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Case Management Customer Service

Location:
Coshocton, OH
Posted:
May 20, 2025

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Resume:

Correct now

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Beverly Orlando-Stuchul <*********************@*****.***> Sun, May 4, 2025 at 4:48 AM To: Beverly Orlando-Stuchul <*********************@*****.***> Beverly Jean Orlando-Stuchul (BJOS)

Email: *********************@*****.*** Phone: 330-***-****

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Professional Summary

Experienced professional with over 25 years in customer service, case management, client services, and third-party verification. Known for empathy, strong multitasking skills, and the ability to build lasting client relationships. Adept at simplifying complex insurance terms for client understanding and delivering consistent top-tier performance. Always eager to learn and contribute to team success.

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Core Competencies

Case Management & Verification

Customer-Focused Communication

Medicare Advantage Expertise

HIPAA Compliance

Employee Training & Mentorship

Performance Metrics (KPI) Achievement

Multisystem Navigation

Client Relationship Building

Script Memorization & Active Listening

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Professional Experience

TZ Insurance (TruBridge) – Case Management / Third-Party Verification October 2020 – April 2025 (position eliminated due to reduction in work force) Surpassed KPI goals consistently, maintaining a position in the top 5 performers. Memorized and executed scripts effectively, enabling proactive issue identification. Translated Medicare Advantage terminology for better client comprehension. Maintained HIPAA compliance and handled PHI securely. Trained new hires to company standards, many of whom earned performance recognition. Conducted high volumes of need-based surveys with high completion rates. Contributed to departmental morale in a virtual environment. Selected for new and pilot programs due to consistent high performance. Pizza Oven – West Tuscarawas Location (Canton, OH) – Key Holder August 2019 – November 2020

Managed product preparation and stock rotation to reduce waste. Reduced labor costs through efficient team scheduling. Delivered top-notch customer service, often remembered by regulars. Maintained strict adherence to food safety and health department standards. Trained and mentored new team members to help progress their roles.

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Education

Malone College – General Studies

Jackson High School – Massillon, OH

College Prep Graduate, 1999

Member of the first girls' golf team

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Licensure & Certifications

Health Insurance License – Passed State Exam and actively maintained Continually updated on new insurance guidelines and regulations

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Additional Highlights

Employee of the Month (2nd recipient in department) Actively recruited new agents and prepared trainees for real-world calls Known for a consistently positive and professional tone—clients “hear the smile” Provided honest, constructive feedback to management



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