Employment:

Technical Support Specialist and Subject Matter Expert, BCBS of NC, June 2006- present

•Assist CSR’s on various procedural inquiries and supervisor calls

•Assist in the reduction of inventory and other duties to achieve departmental and corporate goals

•Assist in education of CSR staff to ensure adherence to quality and the development of training materials

•Subject Matter Expert in CSR training classes

•Assists on numerous emergency projects such as credit memo reduction and correspondence

•Assists Business Analysts in gathering of data



Customer Service Specialist and Buddy, BCBS of NC April 2005- June 2006

•Assist providers and Plan to Plan CSRs with claims related issues

•Assisted Techline queues when short staffed

•On the floor Buddy for new reps

•Member of the corrected claims and COB issue teams

•Assisted the Provider Escalation unit and worked the Network Management mailbox



Personnel Recruiter and HHA, Willcare, Inc., May 2003- April 2005

•In charge of all recruitment and hiring of personal in five counties

•Assisted in the training of new employees and assisted with orientation

•In charge of all compliance and new hire paperwork as well as file audits

•Job fairs, presentations at schools, and advertising

•Creation and review of training materials



Administrative Assistant, ProTool, Inc., July 2002- May 2003

•Audit all customer and sales records

•Reconciliation of bank records

•All inventory reconciliation and billing



Customer Service Rep and Buddy, Empire BCBS, October 1996- August 2000

•Assisted customers on the phones with various benefit and claims related issues

•Trained new reps on the floor

•Developed and implemented through training and quality checks new procedures related to Medicare

•Worked with claims and management to create more effective procedures

•Functioned as point person fro Union reps calling into plan



Manager, Lane Bryant, May 1995 – October 1996

•All store functions



Manager, Gemstone Jewelry, November 1994 – May 1995

•All Store functions







Education:

Bachelors in Anthropology May 2002 SUNY New Paltz

•Biological processes and pathways

•Archaeological research methods

Assoc. In Arts, May 2000, OCCC Middletown NY

•Business Administration

•Computer Graphics and webpage design







Additional Classes Taken:

•Situational Leadership (February 2007)

•Targeted Selection (February 2007)

•Influential Leadership (December 2006)

•Respect in the Workplace (November 2006)

•Foundations of Leadership (October 2006)

•Around the World in 80 Cultures (August 2006)

•Career Navigator (January 2006)

•System related Classes (LSRP, ANSIR, ITS, Claims)



Awards:

All Star, BCBSNC (10/19/05, 10/24/05, 10/18/06)

Blue Ribbon, BCBSNC (10/13/05, 04/10/06, 07/07/06)

Perfect Attendance Award (3rd quarter 2006)

Community Service Award – Goshen NY



Certifications:

Targeted Selection Interviewer (February 2007)





Qualifications:

Human Resources including staffing, compliance, benefits, and payroll procedures.

Administrative including scheduling, financial, auditing, and time management.

Training of customer service and sales including development of training materials.

Extensive research qualifications including archival files, social, historical, and biological.

Computer proficient in Business, Publishing, Multi-media software, Internet, and databases.

Ability to work within a fast-paced, multi-tasked environment and to achieve deadlines.

Ability to formulate and implement creative solutions and trouble-shoot.

Excellent data management skills and employee record management.

Excellent data analysis skills and ability to present compiled data in clear, concise documents

Extensive background in biological and medical terminology.

Certified Home Health Aide, September 2004 to September 2006

Certified in interviewing techniques

Excellent presentation skills

Excellent interpersonal skills, including written and verbal communication.