Data Entry Care Representative
Resume:
Donna (Raivyn) Pedersen
**** *. ******** ** #*** Phoenix, AZ 85042
Text Only 480-***-****
Email: **************@*****.***
SUMMARY
I have a strong background in upper management, Human Resources, dealing with the public,
Customer servicing, problem solving, as well as excellent employee, employer problem solving skills.
My organizational skills are fine- tuned, I am a team player, and can handle many tasks at once.
I am a self- starter, need very little to no supervision, and can complete tasks in a timely and
efficient manner. I possess strong leadership skills, and work very well with all levels of personnel.
WORK HISTORY
09/31/2021- 09/05/2022
TTEC/BLUESHIELD OF CALIFORNIA REMOTE
CSR/CLAIMS
SUPERVISOR: VINCENT ALDERETE 806-***-****
Handle large volume of incoming telephone calls.
Adhere to all PHI, HIPPA, State and Federal Laws
Provide answers, information, and identify and analyze problems related to all customers.
Answer questions regarding premium statements, EOB’s, Claims, Prior Authorizations.
Take payments from Members
Walk Members through creating member portals on blueshieldca.com website.
Explain to members a variety of information concerning the organization’s services, including, but not limited to rates, benefits, changes in coverage, eligibility
Adjusted claims.
Contacted Providers, Pharmacies, etc. as needed for Member.
Meet quality, quantity and timeliness standards to achieve individual and department performance goals as defined within the department guidelines.
Document and record facts in regard to inquiries and correspondence by updating BSC files and system
Demonstrate and maintain current working knowledge of the required BSC systems, procedures, forms and manuals.
12/28/2020-09/13/2021
VITALANT BLOOD SYSTEMS Customer Contact Center
4920 S. Wendler Dr. # 102 Tempe, AZ. 85282
Customer Care Representative
*Performs all assigned duties in compliance with internal SOPs and external regulations.
*Brings compliance issues to the attention of management.
*Assures quality customer service to all customers.
*Maintains good attendance and punctuality per the absence policy.
*Build sustainable relationships with donors and prospect donors through open and interactive communication via the website, chat, social media, text, email and phone channels.
*Investigate, diagnose and troubleshoot donor reported issues, provide appropriate solutions and alternatives while adhering to appropriate response time guidelines; follow up to ensure resolution.
*Provide immediate and thoughtful support for new and existing donors via website, chat, social media, text, email or phone.
*Identify recurring system and application issues that trend and escalate them to leadership, quality assurance, and marketing teams as a part of regular system maintenance.
*Handles escalated issues related to donor portal, donor store, and website troubleshooting in relation to various systems.
*Provide schedulable criteria and scheduling appointments via the website, chat, social media, text, email or phone.
*Monitor ongoing direct customer feedback via website, chat, social media, text, email or phone.
*Staying current with all required training, technical knowledge, system changes and the organizational updates.
*Responsible for achieving quality and efficiency metric goals.
08/2020-12/27/2020
AEROTEK/VITANLANT (Blood Services) Tempe, AZ
DOC
*Out Bound Calling for Setting return blood donor appointments
05/2015-12/2015
AEROTEK/BI-CONSERVICES Hinsdale, NY
Project Admin
*Maintain Inventory Control of onsite Material including Valves, Piping, Joints, etc.
*Perform and array of administrative and clerical tasks in support of daily business operations
*Prepare confidential paperwork, organize files, and ensure the accuracy of all documentation
*Answer incoming calls, respond to various inquiries, and help guarantee customer satisfaction
*Administer company databases, map documents, and manage networks to ensure data integrity
*Maintain logs while communicating effectively with various contractors and superintendents
*Organize division subcontracts and keep a master set of drawings for each project
*Generate weekly summary reports, maintain requests and proposals, and handle job documentation.
*Process purchase orders, identify requirements, and oversee project drawings and specifications
01/06-09/08
CH2M Hill Englewood, CO.
Clerical3 Admin Human Resource Dept.,
*Inputting all new hires into Oracle
*Cleaned up all employee (paper) personnel files
*Entered Every Employees Entire Files into Oracle (to become paperless)
*Maintained personnel files.
10/04-09/05
CH2M Hill Englewood, CO
HR Admin Human Recourse Dept.
*Create all new hire personnel folders,
* Keep updating all employee personnel files,
*Maintained personnel files.
*Did several monthly reports for different departments.
11/98-12/00
Kelmar Interiors Aurora, CO
Owner
*Worked with Husband on our own Interior remodeling business.
*Went to look at jobs,
*Put together bids,
*Admitted Bids to clients.
*Worked with client on any complaints
*Overseeing that the jobs were done efficiently, and to clients’ needs and satisfaction.
3/98-?/98 Mathew and Ball Temp Services Denver, Colorado
Worked several temp assignments for Admin, Human Resource positions.
*Filing,
*Data Entry,
*Phones,
*Computer work, all levels of clerical office work.
3/94-2/98 Administrative Director, Oregon Solar & Water/Helico
Arizona Eugene, Oregon/Tempe, Arizona
* Managing telemarketing room
*Hiring and training of all personnel,
*Payroll,
*Tracking sales results,
*Customer problem solving,
*Employee/ Employer problem solving,
*Working with Owner and Upper Management in all aspects of BOTH companies.
3/93-11/93 OSHA Safety Orientation Technician, Airfield Pavement Technical Services
Denver International Airport, Denver, Colorado
*Tracking of positive drug results.
*Processed over 25,000 FAA, City and County of Denver, Project Management,
and all on-site construction personnel for safety orientation,
*Drug screening
*Performed base hearing testing
*Security badging.
*Coordination and scheduling of all general contractors and sub-contractors new hire personnel.
4/91-3/93 Operations Coordinator, Houg Enterprises/Coors
Denver, Colorado
*Processing Bills of Laden
*Data entry of accounts receivables.
10/89-7/90 Personnel Coordinator, Wal-Mart
Oshkosh, WI.
*Hiring and training of all employees,
*Orientation of new employees,
*Coordination and supervision of company drug test policies,
*Maintained personnel files,
*Maintained personnel insurance records,
*Processed payroll,
*Various data entry duties.
COMPUTER SKILLS
Oracle, Vista P, Microsoft Works, WordPerfect, Lotus 1,2,3, Microsoft Excel, Microsoft Office, Database,
Window and Internet Access. Facets, Avaya phone system, five9 phone system
EXPLANATION IN LAPSE OF WORK HISTORY
My now ex-husband entered into the Air force.
Contact this candidate