Customer Service Medical

Experience

Wordsworth Community Umbrella Agency, Philadelphia PA

CUA Case Manager

August 2015-November 2015

Provided a full range of culturally competent, strength-based, trauma informed and family centered social service support and interventions to achieve the goals of the Single Case Plan.

Led coordination of support services delivery provided by the Case Management team which included utilization of the Case Aide, Outcome Specialist, Life skills Coach, Visitation Coach, Parent/Youth Mentor and other CUA supports.

Prepared for, attended and participated in all court hearings of families on caseload and participated in juvenile probation planning meetings for arrested/adjudicated youth.

Ensured that each child and adolescent received appropriate and effective services that met their educational, physical, behavioral health/emotional, vocational and developmental needs.

Progressive Casualty Insurance Company, Plymouth Meeting PA

Medical Claims Adjuster (also maintained position as Liability adjuster)

June 2011-August 2015

Analyzed and adjusted moderately complex medical claims.

Interpreted medical records and demonstrated knowledge of medical terminology regarding the injuries presented.

Demonstrated understanding of injury causation through following up with providers and/or securing medical records and recognizing the need for PEER reviews and IME’s.

Provided ongoing exceptional customer service throughout the life of the claim.

Maintained the company set metrics on a monthly basis.

Philadelphia Department of Human Service, Philadelphia PA

Social Worker I

October 2008-May 2011

Provided ongoing, client service-oriented case management focusing on the needs of the agency population.

Made determinations on client’s progress on a monthly basis which was reflected in monthly updating of the case documentation.

Provided court testimony on the progress of the family goals being achieved.

JP Morgan CHASE

Credit Card Advisor

January 2008-September 2008

Assisted customers with inquiries regarding credit card balances and transactions on credit card statements.

Informed card members about various products and services offered by JP Morgan CHASE; encouraged card members to consider balance transfers.

Maintained call statistics and documented account activity and information for each customer.

Education

Temple University, Philadelphia PA

Bachelors in Social Work, 2006

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