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Customer Service Quality Assurance

Location:
Carson City, NV
Salary:
30 per hour
Posted:
September 02, 2023

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Resume:

Amanda White

**** ***** ****** ****** *** ***, Carson City, NV 89706

Cell Phone: 775-***-****

Education: Western Nevada College Carson City, NV

Associates of Arts, 2014

Western Nevada College Carson City, NV

Bachelor of Applied Science, 2022

Organization and Program Management

Skills: Administrative & Clerical Skills: Adobe Acrobat, Copy Machine, Customer Service,

Data Entry, Fax Machine, Insurance Billing, Multi-line Telephone, Personal Computer, Printer, Scanner, Shorthand/Speedwriting, Ten Key by Touch, Typing at 44 WPM or less.

Computer Skills: Database Software – Beginner, Microsoft Excel Intermediate level, Microsoft Outlook, Microsoft PowerPoint, Microsoft Word Intermediate level, Nevada Employee Action and Timekeeping System (NEATS)

Fiscal/Financial/ Accounting Skills: Accounts Payable, Auditing, Budgeting, Internal Controls, Medical Billing, Payroll.

Language Skills: English

Professional Skills: Health Care, Insurance, Interviewing/Eligibility, Managerial, Public Speaking/Presentations, Research, Sales, Supervisory Experience

Experience:

05/2022- 06/2023 Carson City, NV

State of Nevada- Public Safety

Parole and Probation Specialist 2 - Warrants and Extraditions Unit

Review, process, and transfer warrant and extradition files; prepare and submit accurate reports and computer entries; conduct service of preliminary inquiry hearing paperwork; liaison for fugitive team and other law enforcement entities; will have telephone and/or face-to-face contact with offenders and/or relatives.

Effectively manage assigned workload with minimal supervision; carry out multiple tasks and assignments in a timely manner; make appropriate casework decisions.

Apply casework principles and practices; read, interpret and evaluate client history from records and information system files; act decisively on administrative actions by recording and transmitting information in an authoritative and professional manner; read, interpret and evaluate various criminal statutes; evaluate financial information and make appropriate recommendations as required; calculate payments, arrearages, compile statistical data; read and understand violations of parole and probation agreements, directives, court and parole board orders, and act in accordance with prescribed policies and procedures; provide testimony before hearing boards, effectively communicate court and/or Parole Board orders, and division policies and procedures; prepare a variety of forms and reports according to established policies and procedures; operate computer equipment sufficient to enter, retrieve, and/or access information; and all knowledge, skills, and abilities required at the lower level.

10/2021 – 05/2022 Carson City/ Reno, NV

State of Nevada- Industrial Relations

Compliance Audit Investigator 2

Conduct compliance audits of the insurer and third-party administrator claim files, conduct complaint investigations, write comprehensive audit reports in accordance to the NRS.

Analyze statutes, rules, and regulations and apply to investigative or audit findings; make oral group presentations to provide information and explain procedures, policies, and laws pertaining to the program area; read and interpret contracts and legal documents in relation to the program area; review and analyze information received from business, complainant and governmental agencies; conduct interviews both in person and by phone to ascertain factual information; mediate and negotiate resolution between contending parties.

09/2016 – 10/ 2021 Carson City, NV

State of Nevada- Employment Security Division

Unemployment Insurance Representative 1 & 2

Examine Documents and issues presented by claimants and employers, apply appropriate sections of State laws and regulations, administrative policies and procedures, labor laws, labor market information, and working conditions, and business and management principles to the facts obtained to determine if issues need to be addressed or not. Contacting claimants, employers, and any third party must get required points, gather information, conduct fact-finding telephone interviews, and request documentation needed to substantiate information received to identify and resolve issues. Review incoming appeals from claimants and employers to see if additional information has been presented that warrants a re-determination of the decision. Maintain the privacy of the information as required by

law.

Scheduling interviews to adjudicators and auditing claims for duplicate issues. Enter data concerning claims such as stops, disqualification dates, and nonmonetary determination information into the computer; remove finishes from the computer to release payment of benefits when no issue is found, or there is an appeal reversal allowing payment of benefits.

Taking calls coming into the claim center to process claims by listening to the claimants, addressing concerns or issues. Interpret and explain laws, procedures, policies, and requirements to claimants, advise claimants on procedures for filing appeals and explain legal requirements.

Opening and sorting returned mail. I was adding social security numbers to appropriate documents to be scanned and indexed. I was setting up and addressing phone and headset issues for coworkers.

Compile information and submit reports to management regarding special projects. I analyze reports and create processes and procedures for handling new tasks and assignments based on law and policy.

Unemployment Insurance Representative 3

Adjudicate unemployment insurance claims concerning eligibility to receive benefits or tax rulings for base period employers; gather information; conduct fact-finding telephone interviews to identify and resolve issues; and write and distribute decisions concerning entitlement to unemployment insurance benefits. Interview claimants, employers, and any third party necessary to obtain essential facts and information; request documentation needed to substantiate information received; determine when additional or rebuttal fact-finding is essential and get all critical statements to identify and resolve issues that affect payment of claims or tax ruling; document pertinent findings from interviews in clear, concise and factual reports.

Enter data concerning claims such as stops, disqualification dates, and nonmonetary determination information into the computer; remove stops from the computer to release payment of benefits when no issue is found, or there is an appeal reversal allowing payment of benefits.

