Customer Service Sales

Objective

Seeking for a position as a Supervisor where I can invest my endeavors, educational qualifications, and professional experience with over 10 years of supervisory and account management to serve and support the organization with my interpersonal and collaboration skills.

Experience

09/09 – 04/11

Coventry Healthcare – Long Beach

Operations Supervisor

• Managed 15-18 team members on improving efficiency, profitability, and maximize business results.

• Worked closely with internal and external vendors to manage initiatives anticipated revenue and profitability goals.

• Partnership with associated sales team executives to attain sales quotas through sales executions and planning.

• Generated monthly report of account performance and responded to incoming customer calls inquiries regarding service issues.

• Participated with Leadership team to effectively implement new accounts and communicated problem solving on existing business.

• Responsible for all personnel actions including hiring, performance reviews, corrective action plans, and terminations.

Corvel Corporation, Orange 01/08- 09/09

Hearing Representative/Customer Service

• Communicated California Medical Fee Schedule to provider via phone and correspondence.

• Represented clients and negotiated at the WCAB by offering technical bill review support during the process of negotiating settlement agreements.

• Responded to provider inquiries on bill review via phone calls and incoming mails.

Coventry Healthcare – Santa Ana 12/05- 10/07

Operations Supervisor

• Managed 15-18 team members on improving efficiency, profitability, and maximize business results.

• Worked closely with internal and external vendors to manage initiatives anticipated revenue and profitability goals.

• Partnership with associated sales team executives to attain sales quotas through sales executions and planning.

• Generated monthly report of account performance and responded to incoming customer calls inquiries regarding service issues.

• Participated with Leadership team to effectively implement new accounts and communicated problem solving on existing business.

• Responsible for all personnel actions including hiring, performance reviews, corrective action plans, and terminations.

Aetna – San Ramon 11/04 – 10/05

Network Coordinator

• Established, maintained, and aligned contracted provider demographic data and negotiated reimbursement arrangement across provider systems.

• Analyzed, identified, and reported on significant changes to network configuration and market information.

• Provided operational assistance to Operation and Network Management in support of network development, re-contracting, and credentialing projects.

• Worked with Contracts Administration to ensure appropriate contract implementation requirements are met timely.

Pacific Life Insurance – Irvine 11/02 – 07/04

Customer Service Representative

• Response to external customer inquiries and issues in solving customer needs in a call center environment.

• Ability to interpret various states regulations and guidelines on providing support for agents/brokers.

• Interacted with various departments within the company on resolving issues.

Diversified Healthcare – Santa Ana 04/01 – 10/01

Hearing Representative

• Communicated California Medical Fee Schedule to provider via phone and correspondence.

• Represented clients and negotiated at the WCAB by offering technical bill review support during the process of negotiating settlement agreements.

• Coordinated provider PPO contract and issues with company PPO partners.

HealthNet – Irvine 03/97 – 01/01

Account Manager

• Increased sales by generating new leads through strong relations with existing clients and key-customers.

• Visited national clients to establish and maintain effective relations and to coordinate all aspects of customer interface.

• Educated and provided ongoing support to clients and assisted in the identification and resolution of policy and procedures.

• Responsible for coordination of client graphic user interface set up.

• Assisted sales teams with the projects, the proposals and the presentations. Participated in trade shows and sales conference nationwide

Education/Skills

Santa Barbara City College – Health Information Technology (2011 – Present)

Proficient and knowledgeable – Microsoft Office including Excel, PowerPoint, Word, and Outlook. Good understanding of the technical features including Hardware Systems and Software

Communication – Excellent in oral, written, and presentation skills

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