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Telephone Representative Independent Consultant

Location:
Stratford, CT, 06615
Salary:
85000
Posted:
December 21, 2021

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Resume:

Keris M. Summerville

Page * of *

917-***-****

adppos@r.postjobfree.com

SUMMARY

Results-oriented professional with an innovative mindset and a proven track record in leadership training and development, staff relations, and provider relations WORK EXPERIENCE

1199SEIU National Benefit Fund (2020–2021) New York, NY Independent Consultant (IC)

• Conduct Classes via Zoom on Eligibility (Data Entry and Hotline Support), Coordination of Benefits

(COB), COBRA and other trainings as needed

• Develops Course Material: Define course objective and outline training standards. Evaluate and validate instruction. Approach; includes needs analysis, instructional design, material development and curriculum planning

• Work with Director to help put together the plan for web-based training for the company going forward (COVID 19)

• Produce reports upon completion of each training session 1199SEIU National Benefit Fund (1998–2019) New York, NY Organizational Development Talent and Learning (ODTL) Specialist

• Designed, develop, pilot, and facilitate learning programs for staff and management; including diverse delivery methods encompassing instructor led training, e-learning, blended programs, webinars and individual interventions

• Developed curriculum, facilitator guides, PowerPoint presentations, handouts, and training documentation based on instructional design principles

• Evaluated and documented impact and results of learning programs; gather qualitative and quantitative data and feedback from participants and their leadership; debrief stakeholders and ODTL management as needed

• Followed through on transfer of learning and application of knowledge, skills, and capabilities to the job with the goal of enhancing individual and team’s productivity and effectiveness, including on- the-job support

• Partnered with departmental Subject Matter Experts (SMEs) to decipher relevant information, coach SMEs during Train the Trainer programs

• Effectively communicated program schedule, program status and issues to stakeholders and ODTL management as appropriate

• Performed additional duties and projects as assigned by leadership

• Managed and organized new training projects/ initiatives

• Supervised summer interns and season workers

HR/Senior Staff Trainer

• Conducted Classes on Eligibility (Data Entry and Hotline Support), Coordination of Benefits (COB), and COBRA enrollment, Summary Plan Description (SPD), Communications, Medical Terminology, Systems; QNXT, Vitech (V3), Cactus (Provider Credentialing), Document Management System

(DMS), ADP eTime/Kronos, New Hire Orientation, Medical Claims processing. Provider Credentialing and Data management. As well as, Microsoft Office, Basic and Intermediate Word, Excel, and PowerPoint, and other classes as needed

• Developed Course Material: Define course objective and outline training standards. Evaluate and validate instruction. Approach; includes needs analysis, instructional design, material development and curriculum planning

• Monitored Internal Classes: Observe and evaluate classes conducted by outside instructors, make recommendations for improvements and/or changes

• Assisted departments with creating test for staff promotions via prove it Keris M. Summerville

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917-***-****

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• Produced reports upon completion of each training session Quality Control Reviewer III

• Coordinated benefits with other departments within, and with other insurance carriers and agencies

• Communicated with visiting members regarding claims and inquiries about benefits and programs

• Assist in staff training. Work closely with management for effectiveness in resolving inquiries

• Utilized organization's syntonic system for reviewing and troubleshooting member's record

• Processed and reviewed the accuracy of medical claims within the department

• Recorded data of incoming members and/or documents submitted Member Services Telephone Representative

• Communicated with members, doctors and other professionals via telephone, or by written correspondence regarding claims, inquiries, and subsequent follow-ups

• Maintained an above average telephone production quota for the department in order to help reduce the amount of calls waiting

• Worked closely with supervisor regarding urgent and uniquely difficult inquiries

• Processed medical claims

WORK EXPERIENCE CONTINUED

Colony South Brooklyn Houses, TAP #2 (1989–1999) Brooklyn, NY Tester/Evaluator

• Timed test taking with a stopwatch and scored tests with a test scoring key, then recorded results on test paper and test profile form

• Demonstrated use of test apparatus and discussed practice exercises to familiarize individuals with testing material

• Read directions orally from testing manual or other standardized directions

• Supervised WEP Worker’s (Welfare to employment Program)

• Monitored test group to ensure compliance with directions

• Administered and scored vocational and educational test

• Prepared and maintained monthly testing reports

Intake Specialist

• Interviewed clients to determine the nature and degree of the problem, including family adjustment, employment, and training

• Completed intake application in the Automated Case Management System for interested applicants

• Referred applicants for necessary services using the Training Resource and Information Network

• Trained and supervised WEP Worker’s (Welfare to Employment Program)

• Collected and copied all require documents for program participation

• Determined clients' economic eligibility for JTPA programs Follow-Up Counselor

• Performed follow-up service by phone or mail to determine quantity and quality of service provided to clients.

• Recorded status of client's case in contact sheet.

• Secured supplementary information such as employment and training participation.

• Informed clients of special events and mailed pertinent flyers and information. Keris M. Summerville

Page 3 of 3

917-***-****

adppos@r.postjobfree.com

SPECIALIZED TRAINING

• Training Certification as (a)n Instructional Designer/Developer, Web-based training (e-learning), blending learning, and Professional Human Resource Management (SHRM)

• Completed training for the use of the Department of Employment's Case Management System, California Achievement test, Minnesota Clerical and Kuder inventory test

• Certified by the Department of Employment to administer and evaluate the NY State Placement Test and the Test for Adult Basic Education (TABE)

• Certification in Intermediate Word 2016

• Project Management Certificate (PMP) (In progress) EDUCATION

2022 Grand Canyon University (Master's in Public Administration with Emphasis in Government Policies)

2014 John Jay College (Bachelor’s in Criminal Justice), New York, NY 2002 Housatonic Community College (Associate’s in Legal Studies), Bridgeport, CT SKILLS

Software: Expert level in QNXT, ViTech, ADP eTime/Kronos, prove it and eSkill’s. Intermediate level in Microsoft Office Suite including Word, Excel, PowerPoint, and Outlook, and Adobe Publisher, Captivate, and Captivate Prime

Other: Excellent oral and written communication, interpersonal relations, problem identification and resolution. Hard worker with a willingness to learn, who adapts easily to new environments



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