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Customer Service Quality Assurance

Location:
Buffalo, NY
Salary:
Competitive wages
Posted:
August 20, 2023

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Resume:

Rhoda Roberson

Buffalo, NY

716-***-**** ady2sx@r.postjobfree.com

Organizational Leadership Strategy Enhancement

Communication & Collaboration Community Outreach

Dedicated, detail-oriented with 12 years of progressive experience in Health Care Support, establish liaise with technical industry in a meaningful way, communication, and diversified workforce that best reflect communities served building a career in Project Management. Diverse record of innovation which enabled leading-edge services in competitive markets with careful planning and data-driven strategy, respected as a multi task expert at identifying sources and opportunities, influential leader and collaborator who guides teams in realizing prioritization of work load while maintaining high service and quality standards. Builds and maintains relationships with clients, colleagues, furthering company objectives through data and process review. Out-of-the-box thinker committed to enhancing community engagement. Outstanding educational qualifications include an Associates Computer Programming / Accounting from Kensington Business Institute.

Selected Highlights

Built and maintained strong relationships with a network of Providers at Blue Cross and Blue Shield of WNY to establish business requirements, negotiate contract details, and prepare reports and analysis of contract to ensure alignment with the company’s long-range strategic goals.

Served as First Panel at Blue Cross and Blue Shield WNY to identify Health Care-related software issues and troubleshooting technical problems; leveraged interpersonal and communication skills

Promptly and comprehensively responded to and resolved a daily average of 20 – 30 calls via the Customer Service center queue, knowledgeable and effective supporting client needs in a timely and professional manner.

Leveraged communication skills in association with up-to-date knowledge of company products and services at Blue Cross and Blue Shield of WNY to provide quality customer support responding to inquiries regarding all aspects of business

Provided technical assistance in the preparation of claims production, processing and performance

Core Competencies

Community Outreach

Relationship Building

Team Leadership of 12 people

Communication & Collaboration

Client Education

Strategy Enhancement

Escalated Service Concerns

Customer Support

Multi-tasked systems

Report Analysis

Time Critical Issues

Client Relations

Help Desk Support

Quality Assurance Reports

Business Analysis

Professional Experience

Landstar Jacksonville, Florida 2017 – Present

Professional Driver

Transporting finished goods and raw materials over land to and from manufacturing plants or retail and distribution centers

Inspection of vehicle, daily logs and reports throughout daily operations.

Build and maintain strong relationships with a network of vendors to establish business requirements, ensure hazmat materials are documented and contained in accordance with Federal guidelines

Entrepreneur Buffalo, NY 2011 - Present

Crypto currency Freelancer

Leveraged escrow to ensure accounts are paid accurately

Provided step by step feedback

Helped to grow member base to three million

Provided education on Crypto Currency Wallet

Blogged on Social Media detailing information about growth of Bitcoin

Blue Cross and Blue Shield of WNY Buffalo, NY 1999 - 2012

Credentialing Coordinator/ Claims Specialist / Provider Network Specialist / Customer Service Other Party Liability

Managed escalated service concerns received from clients

Maintained excellent with both internal and external clients

Submitted requests to the proper department to prevent re-occurring issues

Analyzed reports to make sure payments were processed by the correct insurance carrier

Educated the client on the program as well as navigation of the website

Promptly and methodically responded to client inquiries to identify and resolve issues with imitative and good judgment

Performed quality assurance and reported incidents / errors

Maintained expectations regarding call quality and resolution time

Multi tasked systems while providing service and resolving client issues regarding proper payment for claims

Education

Kensington Business Institute, Buffalo, NY:

Associate – Computer Programming / Accounting (GPA: 4.8)

Buffalo Tractor Trailer Institute, Blasdell, NY:

Certificate – Tractor Trailer Driver DOT Certified

Additional Credentials

Technical Skills

Microsoft Office (Word, Excel, PowerPoint) / Windows / Lotus Notes / Facets / Office 365

Detailed References Available on Request



Contact this candidate