Health Advisor Resume Example United Healthcare

HEALTH ADVISOR

Summary

A Challenging and responsible position, in which broad-based professional, education, personal skill, and commitment to excellence will be fully utilized and embrace compassion as the cornerstone of our corporate values. Results-oriented with diverse background in Customer Service. Dedicated to providing excellent customer service and making operational and procedural improvements.

Highlights

Client relations specialist
Conflict resolution techniques
Team management
Focused on customer satisfaction
Skilled multi-tasker
Scheduling

Anticipates customer needs and proactively identifies solutions
Plans, prioritizes, organizes and completes work to meet established objectives

Accomplishments

Received NAC Security Clearance 2013

Service Hero Recipient- 2010

Service Hero Nomination-2009

Experience

Health Advisor
January 2002 to CurrentUnited Healthcare － Sunrise, Florida

Open Enrollment Team Lead -UnitedHealth Care.
Serve as the liaison to complex customer inquiries to manage first level response and resolution of escalated issues.
Quickly and accurately identify and assess customer issues and resolve the issues real-time.
Investigate claim and/or customer service issues as identified and communicate resolution to customer.
Coordinated Open Enrollment huddles and facilitated team meetings.
Work with internal departments to resolve escalated issues as needed.
Responsible for the Open Enrollment mail box.
Assist with escalated Open Enrollment related calls.
Assist with supervisor calls for existing members/providers for claim/benefit related issues.
Assist team member's with questions about Open Enrollment and regular benefit/claim related questions.
One-on-one call coaching for Open Enrollment.
Interact with Account Management / Advocate or Implementation Manager Teams to ensure the information is in the Open Enrollment share point for call handling.
Send communication to the team for any updates / Highlights or meeting minutes regarding Open Enrollment or anything that applies.
Assist with culture training when needed for high profile groups.
Assist with any complex issue for Supervisor.
Silent monitoring/Coaching-Feedback.
Provide feedback to team members regarding improvement opportunities.
Coordinates, supervises and monitors daily activities that support the team and business. Developed, implemented and monitored programs to maximize customer satisfaction and manage on-site customer service representatives/Health Advisors.

Child Care Provider
January 1990 to January 2001DJM － Sound Beach, New York

Responsible for the safety and daily care of children.
Developing schedules, mediating conflicts, and solving problems.
Created a stimulating and creative educational environment for children to flourish.
Organized educational field trips.
Organized weekly meetings and set the agenda.
Sent weekly correspondence on weekly activities and progresses to parents.
Paid debts and maintained financial records.
Developed guidelines to achieve specific goals for a specific time frame.

Compensation Specialist
January 1987 to January 1990CitiCorp － Melville, New York

Responsible for answering questions and advising employees in all company payroll, health, and financial policies and benefits, which included guiding them to achieve their individual objectives.
Responsible for issuing and distributing off-cycle payroll checks which included the calculations for vacations, overtime, and termination pay.
Created a system to distribute rejected or returned W-2 forms by a specific date.
Printed and distributed all e-mails to the proper departments.
Initiated investigations and mediated on behalf of the employees concerning payroll and health disputes.
Initiated request for corporate retirement benefits on behalf of employees.

Customer Service Representative/Claims Investigator
January 1984 to January 1987CitiCorp － Melville, New York

Answered phone calls in regards to credit card charges.
Responsibilities included verification of card member, provided information on their accounts, authorized credit line increases/decreases, and sold bank services.
Resolved disputes between merchants and card members.
Advised members of procedures on claim form unauthorized charges.
Initiated investigations for members involving fraud.
Responsible for sending follow-up correspondence.
Responsible for training new representatives.

Receptionist, Social Security Administration
January 1981 to January 1984United States Government － Babylon, New York

Responsible for the certification of original documents to obtain Social Security Numbers.
Certified applications for Social Security Numbers and cards.
Responsible for greeting clients, determining purpose of visit and escorting them to the appropriate department representative to be interviewed for their eligibility for benefits.
Distributed the interviews keeping in mind the representatives schedules.
Answered and distributed phone calls.
Sorted and distributed the mail to the proper departments.

Education

High School Diploma : 2009Suffolk Community College Brentwood High School － Brentwood, NY

Skills

Benefits, coaching, credit, clients, customer service, financial, forms, time management, Team Lead, meetings, mail, share point, monitors, NAC, payroll, policies, real-time, safety, phone,

Resume Overview

Companies Worked For:

United Healthcare
DJM
CitiCorp
United States Government

School Attended

Suffolk Community College Brentwood High School

Job Titles Held:

Health Advisor
Child Care Provider
Compensation Specialist
Customer Service Representative/Claims Investigator
Receptionist, Social Security Administration

Degrees

High School Diploma : 2009

Health Advisor Resume Example

Resume Score: 90%

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