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Customer Service Case Management

Location:
Fort Worth, TX
Salary:
60,000
Posted:
February 09, 2024

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Resume:

SKILLS

• Quick Learner

• High Integrity

• Documentation

• Email & Fax

• Process invoices

• Health

Documentation

• Payroll Processing

• Policies

• Sales

• Proficient Typing

• Case Management

• Project

Management

COMPUTER

• Microsoft Office

Suite

• Salesforce

• SAAS

• MS Teams

• Slack

• Zoom

NOTARY

• TX ID #134521285

MELANIE

DAY

SUMMARY

Motivated Senior customer services /sales specialist with more than 18 years of experience. Seeking a full-time position that leverages my strong organizational skills, customer service and sales experience, management skills and knowledge of sales to grow my career. Passionate about promoting lasting customer satisfaction by delivering top-notch service and unparalleled support. WORK EXPERIENCE

2021– 2023 Senior Membership/Sales Coordinator

International Society of Female Professionals

• Interviewing and handling all questions, information requests, and complaints regarding membership.

• Processing membership applications, renewals, and resignations.

• Maintaining and updating membership records.

• Assisting with member communication activities.

• Collecting data, tracking membership statistics, and preparing reports.

• Developing and implementing strategies to recruit new members.

• Coordinating with the accounting department to track membership revenue.

• Preparing membership marketing materials.

• Organizing events and activities for existing and prospective members.

• Create and distribute donor thank-you letters, annual appeal mailings, postcard mailings, member letters and renewal letters and emails in a timely fashion.

• Process and maintain member and donor information in Donor Perfect and Outbox databases.

• Participate on special ad-hoc projects and perform other duties as assigned.

• Process applications (both paper and electronic) for membership

• Follow up with communication to candidates and/or sponsors.

• Coordinate the preparation and distribution of biographical summaries for review by society leadership.

• Format electronic score sheets and/or prepare score sheets and books of applications.

• Prepare candidate booklets and the election ballots for new members at Annual Meetings

• Respond to phone calls, emails, and other correspondence regarding membership processes. 2019– 2021 Senior Membership/Sales Rep

Crown Administrative/ALTRUA

• Respond to and resolve, on the first call, customer service inquiries and issues by identifying the topic and type of assistance the caller needs such as benefits, eligibility and claims, and correspondence.

• Help guide and educate customers about the fundamentals and benefits of consumer-driven health care topics to select the best benefit plan options, maximize the value of their health plan benefits and choose a quality care provider.

10224 Brea Canyon Rd. Ft. Worth

512-***-****

ad3idv@r.postjobfree.com

• Contact doctor’s offices, pharmacies, and medical groups on behalf of the customer to assist with questions, schedule appointments, and close gaps in care. Make outreaches where necessary to with internal specialists for assistance.

• Assist customers in navigating myuhc.com and other BCBS websites and encourage and reassure them to become self-sufficient.

• Assists in maintaining a clean, organized, and efficient work area, including maintaining supplies necessary to perform job duties.

• Own problem through to resolution on behalf of the member in real time or through comprehensive and timely follow-up with the member

• Educate members about the fundamentals and benefits of consumer-driven health care topics to include managing their health and well-being so they can select the best benefit plan options and maximize the value of their health plan benefits.

• Assist members in navigating the website and help with applications utilizing remote desktop system capabilities.

2015 – 2019 Executive Administrative Assistant

Healthcare Markets Insurance

• Providing information to customers about their Healthcare plans and coverage options

• Reviewing applications to determine if applicants are eligible for coverage.

• Explaining how the health/Medicare plan works in conjunction with private insurance policies for those who are not yet eligible for Medicare.

• Providing information about eligibility requirements for government programs such as Medicaid or the Children’s Health Insurance Program (CHIP)

• Helping patients choose a Medicare plan that meets their medical needs and budget.

• Explaining plan coverage, including drug coverage and supplemental benefits such as dental and vision care, CPT & DX codes.

• Advising customers about available discounts on prescription drugs and helping them enroll in prescription drug coverage plans.

2007– 2015 Display Auditor Designer Merchandiser Driveline Retail Merchandising

• Team Lead for all displays at client sites.

• Prepare all documents related to projects and team instructions.

• Conduct and attend regular meetings with senior management to share financial findings.

• Keep a check on processes and regulations, ensuring compliance with client’s regulations.

• Travel to client sites for auditory reviews and assessment.

• Provide a qualitative and quantitative evaluation based on empirical data findings.

• Creating and organizing promotions and advertising campaigns

• Managing the educational materials for training employees

• Managing layout plans of store and maintain inventory of products.

• Gathering information on market trends and customers’ reactions to products

• Analyzing sales figures - reporting growth, expansion, and change in markets. EDUCATION

Ames HS, Diploma, 1982

Iowa State University, 1982-1984

*References given on request



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