Ofelia Chavez

Ofelia Chavez Email and Phone Number

Senior Workforce Manager at Steward Healthcare
Ofelia Chavez's Location
San Antonio, Texas, United States, United States
About Ofelia Chavez

ENTERPRISING, INNOVATIVE, INVENTIVE AND TECHNICALLY SKILLED INDIVIDUAL known for accuracy, attention to detail, timeliness, and self-motivation along with a diligent work ethic and a stable set of core values that include honesty, integrity, and loyalty. Duties have included leading a team in ensuring department performance guarantees are met while working with management to maintain continued excellent customer quality standards and auditing of departmental procedures and team transactions. Understands the regulatory requirements that drive the health benefits industry with a thorough knowledge of how the health industry works. Expertise in Office Suite, QuickBooks, Peoplesoft, CMS, eWorkforce Management, Aspect RTA, Nice, Genesys, Salesforce and Verint. Ability to manage multiple situations simultaneously and ensure established service levels are achieved at all times by planning and prioritizing workloads. Strong problem-solving and team-building skills with the ability to communicate clearly and concisely, both orally and in writing. Strong leadership skills, with the ability to coach, mentor and motivate others. Able to handle confidential and sensitive information in compliance with regulations. Constantly striving to transform something strong into something superb and able to quickly spot relevant patterns and issues when faced with difficult scenarios.

Ofelia Chavez's Current Company Details

Senior Workforce Manager at Steward Healthcare
Ofelia Chavez Work Experience Details
  • Zillow
    Workforce Forecasting Capacity Planner
    Zillow Apr 2021 - Jun 2022
    San Antonio, Texas Metropolitan Area
  • Steward Health Care
    Senior Workforce Manager
    Steward Health Care Apr 2019 - Apr 2021
    Dallas/Fort Worth Area
  • Aetna
    Virtual Call Center Workforce Management Coordinator Team Lead
    Aetna Mar 2017 - Apr 2019
    San Antonio, Texas Area
    Leads a team of local call coordinators and assists the Operations Manager in overseeing the day-to-day function of the local call coordinator roll. Performs forecasting models for current business needs as well as potential new business to ensure proper staffing levels and meeting customer quality standards. Maintains oversight of the local call management function and is responsible for the efficiency and quality of monitoring call volumes over a virtual call center which includes 250+ work-at-home employees across the nation. Recognizes and recommends operational improvements. Analyzes call center trends, including call volume, call patterns, staff productivity, and resource allocation. Utilizes call volume reports and coordinates and completes capacity planning with call centers. Develops, monitors and reviews performance reports and service performance trends for each account against the plan and recommends specific actions or remedies as necessary. Reports on performance guarantees and departmental performance metrics. Resolves system problems that may affect departmental standards. Skills necessary for job function include technical and negotiation skills, organizational skills as well as problem-solving skills and the ability to effectively prioritize job duties as well as the delegation of duties.
  • Aetna
    Virtual Call Center Local Call Coordinator
    Aetna Jun 2012 - Mar 2017
    San Antonio, Texas Area
    Maintains oversight of the local call management function and is responsible for the efficiency and quality of monitoring call volumes over a virtual call center which includes 250+ work-at-home employees across the nation and a 24/7 operation. Conducts call pattern forecasting activities and forecasts scheduling, hiring and headcount needs. Recognizes and recommends operational improvements. Analyzes call center trends, including call volume, call patterns, staff productivity, and resource allocation. Monitors inbound call traffic and ensures efficient distribution based on staff availability. Utilizes call volume reports and coordinates and completes capacity planning with call centers. Conducts call pattern forecasting and schedule planning to help meet business unit objectives. Develops, monitors and reviews performance reports and service performance trends for each account against the plan and recommends specific actions or remedies as necessary. Resolves system problems that may affect departmental standards. Skills necessary for job function include technical and negotiation skills, organizational skills as well as problem-solving skills and the ability to effectively prioritize job duties.
  • Aetna Inc
    Quality Analyst
    Aetna Inc Nov 2010 - Jun 2012
    Directs and manages continuous quality improvement through measurement, analysis, training and consulting. Enables Aetna to improve the quality of its products, services, and processes to increase customer satisfaction and lower costs through the application of continuous quality improvement principles and practices. Conduct reviews and audits to evaluate compliance with standards and outcomes. Monitors and tracks compliance with customer and regulatory requirements. Identify and communicate trends pertaining to quality of results, efficiencies and processes and identify areas of improvement. Report results and make recommendations as well as perform special reviews as requested. Active participant in Positive Approach training stressing positive reinforcement of policies and procedures.
  • Aetna Inc
    Senior Customer Service/Claims Representative
    Aetna Inc Jan 2009 - Oct 2010
    Handle incoming member calls pertaining to medical benefits and claim inquiries. Researching of medical claims to ensure correct processing according to provider contracts and standard guidelines. Responsible for escalated calls and timely customer resolution. Also have the responsibility of calling members back and assisting with First Call Resolution complaints. Am responsible for call management duties including ensuring timely answering of phones and submitting team exceptions. Distribute schedules and adherence reports to team. Duties also include extensive research in standard medical guidelines and plan sponsor guidelines to ensure compliance in payment of claims. Assist site Plan Sponsor Liaisons in research and timely resolution of customer issues. Research and completion of First Call Resolution escalations. Mentoring of customer service representatives and assisting in potential customer presentations including systems demonstrations.
  • Aetna Inc
    Customer Service/Claims Representative
    Aetna Inc Jan 2007 - Jan 2009
    Handle incoming member calls pertaining to medical benefits and claim inquiries. Am responsible for call management duties including ensuring timely answering of phones and submitting team exceptions. Distribute schedules and adherence reports to team. Duties also include extensive research in standard medical guidelines and plan sponsor guidelines to ensure compliance in payment of claims. Researching of medical claims to ensure correct processing according to provider contracts and standard guidelines.
  • Citigroup
    Fcso Representative
    Citigroup Aug 1999 - Mar 2006

Ofelia Chavez Skills

Auditing General Insurance Customer Satisfaction Financial Risk Risk Management Term Life Insurance Training Policy Customer Service Claim Insurance Employee Benefits Life Insurance Property And Casualty Insurance Business Process Improvement Underwriting

Ofelia Chavez Education Details

Frequently Asked Questions about Ofelia Chavez

What is Ofelia Chavez's role at the current company?

Ofelia Chavez's current role is Senior Workforce Manager at Steward Healthcare.

What is Ofelia Chavez's email address?

Ofelia Chavez's email address is of****@****oup.com

What schools did Ofelia Chavez attend?

Ofelia Chavez attended University Of The Incarnate Word, University Of Phoenix, Southwest Texas Junior College, The University Of Texas At San Antonio, University Of Phoenix.

What skills is Ofelia Chavez known for?

Ofelia Chavez has skills like Auditing, General Insurance, Customer Satisfaction, Financial Risk, Risk Management, Term Life Insurance, Training, Policy, Customer Service, Claim, Insurance, Employee Benefits.

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