Jessica Claire
Montgomery Street, San Francisco, CA 94105
Home: (555) 432-1000 - Cell: - - -
Professional Summary


Highly motivated professional and a recent MBA graduate with a MD degree in Medicine. Goal oriented, hard-working, diligent and ambitious to apply new technological skills and medical background to advance and thrive toward the success of the company and its operations. Providing leadership, project management and presented a class presentation on Telemedicine" with a team spirit and direction to achieve long-term strategic goals and objectives. Applied six sigma and Toyota Lean Production System to reduce patients wait time in outpatient facilities, by offering e -visits for minor health issues.

Experienced in customer care with over 1 year of experience in Health & Insurance Industry. Excellent reputation for resolving problems, improving customer satisfaction, and mostly securing 80% on First Call Resolution. Dedicated to serving individuals with special needs with utmost respect and consideration. Deep passion to help guide clients to their full potential. Monitor behaviors of clients and encourage to participate in customer surveys. Highly motivated and positive individual with great organizational and communication skills. Customer service master and efficient problem solver. Deftly manage administrative functions of the practice. Provide thorough answers and solutions and provide an exceptional customer experience.

Collaborated in a project creating a symbiosis with credit and consumer risk. The basic objective in making credit decisions is to find ways to approve an order with reasonable expectation that the customer will pay in accordance with established credit terms. A decision to grant or not to grant credit affects sales revenue, profit, production and procurement. Self-motivated, dependable and experienced in providing encouragement and direction to the team members.

Scored A on final MBA capstone. Managed day-to-day operations, supervising 50+ direct and indirect reports in areas including manufacturing production, supply chain, procurement, distribution, inventory and compliance. Careful analysis, on financial statements and sales forecast to improved profit margins by 8% while reducing quality defect losses by 15%.

  • Data collection, ability to using Regression Tools with What-If analysis
  • Ability to effectively comprehend graphic interpretation of the data
  • Analytics: IBM Watson Analytics
  • Software:
  • MS Office 2016,
  • Palisade Risk 7.5,
  • PowerPoint, Excel
  • Global DNA: Capstone, Business Development Simulation
  • Citrix, Facets, Maces
  • Appeal Processing: Next Gen
  • Payment & Invoice tools: Trans Centra
  • Business Development
  • Excellent communication
  • Customer service skills
  • Customer service optimization
  • Customer liaison
  • Excel
  • MS Office
  • PowerPoint
Work History
12/2018 to Current
Member Service Representative Coxhealth Marshfield, MO,
  • On a day to day basis, some skills that I effectively use are demonstrating customer service skills, using strong listening, using memory retention abilities, and relaying information accurately, completely and sufficiently with excellent communication skills
  • I have also been able to help problem solve with my colleagues along with members in claims, handling, and payments to efficiently supply to customer's needs
  • Some key skills and responsibilities I have learned with my time at Anthem is simplifying plan benefits to new members to understand co-payments and co-insurance, exhibiting good skills in provider relations during authorization process before inpatient service, helping pharmacy department with inquiries, and also making attempts for patients to receive their medications in a timely manner
  • One achievement that I feel shows and demonstrates my true skill as a customer service representative using different payment and research tools was First Call Resolution Benchmark Assessment, where I scored 85%
  • This means that customer was 100% satisfied after duration of their first call
05/2017 to 12/2018
Medical Interpreter Children's Hospital & Research Center Oakland, CA,
  • Skills exhibited during my tenure with the Cincinnati Children Hospital were bridging the communication barrier between the patients and medical staff, simplifying the complex medical terminologies by explicit demonstration from the onset of the disease process, diagnosis, and the treatment plan. Assisting the management team and the caregivers to follow compliance for the best outcome for the patients
  • Delivered real-time, accurate oral translations and interpretations for clients
  • Interpreted conference calls and other workplace communications in real-time
03/2016 to 09/2016
Volunteer- Medical Research Assistant UC Health Science City, STATE,
  • The purpose of most of our research was centered on studying effects of estrogen on phosphate receptors in the kidneys, to determine if hormonal therapy in postmenopausal women can reduce the risk for Osteoporosis
  • Monitored multiple databases to keep track of all the research center inventory
  • Using regression tools, graphic data visualization, other statistical equations from my Data Analytics 7011 class to attain 95% accuracy on data collection
Expected in 02/2014
Doctor of Medicine (MD) Degree: ECFMG
King Edward Medical University - ,
Expected in 08/2019
MBA: Business Administration
University of Cincinnati - Lindner College Of Buisness ,
University of Cincinnati Healthcare Administration 08/10/18 to 08/17/19 Certified Courses Completed: Managerial Accounting, Finance for Managers, Health Care Economics, Data Analytics, Decision Modeling, IT management, Leadership and MGMT, Health Information Technology, Operation Management, and Six Sigma Lean Operations. MBA Capstone Certification: DNA Global Simulation experience while also demonstrating competency in applying both the strategy and functional course concepts and tools in an integrative experience.
  • Used Microsoft Excel to develop inventory tracking spreadsheets
  • Licenses & Certifications
    Issuing authority : ECFMG
  • Externship in Unversity Hospital
    Company NameUniversity of Kentucky
    Dates volunteered :Dec 2011 – Aug 2012 Volunteer duration, 9 mos
  • Externship - Nephrology Department: presented rare cases, scheduled meetings between faculty members and participated in grand rounds. Involved in group discussions to develop interpersonal communication skills
  • Collaborated with team in my capstone in the development of Chester risk and analysis Co
  • Oversee budgetary and income development, activities and work the board, contract the executives, and clinical results inside the division prompting accomplishing clinical and money related objectives
  • Resolved product issue through consumer testing

UC Organizations: Women in Tech Initiative

American Heart Association

University of Cincinnati’s Graduate Student Government Association

King Edward Medical College International Federation of Medical Students' Associations

Additional Information

Considering for your job of Regional Operations Manager which I saw promoted yesterday on your companies site.

I have the entirety of the aptitudes that you are searching for in a competitor, specifically I might want to feature my capacity to drive business development through operational greatness and world class client relationship building. I can have a genuine effect to your main concern by observing, training, supporting, rousing and creating colleagues to empower them to convey as well as could be expected.

In my present position, I assume an influential position in setting suitable gauges and in dealing with a particular topographical zone that comprises of different help. I go about as a change specialist inside operational administrations, especially in connection to support modernisation. At work, I have been complimented for dealing with my locale in a financially savvy way and for distinguishing and abusing administration improvement openings inside the area.

On an individual level I am amiable commonly and ready to keep up open correspondence inside all zones of my obligation.

At the present time, my desire is to join an organization where each representative is allowed the chance to arrive at their full profession potential.

I anticipate meeting with you to additionally talk about my application for this energizing position. If it's not too much trouble don't hesitate to reach me to mastermind a meeting whenever it might suit you. In shutting I might want to thank you for setting aside the effort to think about my application.


Jessica Claire

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Resume Overview

School Attended

  • King Edward Medical University
  • University of Cincinnati

Job Titles Held:

  • Member Service Representative
  • Medical Interpreter
  • Volunteer- Medical Research Assistant


  • Doctor of Medicine (MD) Degree
  • MBA

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