Knowledgeable, dedicated and detail-oriented individual with twenty-one years of experience in consumer relations, excelling in conflict resolution. Proven track record in effectively resolving issues while maintaining a service-oriented mindset. Skilled in documentation coordination and fostering positive relationships, ensuring high levels of satisfaction. Skilled in developing strategies to shape products and services to meet customer preferences. Highly organized and personable.
* Answer an average of 30 calls per day while listening, diagnosing and resolving provider claim issues and offering step-by-step solutions.
* Provided prompt provider support with a professional, friendly, and patient attitude.
* Politely addressed and provider complaints, only escalating to management when necessary.
* Proactively memorize our ever changing policies and procedures.
* Adjust claims.
* Document provider concerns with claim processing.
* Communicate with Blue Cross and Blue Shield from other states to resolve claim issues.
* Work inventory items such as Claim Reconsiderations and Appeals.
* Review medical records to insure they are in the correct department for review.
* Mail out correspondence letters to providers with review findings and to request any additional documentation that may be needed.
* Provider benefit quotes when I am dual skilled and placed in the Benefits and Eligibility queue.
* Open and/or close the store.
* Manage the till in the safe.
* Sign for and approve bank deposits.
* Make change while at the bank to ensure the till would be accurate and ready for the set day's projected sales from the prior year.
* Set up interviews with potential talent.
* Hold the first round of interviews.
* Set up interviews for the second round with the store manager.
* Hold a meeting with the manager to discus interviews and decide who we would want to offer a position.
* Call applicants to offer them a position with the company.
* Get all new hire paperwork together for onboarding.
* Set up a training schedule for new hires.
* Train the new hires.
* Submit payroll every Sunday.
* Create the schedule for all employees.
* Operate the register.
* Join in on a monthly conference call with the other store managers from our district.
* Remodel the store.
* Change out all new sales signs through out the store.
* Style mannequins with the newest trends.
* Receive shipment three days a week.
* Put out new products.
* Zone employees around the store so that each zone has an employee ready to assist customers.
* Organize the back room.
* Plan and lead a monthly store meeting.
* Keep track of and file away all paperwork.
* Open and/or close the store Monday through Thursday.
* Go through the store before open to check the produce quality.
* Balance both tills before opening for the day.
* Operate the registers when making sales.
* Remodel the store.
* Receive shipment every Wednesday.
* Put out new products.
* Clean the store before close.