Jessica Claire
Montgomery Street, San Francisco, CA 94105
Home: (555) 432-1000 - Cell: - - -
Professional Summary
Account Specialist Career Objective Motivated team player eager to contribute administrative, supervisory, team building, and organizational skills towards supporting the objectives of an organization that rewards reliability, dedication, and solid work ethics with opportunities for professional growth. Customer service professional seeking a management role. Skilled in training staff and establishing rapport with clients. Self-motivated with exceptional communication and computer capabilities.
  • Quick learner
  • Strong client relations
  • Local/state health laws knowledge
  • Multi-line phone talent
  • Medical terminology knowledge
  • Trusted key holder
  • Creative problem solver
  • Exceptional communication skills
  • MS Windows proficient
  • Training development aptitude
Work History
2013 to Current
Member Service Rep/Medicaid Higher Logic , ,
  • Assist beneficiaries with questions concerning their state Medicaid plan, such as coverage's and prior authorizations Special projects such as updating member files and faxing documents to hospitals, nursing homes, and clinics Responsible for updating records for doctors and nurses in database Process member applications for special plans and waivers Update member information in system and change PCP per member request Provide assistance with member billing, claims, and case management of any health needs Administrative duties as assigned.
2012 to 09/2012
Customer Support Specialist Cvr Energy Inc. , ,
  • Customer account management includes, but not limited to the following: Responsible for update and maintenance of customer account information via company database (data entry) Heavy customer service, inbound and outbound calls, evaluating all relevant account information Providing professional, courteous customer service in response to inquiries, from set-up, operation, maintenance, measurement information to recommending purchase of a higher-quality and/or additional Schlage security device(s) - "soft sell" Process orders and applications Liaison between customers and various internal departments Track orders being processed in database and Excel Assist in customer refunds Record/file/fax/scan documents Special projects as assigned Administrative duties as assigned.
04/2011 to 10/2011
Human Resources Assistant UPS Corporate Office , ,
  • Responsible for processing drivers' onboard paperwork (e.g.physical exams, background checks, drug screens, etc.)
  •  Pay invoices on any open UPS billing from hospitals, medical centers and labs Provide resolutions/answers to driver employee inquiries via email, phone and in-person Update driver information in database (data entry) Provide, process and maintenance of confidential information regarding drug & alcohol programs, as well as ear testing Administrative duties as assigned.
  • Handled daily heavy flow of paperwork and cooperated with the accounting departments on invoicing and shipping problems.
  • Manage Leaves of absences, Re-Certifications, audit reports, claims, and deep knowledge of Family Medical Leave Act (FMLA) and related policies.
  • Demonstrating empathy and resolving problems on the spot, excellent verbal, written and interpersonal communication.
  • Prioritize work load with little to no supervision.
  • Assist in other projects per departments such as UPS Driver Accidents and Health coverage department.
  • Handle confidental information with best judgment and authorizations.
02/2010 to 09/2010
DME Customer Service Representative SizeWise Medical , ,
  • Provide customer support of major hospitals, nursing homes and other medical facilities by taking all incoming calls from clients ordering medical equipment for larger patients.
  • Process deliveries and pick up DME equipment.
  • Arranged orders Processed company files Database maintenance of purchase orders, present and archived In charge of file retention process of purchase orders Update patient information Consistently meet Management expectations in a deadline-driven environment.
  • Special projects and Administrative duties as requested by Management.
10/2007 to 2009
Tier II Customer Service, Medicare/Medicaid Repr Vangent , ,
  • Assist Medicare beneficiaries with their prescription drug plans and help with any Medicare/Medicaid questions or concerns.
  • Assisted customer's in placement of insurance companies, which would allow them coverage in certain areas.
  • Answered billing questions, changed healthcare plans and achieved status quo every month.
  • Handled all incoming faxes, securing paperwork for the beneficiaries, assisting in the completion of medical forms, and applied new data in the database system.
  • General office duties as requested.
Expected in 2008
Certified Pharmacy Technician: Pharmacy
Job Corps Center - Excelsior Springs, Missouri
Expected in 2009
Associate of Arts: Medical Administrative
National American University College - Overland Park, KS
Expected in Current
Johnson County Community College - ,

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School Attended

  • Job Corps Center
  • National American University College
  • Johnson County Community College

Job Titles Held:

  • Member Service Rep/Medicaid
  • Customer Support Specialist
  • Human Resources Assistant
  • DME Customer Service Representative
  • Tier II Customer Service, Medicare/Medicaid Repr


  • Certified Pharmacy Technician
  • Associate of Arts

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