Ms. Enu Nwamu
******@*****.***
EDUCATION - College Graduate
B.S. in Human Services, August 2007
University of Cincinnati - Cincinnati, Ohio
USA
Associate Degree in Child Abuse Recognition & Treatment, August 2006
University of Cincinnati – Cincinnati, Ohio - USA
Honors Society Cum Laude
University of Cincinnati – 2007
McNair Honor Society -Cincinnati, Ohio -
2006
SUMMAY
· 10+ Years Administrative
Assistant
Experience
· 10+Years of MS Office (MS Word, MS Excel, MS
Outlook)
· 10+ Years of Customer Service & Asset
Retention & Accounts Documentation
· 4+ Years of Healthcare
Industry
PROFESSIONAL
EXPERIENCE
PPD Thermo Fischer - Sample
Investigation - December
2022-Febuary 2023
A clinical trial associate helps
oversee late-stage drug trials.
They design and implement the
final clinical study before
making reports to the FDA and
other regulatory bodies as well as
to their clients. My responsibility
was to receive the clinical trial
labels orders and results from the
doctors and the facilities and
through the processing and
sorting from the system. That
would bring up any erroneous
errors or mistakes and it was my
job to investigate that error,
contact the site or the coordinator
and rectify the error and submit
it back into the system correctly.
Luxottica
CustomerServiceRepresetitive
July 2021- December 2022
Assists customers telephonically and non-telephonically with service and support issues. Resolves problems utilizing department tools, resources, business judgment and expertise, and appropriate partnerships with field/stores resulting in increased customer satisfaction and retention. Acts as a positive role models by demonstrating continuous performance improvement, solid business skills and support of department and company objectives. Ensures productivity, revenue generation, and quality levels are met in order to meet and exceed customer expectations. Uses courteous and professional language. Works effectively in a team environment. Creates a win-win resolution to problems. Specialing in placing contact, luxury frame, and lens orders, educating and assisting with prescription ranges and peremiters, placing return atuotization and quality concern deseclations. Pearle Vision brand temporary assignment contracted through Kelly Services.
Anthem Blue Cross Blue Shield
Grievance/Appeals Officer Mason, Ohio, USA 06/12/2018 - 05/01/2019 Responsible for reviewing, analyzing and processing grievances, appeals and medical inquiries; in accordance with all company procedures, policies, claims CMS guidelines. Recieved traaining with the intention to determine the company's liability and entitlements, with the best interest of the client in mind, while providing proper resolutions within the companies best practices and guidelines. Also I am trained to conduct investigations and reviews customer grievances and appeals involving all aspects of services and products we provide while using the benefit plan coverage solutions from Medicare advantage members. I communicate with members via phone, email and standard mail; to gather information and communicate depositions for each case. I properly document and track all interactions as per instructed. Then I generate professional written feedback to all parties involved customers such as members, medical providers and regulatory agencies inquiries. Conducting research to respond to inquiries and interpreting the correct policy to resolve all issues within company guidelines is a very big part of the daily job. I am good at determining the extent of a company's liability to provide beneficiaries entitlements. Triage Medicare appeals documents received via email, phone and mail, from CS Units, Providers, Inquiry Units, Members and/or others to resolve and or affirm previously submitted appeals. While ensuring the appropriate resolution to inquiries, grievances and appeals still meeting all service level agreements, government business division quality expectations of 95% accuracy, meeting specified timeframes established by our regulatory/accreditation agencies
(Medicare, HIPAA) and expedited request bases on customer needs. Identifies barriers to customer satisfaction and recommends actions to address operational challenges. United Healthcare Group
Sr. Customer Claims Representative, Cypress, CA 0/20/17 - 01/20/18 Process 50 call per day at a minimum, intake and processes member health advantage, hsa and, HRA question.(HIPPA Compliant). Specialist on employer driven wellness incentives, health fair registration and location assistance, LabCorp /Quest biometrics appointment inquiry, cancellation and rescheduling. Webportal registration and login technical support., Approved or denied advantage plan program eligibility, adhered to all service level agreement. Research and escalation issues for other departments and escalated issues accordingly, while utilizing 4 to 6 computer databases to provide information. Verify intake documentation, redirecting mis-routed calls. Consistently meeting quality assurance metrics. Contract Position Medical Support Los Angeles (MSLA)
Provider Relations Lead / Education Specialist, Cypress CA, 02/15/16 - 02/18/17 Physicians central point of contact, department resolution specialist, liaison to physician to develop, execute and monitor performance improvement plans. Research escalated issue and provide resolutions based on policy and guidelines, granted or denied fee increases, research breach of contract cases and provided conflict resolution, informed doctors of outstanding program requirements and deadlines, assisted doctors in completing required training modules, hosted weekly online program training webinars, determined program eligibility and activated or deactivated profiles. Initiated workflow improvement plans. Educated doctors on the company model of care. Assisted intake and dispatch of concerns to other departments, as needed. Contract Position
Victory Dreams Child Care
Office Manager, Cincinnati, Ohio 02/2015 - 12/2015 A/P and A/R intake into Quickbooks, maintained inventory and office equipment,· provided license and regulations quality assurance, established policies and procedures manual, implemented e-files, created website and letterhead, established functional filing and calendaring system. Spearheaded marketing events, and created marketing materials, Hosted meet and greets, marketed business and assisted vendors. parent relations. Purchasing Office supplies. workforce management for teacher/staff register children, oriented parents to rules, data entry, sorted mail, faxing and emails, updated social media and website. AON Hewitt,
