Mary Garcia

Altoona, WI

adxwiv@r.postjobfree.com

+1-715-***-****

Reliable hard-working team member committed to getting the job done in an efficient manner allowing for interactions with others to be a positive experience. Skills:

• Skilled in handling and resolving escalated customer service concerns (10+ years)

• Knowledgeable and confident in various areas of insurance processes including the terminology,

• Employee Coaching and Motivation

• Able to speak in a clear and concise tone to individuals during the check-in/check-out process

• Claim Research

• Operational Standards

• Verbal and Written Communication

• Safety Procedures Adherence

Work Experience

Registered Nurse

HSHS St. Joseph's Hospital - Chippewa Falls, WI

November 2018 to July 2021

• Assessed the individuals needs of patients while in a hospital setting during the detox process from alcohol and/or other substances

• Managed care from admission to discharge which included administration of various medications given to treat symptoms

• Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.

• Educated patients how to improve lifestyle choices, dramatically reducing chance of symptom re occurrence.

Childcare Attendant

Eau Claire YMCA - Eau Claire, WI

November 2010 to February 2019

• Provided a positive role model experience to YMCA members and their children by maintaining a safe play environment by monitoring members children

• Documented and communicated, if warranted, any concerning behavior while in our care

• Assisted in homework for after school aged children Organized and participate in recreational activities

• Responsible for the daily organization, washing and sanitization of toys and laundry, linen changes to aide in preventing spread of any communicable diseases Service Account Manager

United Health Care - San Antonio, TX

December 2001 to July 2008

• Investigated escalated claims that had been erroneously processed and if warranted made the final decision on reprocessing+

• Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions.

• Worked to resolve various customer service grievances by further investigation or reaching out the customer

• Authorized stop payments on checks over 90 days and worked with the appropriate department, if needed, to update demographics to prevent re occurrence Education

Associate's Degree in Applied Science

Chippewa Valley Technical College - Eau Claire, WI September 2012 to May 2018

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