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sat 2 service advocate gemb v resume example with 13+ years of experience

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Jessica Claire
, , 100 Montgomery St. 10th Floor (555) 432-1000, resumesample@example.com
Summary

I am a seasoned service advocate with experience in customer service, claims, reporting, billing and enrollment. I consider myself a well rounded, efficient, organized, detail oriented, observant person. Constant change in procedure and processes keeps things cClaireenging for me and I flourish in a team environment.

Skills
  • Exercise equipment operation
  • Designing exercise programs
  • Recordkeeping
  • Communications
  • Organization
  • Process improvement
  • Problem resolution
  • Insurance billing
  • Project organization
  • Customer service
  • Relationship development
  • Inventory management
  • Administrative support
  • Skilled in processing through Excel, Macros, pivot tables, structured query language
  • Decision-making skills
  • Schedule management
  • Organized and detail-oriented
  • Team building
  • Microsoft Office proficiency
Experience
10/2013 to Current SAT 2 Service Advocate GEMB V Socal Jib Food Management - Jack In The Box | Yucaipa, CA,
  • Built customer loyalty and strength by finding solutions to customers needs.
  • Prepared solutions to ensure customer retention.
  • Monitored all inquiries and complaints, delivering optimal levels of customer service at all times.
  • Answered calls and interacted with community members to provide information on advocacy services.
  • Assisted team during daily situations by handling administrative tasks, conducting research and using analytical skills.
  • Assisted individuals with navigating health care systems, appointments and classes.
  • Received processed and tracked patient documentation with speed and accuracy.
  • Worked closely with team members to deliver project requirements, develop solutions and meet deadlines.
  • Handled all delegated tasks, including service requests, phone calls, work queue, EURs, emails and financial reconciliation.
  • Utilized Excel, Word, Siebel, RBMS, Enroll Point, EVT, VPI and EIP to compile data gathered from various sources.
  • Earned reputation for good attendance and hard work.
  • Provided excellent service and attention to customers when face-to-face or through phone conversations.
  • Maintained updated procedure knowledge through keeping up with the help file.
  • Performed site evaluations, customer surveys and team audits.
  • Improved operations by working with team members and customers to find workable solutions.
  • Process enrollment applications, change applications, group renewals, address changes, all billing reports including groups not billed, reconciliation report, audits, control money to reconcile invoices.
  • Recognize where there is a billing issue and communicate with the group to receive funds if we are short paid, process audit and research to provide reconciliation for group through conference calls, sending invoices and audit.
  • Handle cancellation process, reinstatements, and delinquency calls
  • Prioritize daily tasks and reports to maximize production and customer service needs.
  • Exceeding production and quality requirements for the department level.
  • Pulling personal inventory or inventory of team mates when needed in Siebel or on reports.
  • Completed Guidewell Training courses for Excel, Macros, Pivot Tables and Structured Query Language
07/2013 to 10/2013 COST Claims Service Advocate III Florida Blue | City, STATE,
  • Prepared solutions to ensure customer retention.
  • Monitored all inquiries and complaints, delivering optimal levels of customer service at all times.
  • Received processed and tracked patient documentation with speed and accuracy.
  • Utilized Diamond, Quest, PIMS, IMS and Oracle to compile data gathered from various sources.
  • Maintained updated claim knowledge through keeping up with procedure in Help FIle.
  • Earned reputation for good attendance and hard work.
  • Worked closely with team members to deliver project requirements, develop solutions and meet deadlines.
  • Handled all delegated tasks, including processing claims, adjustments, confirming procedure and diagnosis codes, processing institutional and individual claims and calling providers.
01/2019 to Current Pure Barre Instructor Pure Barre LLC | City, STATE,
  • Administered various fitness assessments to measure client progress.
  • Guided clients in safe exercise, taking into account individualized physical limitations.
  • Encouraged clients to engage in group fitness classes and other gym activities to meet fitness goals.
  • Developed and delivered 5 or 6 weekly fitness classes.
  • Watched clients during exercises and assisted with exercises.
  • Guided clients on proper nutrition and exercise habits.
  • Developed routines to avoid injuries, maximize effort and facilitate client attainment of personal fitness goals.
  • Maintained updated knowledge through training courses and workshops.
  • Earned reputation for good attendance and hard work.
  • Provided excellent service and attention to customers when face-to-face or through phone conversations.
  • Learned modifications and proper adjustment and motivation skills to support office needs.
  • Improved operations by working with team members and customers to find workable solutions.
10/2007 to 07/2020 Team Member Chick-Fil-A Inc. | City, STATE,
  • Coordinated work across disciplines to handle project needs and meet timelines with optimal efficiency.
  • Contributed to team safety and productivity by removing safety hazards and keeping areas neat and well-stocked.
  • Maintained excellent levels of workplace cleanliness around equipment to enhance safety and productivity.
  • Trained new employees on cash register, kitchen procedures and customer service positions to support team efficiency.
  • Picked up and moved boxes weighing 50+ pounds.
  • Upheld high standards of productivity and quality in all areas of operations.
  • Corrected issues promptly to maintain productivity goals.
  • Built and maintained effective working relationships with peers and upper management.
  • Assisted newly hired team members by explaining company procedures and safety requirements and delivered positive feedback upon job task completion.
  • Looked for ways to go above and beyond job requirements.
Education and Training
Expected in to to Associate of Arts | Business Florida State College At Jacksonville, Jacksonville, FL GPA:
Expected in 06/2010 to to High School Diploma | Eagles View Academy, Jacksonville, FL, GPA:

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Resume Overview

School Attended

  • Florida State College At Jacksonville
  • Eagles View Academy

Job Titles Held:

  • SAT 2 Service Advocate GEMB V
  • COST Claims Service Advocate III
  • Pure Barre Instructor
  • Team Member

Degrees

  • Associate of Arts
  • High School Diploma

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