As an accomplished Claims Resolution Specialist, I excel in delivering exceptional customer support. My expertise includes efficiently managing multiple interactions, updating customer profiles, and resolving complex issues with proficiency. I adeptly adjudicate health claims online, ensuring compliance with regulatory policies and transparent communication with claimants. With extensive knowledge of industry-specific regulations, including METC and CRA requirements, I effectively navigate complex scenarios and serve as a liaison between support and adjudication teams, streamlining processes and fostering collaboration. I actively contribute to addressing knowledge gaps and enhancing overall company resource understanding. With strong communication, problem-solving, and leadership abilities, I thrive in dynamic environments, making valuable contributions to team effectiveness and success.
- Responsible for personal sales, customer service, and marketing products.
-Oversaw a team of up to 40 active sellers and recruiters, conducting recruitment and training.
-Hosted and managed in-person and online team meetings, and conducted sales presentations.
-Marketing and sale at local events and markets.