Service Representative Customer

Deborah Kondelik-Gillen 928-***-**** Lake Havasu City, AZ 86403

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

SKILLS Medicare Advantage; DSNP, Medicare Advantage OEP-AEP; Google teams, Docs, Sheets, Slides, Meets, Forms; Webex, Teams Meets, Zoom; Word, Powerpoint, Excel; Outlook, Calendar, Tasks, and Contact; Salesforce; Verint; Citrix; Cisco Jabber, Coventry; Cwas; Evicore, Marx, Onekit, PNC billing; Rumba, Stars, Transamerica; Payflex CBAS; Five9 phones; Nations Benefit; Grievance / Appeal, De Escalation, Claims; Quickbooks; 10-key; CRM; Supply Requisition; Electronic filing of legal documents; Transcription; Abicus, Adobe; A-1 file maintenance; Legal Files

Work Experience

Life Insurance Sales; Independent Broker July 2023 to present 928-***-**** Outbound calls to prospective clients. Appraise the client's needs and review all insurance options. Licenses: Arizona - July 27, 2023 - Resident; New Mexico - August 9, 2023 - Non Resident; Ohio - August 9, 2023 - Non Resident; South Dakota - August 9, 2023 - Non Resident; California - March 5, 2024 - Non Resident; E&O Effective September 8, 2023 ; AntiMoney Laundering Certificate of Completion - August 30, 2023

Medicare Advantage Customer Service Representative. Aetna, a CVS Health Company - Remote September 2021 to February 2024

Customer Service Representative with Individual and Group Medicare Advantage Customer Service Representative. Inbound and outbound calls responding to members with questions, comments and concerns regarding their medical, dental, vision and hearing benefits. Review and discuss claims, benefits, policies, and authorizations. Resolve issues presented by members. Interaction with providers, members, pharmacy and other departments within Aetna. Continuous training keeping abreast of latest policies. Weekly meetings. Quest (quality, understanding, empathy, sensitivity, trust), Etech, Bswift, Medicare.gov, AetnaMedicare.com. Accounts Payable Samons Brothers Framing - Lake Havasu City, AZ October 2020 to September 2021 928-***-**** Data input of invoices. Labor subcontracting billing input. Maintenance of a large filing system. Management Experience Bridgewater Motel- Lake Havasu City, AZ Manager, Front Desk Clerk March 2018 to September 2020 Hiring and training personnel. Maintained personnel files. Managed 10 employees. Open and closing procedures. Checking guests in and out. Creating employee schedules. Emergency after hour call transfers. Supply requisitions.

Workers’ Compensation Defense Paralegal/Legal Secretary Law Offices of Mercado and Associates, Whittier, CA. January 2015 to January 2018

Transcription and creation of Legal documents. Answers, Petitions and Exhibits; Analyzing medical reports, Continuous Education Work Comp Central and WCAB Board, Associates of Arts in Paralegal Studies. Platt College, 1998-2000 Completed; Bachelor Business Management. University of Phoenix. 2010-2012 Incomplete