and 98% efficient
Follow up calls were also processed
Home Depot: Building Materials Sales Associate Hixson, TN February 28, 2012 - September 27, 2013
Managed and sold products amongst lumber, building materials, and other items throughout the store
Maintained orders and quotes, set up deliveries, and scheduled deliveries for customers
Trained to drive forklift, reach truck; operated saws and key machine
INTERNSHIPS:
North River Family YMCA: Youth Sports Assistant Hixson, TN January 2013 - April 2013
Created weekly reports and challenge cards for those participating in youth sports
Began adult basketball league by marketing and public relations
UTC Recreation: Event Manager/Site Coord. Chattanooga, TN August 2012 - December 2012
Gathered equipment for daily sport and set up for students
Checked in students only to participate
Engaged others to take part in intramural sports
Hired referees to manage each event
UTC Athletics: Field Experience Member Chattanooga, TN August 22, 2011 - April 20, 2012
Assisted with football game day operations in the First Tennessee Pavilion
Dispersed shirts, coupons, and special merchandise
Controlled the scoreboard for UTC sporting events
Worked for various events such as football, soccer, wrestling, volleyball, and basketball
LICENSURE:
CPR, First Aid, and AED Certified (Joe Wiram, UTC)
Forklift and Reach Truck Licensed (Justin Burton, Home Depot)
HONORS:
All-Star Award for excellent customer service in 2012 (only 7 handed out to over 70 employees)
Employee of the Quarter for the months March-May 2013 (only 5 handed out to over 70 employees)
Dean’s List Tennessee Wesleyan College (2009, 2010), University of Tennessee-Chattanooga (2011, 2012, 2013)
Perfect Quality Audits of 100% (November 2013, January 2014) and a passing Quality Audit of 98.23% (December 2013) with Unum Medical Records
Met silver criteria for first quarter at Cigna with passing scores on Internal Call Monitors (surveys with customers), average handle time, no performance management, and no more than 3 occurrences (August 2014)
Received two RTA awards for Strong Teamwork (2015)
Awarded Spotlight Level I for 100% QA and TAT for June/July 2015
Awarded Spotlight Level I for Engaging/Strong Teamwork (June 2015)
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