Leave Of Absence Case Manager. Orlando, FL, 01/2014 – 01/2015 Total claim management from intake to closure. A 360 degree approach to case management; liaison with clients, primary medical staff and other HR personnel via phone, fax and email, while utilizing PeopleSoft. Gather medical supporting documentation from employees and their physicians and updated electronic systems. Provided a thorough review and investigation of medical documentation for validity of claims and completion of checklists. Adjudicated claims timeline as per instructions from medical staff and client guidelines. Analyzed, approved or denied eligibility, adhered to all service level agreements. Daily client contact with updates, provided customer service to our client’s needs. Weekly management meetings. Problem solving using a working knowledge of client specificity and company best practice guidelines. Maintained HIPAA and FMLA Federally mandated regulations. Stick adherence to cross/client expectations, company vision, while mastering departmental guidelines. Met and maintained excellent quality assurance and excellent customer service. Top notch telecommunication processing and etiquette. Fostering team building through proficient communication with co-workers, clients and other departments as a whole. Contract Position Orlando Utilities Commission
Sr. Customer Service Specialist Orlando, FL 11/2012 – 12/2013 Assisted customers with starting, stopping and interrupted services. Made payment arrangements to prevent interruptions. Too over the phone payments, Initiate final bills, processed ACH payments. ·Educated customers on terms and conditions of account, accounts fees, meter reads and alerts, recommended budget billing and other special programs. Educated customers on company guidelines, policies and procedures. Responded to customer emails triage, escalated calls to other departments. Restored customer’s services. Analyzed accounts for fee adjustments, deposit refunds, penalties and flagged incidents. Referred customers to other departments such as energy conservation, medical alert to cross sell products. Inbound call center. Contract Position US Bank, Cincinnati
Fraud Investigator Cincinnati OH 01/2011 – 08/2012 Reviewed Ch. 11 & 7 bankruptcy plans for assets recovery. Maintained continual communication with banks attorney, court trustee and debtor via email telephone. Utilized the Pacer. Received mortgage, vehicles and credit card bank accounts for bankruptcy intake, preparation and processing. Investigate bankruptcy accounts for potential fraud activities and patterns. Analyzed accounts for file referral to banks attorney for legal action per bankruptcy laws and . Recovered assets and receivable from debtor’s via debt collection methods. Liaison to government Trustees to maintain compliance. Fostering relationships. Maintained and processed bankruptcy claims via Pacer.·Manage electronic files via Access and Excel. Weekly progress meeting -flow charts, and PowerPoint. 523 bar deadlines maintenance.
5th 3rd Bank
Mortgage Loan Processor Cincinnat
Ohio 11/2009 –09/2010
Placed calls to mortgage holder’s about available loss mitigation options. Assisted those in risk of losing their homes keep their home· Document preparation coordination, document collections for forbearances, loan modifications, refinances and quick sales. Approved and denied eligibility for HAMP or HARP programs. Before I was promoted to processor I was an asset retention. Liaison between client and adjuster.·Assessed, applied and executed loss prevention options on 2nd mortgages, vehicle loans and overdraft checking/savings accounts.
·Negotiated settlements & payment arraignments on defaulted loans. ·Educated account holder on contract terms, fees and conditions. In & outbound call center. Contrac Position. Ameribest Home Health Care
Marketing & Human Resources Manager -West Chester, OH 04/2008 – 10/2009 function scouting new talent, scheduling, and interviewing, hiring and terminating employees Performing new hire functions, maintained 28 certified nurse schedules. Processed background checks, occupational therapy requirements and adhere to HIPPA regulations. Conducted new hire orientation, payroll tracking, as well as performance evaluations. Administrational functions included maintaining sponsor files and employee and patient files, maintaining call logs, accident log, timesheets, HIPAA records and incidents records. Marketing functions including liaison to Council on Aging Case workers, promoting client relations and referral base via meet and greets, Maintained professional relationships with Ohio Council on Aging, various dialysis clinics, hospital and nursing homes to build case and referral base.Administered jobs fairs at colleges and health care organizations to generate certified nursing aides and health care professional database. Promoted business through marketing media kits distribution, job fairs, online advertisements, target groups using marketing strategies and was effectively successful. Superior Environmental Corp
Executive Assistant Coordinator Cincinnati, OH 07/2007 – 04/2008 For 5 environment professionals. Maintained calendars, processed expense reports and booked hotel and travel arrangements. Event management, answered phones, filing, copying, faxing, mailing, scanning and document prep. Ordered office supplies and maintained equipment, electronic and paper filing, tracked office workflow. Maintained regional marketing database and charted targeted areas. Fostered relationships with potential clients, Assisted business to grow pre-existing & new clients network, by conducting marketing events creating marketing media kits, following up on new, old leads and closed accounts. Created company's newsletters and marketing memos. Kept OSHA requirements and occupations training up to date. Coordinated client meetings and investigated city codes for project managers. Phase I, Phase II, Due Diligences, Asbestos and Mold reports.
University of Cincinnati,
Legal Assistant, Cincinnat OH 09/2005 – 06/2007
Dictation taking and typing for paralegals. Pharmaceutical drug contracts pre-review. File intake preparation.Faxed, filed, emailed, copies and maintained office files. Maintained clinical trials databases, spreadsheets and tables. Updated paperless contract tracking & filling system on a daily basis. Meeting, deposition preparation, calendaring appointment setting for 3 attorneys and 2 paralegals.