Health Program Representative Resume Example

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Jessica Claire
Montgomery Street, San Francisco, CA 94105 (555) 432-1000,
Career Overview
CUSTOMER SERVICE REPRESENTATIVE I am committed to providing superior customer service with a positive attitude and prompt response. Being proactive with excellent interpersonal and communication skills, has given me the experienced to work with diverse groups and personalities as a people oriented and customer-focused professional. Taking initiative, within a busy environment, has yielded exceptional results. My goal is to minimize customer dissatisfaction and increase customer loyalty and I hold in-depth knowledge of health, social, and community services.
Core Strengths
MS Word, Excel, PowerPoint and Outlook; GAD, HRS, WMDS, Citrix, Encoder Pro

Database Maintenance

  • Assisted in the managing of the company database and verified, edited and modified members’ information.Customer Service
  • Researched, calmed and rapidly resolved client conflicts to prevent loss of key accounts.
Work Experience
01/2014 to 01/2015 Health Program Representative Anthem, Inc. | Miami Lakes, FL,
  • Point of contact between members and program health professionals, encouraging participation in provided health benefits.
  • Educated, enrolled, and engaged members in Disease and Case Management, My Health Coach, Future Mom, and Complex Care programs.
  • Conducted outbound motivational calls encouraging members to respond to Disease Management survey.
  • Directed and routed member inquiries to appropriate departments and health professionals.
  • Trained new hires on job assignments, assisting associates needing additional coaching.
  • Supervised floor providing assistance with questions, concerns, and urgent matters.
  • Maintained compliance with all applicable laws and regulations, as well as company policies and procedures.
01/2011 to 01/2013 Direct Support Staff Seven Hills Foundation | Saugus, MA,
  • Assisted mentally challenged adults live, learn, work, and play within the community.
  • Performed various tasks to include administering medications, providing daily meals, and maintaining healthy living environment.
  • Facilitated opportunity for clients to work towards individual accomplishments, employment satisfaction, and community contribution, realizing personal success.
  • Ensured safety and well-being, independence and inclusion in community with assistance and instruction to residents.
01/2010 to 01/2011 Cook Arbor Company | Fulton, MD,
Educational Background
Expected in Associate of Arts (AA) | Business Administration Laramie County Community College, Laramie, WY GPA:
Business Administration
Expected in Associate of Arts (AA) | Culinary Arts Johnsons & Wales University, Denver, CO GPA:
Culinary Arts FTC / FCC Telemarketing Mandate California Senate Bill 138 Sensitive Service Confidential Communication CIRS Overview Obtaining Consent to Call
Account Management, benefits, Call Center, Case Management, Citrix, Coach, Coaching, Conflict Resolution, Client, clients, Decision Making, Disease Management, instruction, Excel, Mom, Outlook, PowerPoint, MS Word, policies, Problem Solving, Reception, safety, Telemarketing, Time Management

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Resume Strength

  • Personalization
  • Target Job
  • Typos

Resume Overview

School Attended
  • Laramie County Community College
  • Johnsons & Wales University
Job Titles Held:
  • Health Program Representative
  • Direct Support Staff
  • Cook
  • Associate of Arts (AA)
  • Associate of Arts (AA)