Apply appropriate sections of State laws and regulations, administrative policies and procedures, court and appeal precedents, labor laws, labor market information and working conditions, and business and management principles to the facts obtained; make determinations concerning benefit entitlement; using established templates, write nonmonetary determinations which contain a statement of the facts, determining factors in making the decision, and rationale for the conclusion. Interpret and explain laws, procedures, policies, and requirements to claimants and employers; advise claimants and employers in procedures for filing appeals and explain legal requirements; review incoming requests from claimants and employers to see if additional information has been presented that warrants a re-determination of the decision; remain abreast of changes in policy or interpretation of the law; maintain the privacy of the information as required by law.

Compile information and submit reports to management regarding special projects.

Unemployment Insurance Representative 3- Pandemic Unemployment Assistance Adjudication

Ran the PUA 750 report to distribute work for review.

We applied federal and state laws and policies to PUA claim and Audit claim to establish claim eligibility.

Helped with LCB, Governor, and Director complaints to get claims opened, reviewed, and addressed to ensure customer service standards.

Helped analyze and interrupt laws and policies and UPILs to create and implement policy and procedure to addressing PUA claims. Providing feedback to management. Developed training material to provide for oncoming PUA Team Members.

Unemployment Insurance Representative 5

Examine completed claims, adjudication determinations, fraud investigation documentation using designated quality assurance tools to ensure compliance with established unemployment insurance benefit laws, regulations, policies and procedures.

Review periodic reports to track quality assurance, timeliness and customer service goal achievement for individual employees and the team/unit; determine individual and team/unit training requirements.

Recommend and implement corrective action plans when established quality assurance, timeliness or customer service goals are not met; answer subordinates’ questions and resolve problems with staff and claimants regarding Pandemic Unemployment Assistance Claims.

Supervise subordinate professional and paraprofessional staff; participate in hiring interviews; prepare work performance standards for subordinates; prepare and conduct performance evaluations; recommend and prepare documentation for disciplinary action.

Deliver on-the-job training to address areas of deficiency for individual employees or to introduce new procedures; assist the unemployment insurance staff support unit to develop and present classroom training related to unemployment insurance claims examining, processing and adjudication.

Test systems functionality by preparing test plans and participating in quality assurance.

Monitor system implementation by participating in procedure development and evaluation, preparing end user procedures, devising and implementing procedure modifications, developing transition plans, developing training material, and participating in training development and presentation for a variety of agency programs and applications.

Identifying work processes that may be automated, researching and evaluating computer hardware and software needs, defining potential benefits of proposed system or deficiencies to be corrected in the existing system, proposing business process improvements

Compile information and submit a variety of reports to management regarding staff, production or special projects; inform manager of program and staff performance by memoranda or verbally; review appeal determinations made by hearings officers to identify additional issues or non-compliance.

2012- 09/2015 Carson City, NV

CVS/ Pharmacy

Shift Supervisor

Managing inventory based on customer needs and maintaining expiration dates using internal control databases and RF units. Checked in merchandise received and processed accounts payable.

Nightly cash deposits in compliance with internal controls. Monitoring daily refunds and voided transactions for discrepancies in cash drawers. Monitoring weekly payroll budget using internal controls once a week.

Maintaining excellent customer service by keeping in stock of products using the RF units cycle counts, calling other locations when out of stock for the customer, offering help at every opportunity, and resolving problems when brought to attention. Ordering out-of-stock products using internal store Balance-On-Hand program in RF units and ordering store supplies from the warehouse on order days.

Supervise subordinates and Deliver on-the-job training to address areas of deficiency for individual employees. Monitor and evaluate lines to minimize customer wait time and ensure efficient use of time.

Pharmacy Technician-Inventory Specialist

Accurately dispensed, packaged, and labeled medication compliance with state and federal regulations using internal store programs. Such regulations included but were not limited to HIPAA, which deals with privacy, DEA regulation involving controlled medications, Internal Policies regarding harassment and hazardous waste.

Accurately imputing patient and prescription information into the store computer data-based and filling all documentation correctly within the store filing system.

Demonstrated knowledge with excellent customer service by acknowledgment, resolving problems, helping the customer locate items, and calling other locations for the customer is out of stock on medication. Maintained in-stock status for medications through internal store databases and RF units to ensure the customers receive their medications in an orderly on-time manner. Order Supplies and medications via RF unit and outside vendor website.

Staying up to date on the current Laws, policies, and procedures, analyzing, changing, and implementing them in daily data input and prescription counts.

2014-2014 Carson City, NV

Skyline Estates Senior Living

Med-Tech

Managed and Passed out Medications, reordering medications when running low to ensure the patient never misses a dose.

Made doctor appointments and arrangements for travel to and back.

Filled out and managed paperwork regarding patient care and in compliance with HIPAA and internal policies.

Assisted with resident care (EX. Showers, Dressing, Assistance with using the facilities, Helping with meals, as well as first aid care)

2010 – 2011 Carson City, NV

Spirit Halloween

Assistant Manager

Created Work Schedules and monitored weekly payroll based on budget using excel.

Managed registers and nightly deposits—monitored weekly sales and donations for Spirit of Children using excel. Compile information and submit reports to management regarding special projects.

Checked invoices for inventory, damaged out products, and ordered a new list to support customer service by being stock of products using the store's RF unit and online ordering system.

Supervise subordinates, participate in hiring interviews, and deliver on-the-job training to address areas of deficiency for individual employees or introduce new procedures. Creating training based on the policy and procedures. Monitored and assigned daily duties to employees. Sent memos out for meetings and addressing critical issues.



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