• Successfully completed training period, meeting and exceeding department standards for dependability, timeliness, accuracy, quantity, and quality.• Acquired and applied comprehensive knowledge of procedures and techniques for responding to diverse inquiries.• Engaged with subscribers, providers, healthcare professionals, agents/brokers, attorneys, group administrators, and the general public to address inquiries related to benefits, claim payments, eligibility, and other pertinent information through various communication channels.• Assessed provider and member inquiries swiftly, establishing rapport to determine service needs and identifying errors to initiate corrective actions.• Applied benefits in accordance with contracts, determining benefit payments, allowable fees, co-pays, and deductibles.• Corrected denied, process-in-error, or re-classified claims, ensuring accurate resolution.• Explained benefits, eligibility rules, claims procedures, pre-authorizations, medical reviews, and grievance/appeal procedures to members and providers, facilitating clear understanding of policies and procedures.• Educated members and providers on complex terminology and policies such as eligible medical expenses, hold harmless agreements, medical necessity, contract exclusions, and managed care products.• Maintained confidentiality and sensitivity in all internal and external interactions.• Managed high call volumes daily, prioritized follow-up actions, and documented inquiries and resolutions in tracking systems.• Maintained up-to-date records on benefits, processes, and internal policies, ensuring accuracy and compliance with audit standards.• Adhered to NMIS/MTM and Consortium standards, contributing to the achievement of BlueCross BlueShield Association (BCBSA) standards and corporate goals.• Assisted in identifying issues and trends to enhance overall customer service.

● Developed and delivered development plans and corrective action plans to enhance process improvements● Spearheaded the Company’s Samsung and Google accounts and built lasting relationships to promote business continuity and growth● Greeted guests and provided excellent customer service● Examined staff performance scorecards and daily metrics KPIs including office revenues and expenditures, resulting to consistent achievement of sales bonuses’ month to month● Executed project and tracked project milestones to ensure efficient end-to-end implementation of approved projects leading at top two of sales across all three company locations● Investigated complaints, and violations and resolved problems on time and in adherence with the set policies and procedures● Would talk with about 40-50 clients and customers daily using multiline telephone system and email.● Communicated with customers via inbound and outbound phone calls, as well as email and chat● Effectively managed phone, email, and/or chat online workflow ● Efficiently addressed customer questions and concerns regarding their order while also managing account information● Processed orders while communicating all essential customer account information● Come up with sales and marketing strategies to help drive business growth.

- Run all JV practices and games- Assist Varsity practices and games - Coach to 12 high schoolers

● Elevate repeat business by completing rush deliveries on tight schedules to exceed customer needs● Track and reduce overall fuel costs by 15% by recording mileages and analyzing fuel reports ● Communicate customer complaints, requests and feedback to company management on time for swift resolution● Foster positive working relationships with regular customers to boost sales by 20%● Perform walk around on delivery vehicle before shift to verify correct and safe operating order● Strong performance monthly resulting in 99% customer satisfaction. ● Two employee of the month awards among about 300 employees.● Communicate with many customers per day to achieve exception customer satisfaction.