jessica claire 100 montgomery st 10th floor 555 4321000 resumesampleexamplecom summary hardworking advocate offering deep dedication meeting client needs empathetic caring quickly building rapport maintain confidentiality sensitive healthrelated matters good knowledge organizing classroom children promoting intellectual physical emotional activities support clients experience customer service assisting administrative tasks possess good communication interpersonal skills excellent verbal written communication skills strong organizational skills ability interact people various settings work independently cooperatively part team ability handle conflicts diplomacy tact skills ability listen evaluate objectively excellent working knowledge child welfare system family dynamicschildhood mental health issues needs well systems impact children youth families cultural sensitivity customer service elite advocate 092021 current experience iowas oklahoma chandler ok primary responsibilities provides premium level service removing burdens providing endtoend resolution members includes limited clinical financial decision support behavioral support claims inquiries provide single point contact member highly designated dedicated uhc national key account insurance plans respond consumer inquiries issues identifying topic type assistance caller needs benefits eligibility claims financial spending accounts correspondence optumrx pharmacy optum behavioral health selfservice options problem resolution behalf member real time comprehensive timely followup member educate members fundamentals benefits consumerdriven health care topics include managing health well select best benefit plan options maximize value health plan benefits advocate intervene care providers doctors offices behalf member assist appointment scheduling billing concerns coverage determinations assist member resolution advocate 3rd party vendors assist members navigating myuhccom unitedhealth group websites applications utilizing remote desktop system capabilities communicate keep consumer informed means prefer ie phone call secure messaging email chat research complex issues across multiple databases work support resources resolve member issues andor partner others resolve escalated issues meet performance goals established position areas conversation effectiveness call quality member satisfaction first call resolution efficiency attendance additional responsibilities answer 30 60 incoming calls per day members healthdentalvisionpharmacy plans performs claims adjustmentsdollar payments providers andor members ultimately impacting uhc costs commercial account costs effectively refer enroll members appropriate internal specialists programs based members needs eligibility using multiple databases interpret translate clinicalmedical terminology simpletounderstand terms members respond resolve first call member service inquires issues identifying topic type assistance caller needs benefits eligibility claims financial spending accounts correspondence navigate multiple platforms databases retrieve information regarding medical plans prescription plans flexible spending accounts health reimbursement accounts vision plans dental plans employerbased reward plans claims submissions clinical programs etc must remain current communicated changes process policiesguidelines adapt process changes quickly maintain knowledge changes site level entity level utilizing available resources resolve member service inquiries related medical benefits eligibility claims terminology plan design financial spending accounts pharmacy benefits eligibility claims correspondence requests educate members fundamentals health care benefits including managing health wellbeing programs maximizing value health plan benefits selecting best health plan meet health needs choosing quality care provider appointment scheduling premium provider education steerage preauthorization predetermination requests status benefit interpretation selfservice tools resources healthcare literacy correspondence literature interpretation work directly site leadership remove process barriers navigate multiple online resource materials follow defined process issue handling maximize use community services support programs resources available member education assistant 092018 092021 teachers call city state assume duties classroom teacher accordance school district lesson plans school rules kelly policies includes leading instruction classroom conducting teachers existing lesson plans teaching students variety classroom topicscourses building positive relationships assigning reasonable tasks homework empower students learn encourage classroom participation create classroom environment thats conducive learning appropriate maturity interests students adapt various learning styles students ensure adequate supervision students classroom environment assure health welfare safety students assist students transition classrooms needed understand address attuned needs student recognizing differences abilities cognitive levels indepent living specialist 102016092018 recover health city state provides weekly individualized support assisting consumer activities daily living assists consumer accessing navigating community resources accompanies consumer outings within community serves advocate consumer hisher service providers providing il skills training advocacy assistance career consultation peer counseling services youth schools adults community behavior heath worker 092012 102016 fma professional resources city state monitor evaluate record client progress respect treatment goals interview clients review records conduct assessments confer professionals evaluate mental physical condition clients patients collaborate counselors physicians nurses plan coordinate treatment drawing social work experience patient needs counsel aid family members assist understanding dealing supporting client patient refer patient client family community resources housing treatment assist recovery mental physical illness following ensure service efficacy modify treatment plans according changes client status bachelor arts sociology 112008 education training african methodist episcopal university monrovia liberia