Rick L. Goslow

** ********* ***** *****

Latham, New York 12110

518-***-****

adpzfo@r.postjobfree.com

EXPERIENCE

Anthem Blue Cross Blue Shield Albany, New York

July 1996-December 2021

Operations Expert (8 years)

● Provided technical guidance and resources for claims, customer service and membership associates on a daily basis.

● Monitored inventory to ensure seamless workflows.

● Handled complex case research and resolustion.

● Maintained records of services for quality, accuracy and productivity.

● Ensured and maintained an environment of teamwork. Special Representative (6 years)

● Aligned with department directors to review claim disputes to ensure accuracy of claim payouts aligning with member policies.

● Liaison between Anthem and the federal government members operation center. Coordination of Benefits Specialist (5 years)

● Maintained contract updates

● Verified coordination of benefits of members' commercial insurance policies.

● Insurance claim processing

Customer Service Representative (6 years)

● Answered phone calls of members to answer questions about benefit eligibility.

● Quoted policy information to members.

Additional Work Experience

Community Health Plan Latham, New York

● Courier service transported, labs, documents etc. between offices, labs and hospitals. JB Enterprises Liverpool, New York

● Shipping and receiving team member, prepared orders for shipping and inventoried incoming parcels.

Champlain Valley Physicians Hospital Plattsburgh, New York

● Transportation aide, transported patients between departments and upon discharge. EDUCATION

Plattsburgh State University Plattsburgh, New York

● Business major

Norwich University Northfield, Vermont

● Physical Education major

Chazy Rural High School Chazy, New York

● Graduate with NYS Regents Recognition.

JOB SKILLS

Communication Skills: I work well interacting and assisting customers and team members. I have strong verbal and written comminunication skills. Data Analysis: I can efficiently and accurately process and tract inventory to form conclusions to support decision making.

Leadership: I have mentored new employees to provide positive direction to ensure their success with members and to align with company policies. I am able to complete job tasks independently, without direct guidance. Adapted to work from home model with the COVID pandemic and supported team to ensure their success in the transition.

HOBBIES

Scout Troop 1701 Latham, New York

Registered Adult Leader - accompany troop on campouts, hikes and various scouting activites.

Soccer - played goalie position during high school, college and in a semi professional league. Clinton Community College - assistant soccer coach. Travel - I enjoy exploring new places on family vacations. REFERENCES AVAILABLE UPON REQUEST