Assistant Manager Call Center
Resume:
Nadia Zavala
Stockton, CA
*****************@*****.***
Authorized to work in the US for any employer
Work Experience
Reviews and Analyzes Member Claims
Blue Shield Of California - Lodi, CA
August 2019 to Present
Lodi Ca
08/2019 - Current
Resolves incoming calls concerning members' eligibility, benefits, provider information, monthly premium billing, clinical and pharmacy needs.
Composes routine and non-routine correspondence to answer benefits/provider inquiries in writing. Provide prescription related benefit coverage (e.g. explanation of coverage or benefit summary related): Provide prescription co-pays. Provide prescription formulary coverage information and utilization management requirements using web posted printed formulary. Provide a brief description of coverage denial reason and alternatives as listed in the printed formulary Coordinates membership changes such as member's primary care physician. Provide deductible and max out of pocket information Provide status of a prior authorization requests.
Assist members may when and how to appeal a coverage decision. Reviews and analyzes member claims for accuracy as well as member education on how benefits are applied
Warehouse Receiver
Amazon Fulfillment - Tracy, CA
August 2018 to July 2019
Scanned inventory into computerized system
Unloaded and loaded trailers
Pallet jacked inventory to assigned departments
Unboxed inventory and added into system
Assistant Manager
Popeye's - Stockton, CA
October 2017 to October 2018
Keeping record of inventory
Budgeting and payroll
Supervising employees
Credit Union Teller
Financial Center Credit Union - Stockton, CA
October 2016 to May 2018
Opening and closing accounts
Deposits, withdrawals, & loan payment processing
Counting large quantity of currency
Scan/fax applications
Knowledge of financial institution regulatory requirements Assistant Manager
Pacific Sunwear - Stockton, CA
October 2013 to November 2016
Provided strong leadership and control of store operations Responsible for closing and opening the store
Made sure all promotions and visual updates where up to date Exceeded expectations of district sales goals
Executed floor sets, merchandising, & promotional directives Participated in company conference calls
Trained new employees in perfecting their customer service skills Education
High school diploma
Skills
• Fluent Spanish speaker
Management & Sales
Call center experience
• Supervising Experience
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