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Service Representative Communications Specialist

Location:
Farmington, MO
Posted:
October 25, 2022

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Resume:

SUMMARY

SKILLS

EXPERIENCE

NINA JAMESGREGORY

ads6ar@r.postjobfree.com

Accomplished Executive with demonstrated ability to deliver mission-critical results. Project management

Small business development

Leadership/communication skills

Business operations organization

Self-motivated

Self-motivated

Customer-oriented

06/2001 to Current CSRII-Disability Retired (June 2006 to present Blue Cross Blue Shield of Michigan Detroit, MI

Accountable for National benefits groups including overall customer satisfaction. Spearheaded customer resolutions for various types of claims, resulting in a 98% increase in completed inquires. I sat in as Unit leader and took over supervisor calls for difficult task and complaints until they were resolved both in person and on the calls.

11/2000 to 05/2001 Beneficiary Communications Specialist Wisconsin Physician Services Detroit, Mi

Spearheaded cross-functional initiative to achieve a multifaceted platform in order to handle and resolve the vast amount of telephone and written inquires for our elderly community. Oversaw to it completion the Medicare secondary payor inquires for accuracy and completion of high money claims payments in areas where there was information inconsistencies. I also managed the Fraud claims investigations of claims from multiples benefitciaries anrecords that were reported.

10/1996 to 11/2000 Beneficiary Communications specialist HCSA Chicago, IL

I Managed team of 2 representatives who spearhead many varieties of complaint resolutions for our vast elderly community through the Medicare program. Resulting in a 97% customer satisfaction rate when dealing with our inquiries for both the state of Michigan and Illinois. (telephone or written) 11/1994 to 11/1996 Customer Service Representative Blue Cross Blue Shield of Illinois Chicago, IL

Strengthened company's business by leading implementation of the Medicare Secondary Payor corrections that allowed many claims to be cleared, corrected and paid through insurance information for our elderly community in the states of Michigan and Illinois.

09/1992 to 10/1994 Secretary-Medicare Fraud and Abuse Department Blue Cross Blue Shield of Michigan Detroit, MI

Spearheaded cross-functional initiative to achieve team work ethics to a unit of 65 employees and 1 supervisor. Rolled out and typed many manuals for the RN's in our department regarding regulations associated with the government business division and it's outer lying entities. Initiated and Motivated our employees to properly handled all necessary requirements needed in order to keep there personal business matters updated with me for streamline running of our overall office matters. Be they meetings and all the accoutrements entailed down to just keeping there insurance and payroll matters in tact. 12/1989 to 10/1992 Secretary-Marketing Division

Blue Cross Blue Shield of Michigan Detroit, MI

Strengthened company's business by leading implementation of whatever project that was set before me from the many Marketing Representatives. Spearheaded cross-functional initiative to achieve maximum results for the EDUCATION AND TRAINING

ACTIVITIES AND HONORS

Marketing Reps where ever they had meetings to bring in new business on the various insurance lines for multiple companies in the state of Michigan. 1990 Word Processing Administration

Detroit Business Institute Detroit, MI, USA

Coursework in Business and Word processing admistration with a specialized coursework in computer informational systems. 3.67 GPA Dean's list while in school. There was also specialized training in Business Ethics, etiquette and business apparel.

1999 Business Management

Detroit college of business Dearborn, MI, USA

20 Coursework hours received in my field of studies. I received a 3.34 GPA while attending.

Bachelor of Science: Organization Industrial Administration Central Michigan University Southfield, MI, USA I received 56 credits hours while attending the prestigious university. I minored in Computer information Systems maintaining a 3.34 GPA with Honors or better while I matriculated through college. I am still strongly considering finishing my hours for my degree soon.

I received various work awards such as the Pride in Excellence award in December 92. Many educational certificates for Franklin planning classes, Customer Servicing class updates and Marketing initiative class certificates. I received the Dean's List awards multiple times during my educational pursuits.



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