Motivated graduate eager to contribute developed knowledge to the position to gain hands-on experience. Adaptive and driven with strong work ethic and motivation to thrive in team-based or individually motivated settings.
Overview
6
6
years of professional experience
Work History
Drug Services Claims Specialist
Canadlife
11.2020 - Current
Applied understanding of medical terminology to review each patients' medical history and ongoing treatments with the pharmaceuticals needed for treatments by following the corporate, provincial and federal government guidelines required to assess the claim eligibility.
Reviewed medical information supplied by the patients' physician to ensure that all required information was obtained in order to complete the evaluation. Based on the group plan specifications, determined whether or not coverage is eligible using customized computer-based applications.
Identified the drug form, kind, and strength to manually compute the right DIN number, allowing the claim to be processed. Used the anchor platform, internal resources, and/or contacted a retail chemist and physician to find missing values.
Initiated correspondences to members, pharmacies, and other internal departments regarding missing information, claim rejections, and other claim difficulties.
Abled to make process changes on short notice without jeopardizing the integrity of drug orders while preserving efficiency and quality requirements.
Customer Operations Specialist
Skipthedishes
11.2019 - Current
Offered advice and assistance to a large volume of customers, Canada wide with a focus on customer satisfaction, paying attention to special needs or wants through live-chats, phone calls, actions and emails especially with the order refund claims.
Identified issues, analyzed information and provided solutions to problems.
Completed various reports and analyzed performance reports on MS Excel, MS Word, MS Powerpoint and outlook.
Google Meets quarterly with the Team Lead and the Manager.
Maintained up-to-date knowledge of product and service changes and assisted a team of 15 fresh members with customer service skills.
Exceeded service standard goals with a 100% score in quality assurance and customer satisfaction therefore recognized as Most Valuable Player of the month 6 months.
Fraud Analyst
Royal Bank Of Canada, RBC
07.2022 - 12.2022
Engaged with RBC clients through various communication channels to deliver an outstanding client experience helping protect our clients.
Educated & provided advice to clients to meet their immediate security needs and provide tailored solutions to protect them and prevent fraud losses.
Resolved problems at first point of contact in a friendly and helpful manner, and maintain relationships with partners to work as one RBC.
Contributed to team results by supporting all colleagues to be successful in meeting client needs.
Cultivated and maintained relationships with partners to work as one RBC.
Managed risks by adhering to compliance routines, processes, and controls to protect client and shareholder interests.
Front Office Administrative Assistant
Rainbow Immigration Ltd
06.2018 - 08.2019
Screened and transferred incoming calls, took down messages and transmitted
information and documents to internal personnel
Maintained files and records by implementing effective filing systems that boosted
efficiency and organization
Welcomed patrons and immediately offered assistance by asking open-ended
questions
Aided colleagues, managers and customers through regular communication and
assistance.