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Health Advisor Resume Example

Resume Score: 90%

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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 Current
United 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 2001
DJM - 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 1990
CitiCorp - 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 1987
CitiCorp - 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 1984
United 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,

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Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.

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

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