Customer Service Specialist with 11+ Years Experience
Resume:
Kenneth Conner
Mesa AZ *****
480-***-**** Home
480-***-**** Cell
********@***.***
Summary
Took high volume of inbound calls each day from policy holders and Claimants involved in Auto Collisions and Home losses, made outbound calls to policy holders to verify their side of accident claim and documented it all.
Took high volume calls from doctor offices for Durable Medical Equipment and Verified Patient’s Health Insurance coverage over the phone with insurance companies to check deductibles and co-pays
Worked with all brands of Health Insurances daily. Received complaints and resolved problems
Taking calls from credit card holders to report fraud, check balances, assist in activation and setting of PINs, balance inquiries, fraud claims and card replacement
Worked with a team to resolve issues and complete documentation
Took daily inventories to assure workflow of production lines
Did accounts payable and receivable on Daily basis
Did collections of business accounts, Aged and collected thereon to ensure proper functioning of company
Assessed Credit worthiness of customers to make business profitable
Hired and fired sales many real estate sales agents and construction subcontractors plus many production workers at Action Chemical.
Education
Associate of Arts, Arizona College, Mesa, AZ, Medical Records Technical Training- 2015
Bachelor of Science, Iowa State University, Ames, IA, Animal Science/Agri-Business Minor
High School Diploma, Glidden-Ralston Community School K-12, Glidden, IA
Skills
Proficient with Excel, Word, PowerPoint
Experienced creating spreadsheet pricing.
Performing basic mathematical operations such as summing columns or rows of numbers. Finding values such as profit or loss
CSR experience using various types of software.
Licensed in all states as a Claims adjuster that require licensing, approximately 25 or more states.
CVS Pharmacy, AZ October2025 – present
Assisted pharmacists in dispensing medications and managing inventory. Provided customer service by addressing patient queries regarding prescriptions and insurance claims. Maintained accurate records in compliance with regulatory standards. Demonstrated reliable teamwork and effective communication skills in a fast-paced environment.
Peckham Contracting, AZ Jan 2024 to Jun 2024
CSR
A US Contractor handling Passport application.
Performed data entry on their application forms
Trained in Ulysses CSR handling for more efficient customer service.
Handled 30-40 calls a day.
Taking calls from passport applicants regarding their status.
Met or exceeded all call matrix, Average call handle time, Number of calls handled.
Was released in mass layoff when US State Department realized their projected call volume was too high for reality.
Cruise Autonomous Vehicles, AZ Jul 2023-Nov 2023
DSS
Formerly working in Garage and Field testing and driving autonomous vehicles on the streets of Metro Phoenix. Until CA main unit lost its use-permit and all operations were put on indefinite hold and standdown.
Bank of America, AZ Sep 2022 - Nov 2022
Commercial Credit Card Reporting
Taking calls from Credit card holders to report fraud, check balances, assist in activation and setting of PINs, balance inquiries, fraud claims and card replacement, KYC training, AML training
Performed data entry on their call log
State Farm Mutual Insurance Company, AZ Sep 2021 - May 2022
Initial Loss Reporting Claims Associate, CSR
Took high volume of inbound calls each day from policy holders and Claimants Involved in Auto Collisions and Home losses, made outbound calls to policy holders to verify their side of accident Claim and documented it all. Using State Farm software.
Performed Data entry on claim forms
Maximus, AZ Apr 2021 – Jul 2021
CSR
Assigned to Maximus to aid CDC with Covid Vaccination hotline assisting callers find Vaccination sites.
Randstad Temporary Staffing Feb 2021 – Mar 2021
CSR
Assigned to Amazon to aid in Covid tracing of infected employees. Traced employees throughout facilities from arrival in parking lot until they exited at end of day via video surveillance cameras.
Randstad Temporary Staffing Oct 2020 - Nov 2020
CSR
Assigned to Wells Fargo to assist with their backlog of Covid related Complaint Cases.
Handle high volume of calls and assisted in getting them through their crunch time to relieve regular staff until call level dropped to normal levels
Manpower Staffing Jun 2020-Jul 2020
CSR
Conduent Pension Services One Month contract to help them get over a contract glitch with a major client
Handled high volume of inbound calls concerning participant pensions and getting them onto website
Pinnacle West Medical Management, Scottsdale, Arizona Jan 2015-Jan 2020
CSR, Health Insurance Verifications
Took high volume calls from doctor offices for Durable Medical Equipment and Verified Patient’s Health Insurance coverage over the phone with insurance companies to check deductibles and co-pays
Worked with all brands of Health Insurances daily
Received complaints and resolved problems
Worked with a team to resolve issues and complete documentation
Realtor Extraordinaire, Scottsdale, Arizona Jun 1998- Aug 2014
Real Estate Brokerage, Owner, Designated Broker
•Full service Real Estate Agency, Hired and Trained Agents in Selling Real Estate in Arizona for buying and Selling homes for Clients
Remodelling Extraordinaire, Scottsdale, Arizona May 1996-2014
General Contractor, ROC-B197599 Residential, Owned/Managed, Licensed General Contractor
•Designed projects and supervised various subcontractors doing a multitude of remodels and additions in the Phoenix, Paradise Valley, Carefree and Scottsdale areas.
•Handled all aspects of a general contracting company from finding jobs, understanding customer wants and needs, bidding and presenting bids, sourcing materials and sub-contractors to do the work, scheduling the timing of job and deliveries, overseeing of all permits and inspections, and securing final payment and homeowner satisfaction.
Action Chemical Co. Inc., Phoenix, AZ Mar 1991-Jan 1995
General Manager
•Managed over 50 employees in a hazardous materials environment with 6 delivery trucks ranging from Bobtail box-trucks to 18 wheelers on the streets of Phoenix and throughout Arizona daily.
•Developed a continuous flow method of diluting 93% Sulfuric Acid to 40% using a Graphite Heat Exchanger and Cooling Tower to control the reaction temperature gradient.
•Setup a packaging line for bottling and boxing 2X1 Gallon boxes of liquid Chlorine and Muriatic Acid for Pool use with the yearly output more than over 4,000,000 gallons per year.
•Packaged Liquid Pool chemicals under 8 different labels for distribution throughout SW US.
•Managed a 200,000 Square foot warehouse that included a packaging and filling line and oversaw and handled most of the maintenance involved in operating it in a hazardous Chemical environment.
Duties
Process all inbound mail including that associated with conditional MSP claims
Support member specific task resolution process
Lookup claims information to assist with reprocessing of claims
Other tasks as assigned by leadership
Experience
2+ years of professional work experience in a financial operation, claims, customer service, or other healthcare related role
Position Summary
The Med D Finance Coordinator role requires an ambitious, motivated, and eager individual looking to work for an industry-leading company. The position is in our PBM Finance Operations Member Experience department and will be part of the Medicare Coordination of Benefits (COB)/Medicare Secondary Payer (MSP) team, a group responsible for ensuring the appropriate adjudication of claims across multiple payers.
As a Med D Coordinator, you will be responsible for reviewing and interpreting claims data in all adjudication platforms. You will take part in a variety of tasks and projects across the COB/MSP team. To be successful in this role, you will need to communicate effectively in individual and group situations, as well as the ability to plan assignments, develop action plans, and complete tasks in a timely manner.
Education
Verifiable High School diploma or GED required
What days & hours will the person work in this position? List training hours, if different.
Mon-Fri 8:30-5
Contact this candidate