David Medeiros Email & Phone Number

Phoenix, Az, Us

New York, Ny, Us

As the second-in-charge at a vintage antique furniture painting store, I excel in business planning, leading a workshop team of 3 in various tasks like furniture preparation, painting, and staining. Additionally, I oversee a retail team of 4, managing their daily activities, store organization, advertising, social media, and ensuring efficient sales. My responsibilities extend to sourcing furniture and handling all electronic communication with businesses and clients, showcasing my comprehensive management and customer service skills.

Aquarium and Pond maintenance including:Water change (As needed to meet chemistry requirements.)Substrate Vacuum. (If applicable)Full and thorough cleaning of algae from all aquarium glass/acrylic surfaces.Water polishing.Cleaning and or rinsing of readily accessible filters, sponges and padsFilter replacement (Customer provided/if supplied.)Bacterial supplement (As needed)Chemical testing of water/tank health diagnosis (As needed)Visual check of equipment, air and water flowVisual check of fish for headcount, disease, swimming and breathingCleaning protein skimmer (Saltwater/Reef tanks)Refilling of auto feeder (If supplied)Balance aquarium chemistry (As needed)

Madison, Wi, Us

In my previous role as Client Services Executive, I: • Responsible for the management and retention of 25 key client accounts; Develops meaningful partnerships to retain clients by proactively understanding their needs and priorities.• Gather requirements to develop solutions that meet the complex needs of clients and use a value-based “solution selling approach” to increase awareness and sell-through that ultimately improves costs, service, and member health. • Facilitate contract discussions outlining the Request For Proposal (RFP) details and ensuring all contract obligations are known and followed by the applicable teams and clients. • Assist new client account with onboarding and implementation; Identity, asses, and mitigate business risks that may arise through the onboarding process through ongoing engagement and follow-through. • Engage regularly with C-level internal and partner executives to elicit feedback, deliver strategic intent, and ensure alignment across the organizations. • Oversight of the Performance Guarantees (PG) process including but not limited to management, monitoring, and remediations of missed PGs.

Woonsocket, Ri, Us

In my previous role as Account Manager, I: • Handled over 7 million patient accounts for a major Medical Insurance provider and delivered $2.5 million in Performance Guarantees to clients. • Successfully implemented and onboarded 14+ million lives for two separate large client accounts and oversaw the onboarding of additional six Account Managers to the Account, leading the training and ramp-up of colleagues. • Oversaw the overall daily business needs by planning, organizing, and supporting business tasks, with the ability to align the day-to-day activities (short-term goals) with the strategic direction (long-term goals). • Developed document repositories for the department to ensure all client-specific documents were always accessible to the entire team, reducing bottlenecks when needing to find data.• Facilitated Open Enrollment meetings with clients implementing major processes and program changes and improvements to their new plan; Has a keen ability to translate and simplify complex topics for high-level general business audiences.• Provided guidance and support to the Account team on all CMS and Government-required projects; Kept an open and effective communication line, provided clear and concise answers as it pertains to each task, and ensured project deadlines were met. • Served as a Subject Matter Expert (SME) on company policies and “go-to” person for resolving single-member escalations with the expectation of timely and efficient resolution.• Drove quality assurance initiatives and ensured audit requirements were met by reviewing for accuracy, efficiency, and redundancy.

Woonsocket, Ri, Us

In my previous role as Member Operations Consultant, I:• Managed an assigned client portfolio with over 200 active clients. • Provided ongoing training to staff by having in-depth industry knowledge, an understanding of the company landscape, and a drive for improving the overall customer experience. • Reconciled and maintained a 98% success rate for failed Medical and Pharmacy transactions. • Achieved a track record of growing and retaining business relations with Membership Operations teams, finding novel opportunities to solve problems and explore creative approaches resourcefully.• Systematically aggregated and synthesized data for specialized reporting focusing on day-over-day transaction history.• Held monthly meetings with employees to ensure a mutual understanding of the project directives and held individuals accountable for meeting deadlines.

Woonsocket, Ri, Us

In my previous role as Senior Coordination of Benefits Claim Analyst, I:• Responded to and appropriately handled emergency situations that arose calmly and effectively with the ability to change the approach or method to fit the situation best. • Resolved subrogation requests in partnership with law offices. • Completed Medicare Part D claims in accordance with NCPDP standards and recuperated money in relation to Medicare Secondary Payer guidelines.• Singlehandedly developed a new process that recovered $200,000+ within 6 months from Workman’s Compensation Clients.

Falls Church, Virginia, Us

In my previous role as Inpatient/Outpatient, Medical, & Durable Medical equipment Specialist, I: • Answered general insurance questions • Assisted customers compare and enrolled in Medicare prescription drug plans, Medicare Advantage plans, and supplemental plans through various private insurance companies • Responsible for escalating calls to Advance Resolution Center when the issue has to be researched • Filed complaints when the plan/provider did not comply with rules and/or regulations • Filed fraud investigations for fraudulent cases • Refered customers for best suited department that can best handle their issue