Jessica Claire
, , 100 Montgomery St. 10th Floor (555) 432-1000,
Professional Summary

To seek and maintain a full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.

  • Insurance Knowledge
  • Data Entry
  • Organization and Time management
  • Clerical
  • Recruitment
  • Scheduling
  • Conflict managements
  • Self-motivated professional
  • Understanding of medical terms
  • Prior authorization processing
  • MS Office
  • Medical Records Management
  • EMR / EHR
  • Sales
  • Exceptional Customer Service
Work History
01/2021 to Current Subject Matter Expert Flightsafety International Inc. | Mcconnell Air Force Base, KS,
  • Contact assigned list of Veterans to determine their medical appointment scheduling preference Provider and availability
  • Liaised with customers, management and V.A to better understand customer needs and recommend appropriate solutions.
  • Work with leadership team to identify and forward potential Quality of Care complaints
  • Cross-trained and backed up other customer service managers.
  • Trained new personnel regarding company operations, policies and services.
  • Monitored inbound and outbound calls made by 15 employees to provide constructive feedback.
  • Crafted training materials and ran on-boarding sessions to train 10 incoming team members.
08/2020 to 01/2021 Patient Care Coordinator Smilebuilderz | Lancaster, PA,
  • Reviewed each step of patient care and made proactive adjustments to avert issues.
  • Met with patients and families to discuss care and plan of action for future.
  • Educated patients by explaining preparation instructions for upcoming procedures and tests.
  • Encouraged patients to schedule recommended procedures.
  • Scheduled and confirmed appointments
  • Operated multi-line telephone system to independently handle over 20-40 calls each day.
  • Checked patient insurance, demographic and health history to keep information current.
  • Coordinated patient scheduling, check-in, check-out and payments for billing.
  • Used computer programs and registration systems to schedule patients for routine and complex procedures.
  • Assured timely verification of insurance benefits prior to patient procedures or appointments.
11/2018 to 07/2020 Senior Member Services Representative Tremont Credit Union | Milton, MA,
  • Developed highly empathetic client relationships and earned reputation for exceeding service standard goals.
  • Provided outreach for additional information for appeals and grievances.
  • Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
  • Monitored call quality and provided individual constructive feedback to enhance performance and address areas in need of improvement.
  • Responded to customer comments and questions via LiveChat during shifts.
  • Engages with customers in a confident and compelling manner, performing the full range of customer service duties and responsibilities, as assigned. Takes calls from both members and providers
  • Met customer call guidelines for service levels, handle time and productivity.
  • Performed prior authorization review of services requiring notification.
  • Compliant with all HIPAA, PHI, & CMS guidelines and regulations.
  • Competent knowledge of health plan products, policies, procedures, benefits, & coordination of benefits.
  • Efficiently took inbound calls & made outbound calls to and from health providers, pharmacies, & internal company departments with accurate call documentation.
11/2017 to 03/2019 Store Manager Hair Club For Men And Women | Houston, TX,
  • Coached sales associates in product specifications, sales incentives and selling techniques, significantly increasing customer satisfaction ratings.
  • Facilitated high volumes of cash, credit and gift card transactions, verifying cash drawer balance at end of each shift.
  • Managed day-to-day staffing and handled scheduling for all store employees.
  • Recruited and retained top talent, with focus on completing timely performance evaluations, providing positive feedback and rewarding superior performance.
  • Reviewed and monitored scheduling, purchases and other expenses to maintain quarterly budget.
  • Stocked merchandise, clearly labeling items, and arranging according to size or color.
  • Monitored sales floor and merchandise displays for presentable condition, taking corrective action such as restocking or reorganizing products.
Expected in 05/2024 Associate of Business Administration | Business Management Community College of Allegheny County, Pittsburgh, PA GPA:
Expected in 06/2012 High School Diploma | Westinghouse Academy , Pittsburgh, PA GPA:

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School Attended

  • Community College of Allegheny County
  • Westinghouse Academy

Job Titles Held:

  • Subject Matter Expert
  • Patient Care Coordinator
  • Senior Member Services Representative
  • Store Manager


  • Associate of Business Administration
  • High School Diploma

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