Entry Clerk Data

KENYA JEFFERSON

***** ***** **.

Port Richey FL,*4668

Cell: 727-***-****

*********@*****.***

Objective

A challenging and responsible position which would effectively utilize prior experiences, training and abilities, offering opportunities for professional growth and advancement.

Education

High School Diploma

Strengths

I am a strong, responsible team player with 13 years of customer service experience, eight years of case management experience and two years of Claims Adjuster experience.

Work History

United Health Care

Oldsmar Fl

October 2017-Oct2019-Claims Adjuster: Adhere to all company policies, procedures and guidelines in addition to insurance regulations at the federal and state level. Examine/perform/research & make decisions necessary to properly adjudicate claims and written inquiries. Follow appropriate materials to ensure claims are being processed according to company guidelines.

Interpret contract benefits in accordance with specific claim processing guidelines.

Understand broad strategic concept of our business and link these to the day-to-day business functions of claims processing.

United Health Care

Oldsmar Fl

August 2016-Oct 2017 Provider Service Rep: Delivering optimum customer service is the primary job of a Provider Service Rep. Provide professional customer service, using specific software, identifying ways to improve processes, responding to inquiries from providers, and providing support with other projects in the company. Customer service orientation, conflict resolution, relationship management, and strong communication and interpersonal abilities.

Brookdale@ Carrollwood

Tampa, Fl.

May 2005 – 2016 Med Tech/ Night Supervisor: Orient, train and supervise other caregivers in the following areas: Personal Care and nursing, Medication Assistance, Safety and Sanitation, Laundry Functions and Resident Rights Functions. Provide excellent customer service to internal and external customers. Perform job duties for residents and with team members in a courteous and professional manner. Initiate and ensure residents safety, Distribute prescription medication including narcotics to residents residing in the facility. Provide daily care to residents in the facility including those with Alzheimer and Dementia. Documentation of residents’ progress during my shift. Reporting any changes on residents’ physical health or mental health to a license physician if changes occur.

DLC Inc.

Tampa, Fl.

January 2000 – January 2005 Call Center Representative and Data Entry Clerk: Determines requirements by working with customers. Answers inquiries by clarifying desired information; researching, locating, and providing information.. Resolves problems by clarifying issues; researching and exploring answers and alternative solutions; implementing solutions; escalating unresolved problems. Fulfills requests by clarifying desired information; completing transactions; forwarding requests. Sells additional services by recognizing opportunities to up-sell accounts; explaining new features. Maintains call center database by entering information. Keeps equipment operational by following established procedures; reporting malfunctions. Updates job knowledge by participating in educational opportunities. Enhances organization reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments. Prepares source data for entry by opening and sorting mail; verifying and logging receipt of data; obtaining missing data. Records data by operating data entry equipment; coding information; resolving processing problems. Protects organization's value by keeping information confidential. Accomplishes department and organization mission by completing related results as needed.

Related Skills

Customer Focus, Customer Service, Data Entry Skills, Listening, Phone Skills, Verbal Communication, Building Relationships, People Skills, Interpersonal Savvy, Problem Solving, Multi-tasking. I’m proficient in CPW, Doc 360,Facets,Iset,Microsoft Word, Outlook, and Excel.

Certifications

CPR/First Aid, Medicine Technician

References

Personal and business references upon request.

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