Summary
Overview
Work History
Education
Skills
Timeline
Generic

Sally Robinson

Langdon,AB

Summary

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.

Overview

14
14
years of professional experience

Work History

Claims Resolution Spe

myHSA
Calgary , AB
09.2018 - 03.2024
  • Provided customer support via live chat, addressing inquiries related to claims, account setup, and eligibility.
  • Managed multiple live chat interactions efficiently while updating customer profiles and escalating complex issues.
  • Evaluated and adjudicated claims online in compliance with CRA policies and company guidelines.
  • Communicated claim decisions to claimants in a clear and empathetic manner.
  • Stayed updated on industry regulations, including METC and CRA requirements.
  • Acted as a liaison between customer support and claims adjudication teams.
  • Collaborated with CX manager to identify and address knowledge gaps.
  • Participated in projects to improve overall understanding of company resources.
  • Assisted in developing adjudication training for internal and external adjudicators.

Studio Owner

Self
Langdon , AB
09.2012 - 06.2022
  • Successfully managed and operated a piano studio, providing individualized instruction and fostering a positive learning environment.
  • Developed and implemented effective marketing strategies to attract new students and retain existing ones.
  • Handled all administrative tasks, including scheduling, billing, and communication with students and parents.
  • Coordinated recitals and performances to showcase student progress and foster community engagement.
  • Actively pursued professional development opportunities to enhance teaching skills and studio operations.

Team Manager

Jamberry-Commission based
Langdon, AB
09.2015 - 06.2018

- 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.

Client Service Manager

BKI
Calgary , AB
12.2009 - 02.2012
  • Managed client accounts, providing exceptional customer service and anticipating client needs.
  • Conducted data input and adjudicated and processed claims.
  • Reviewed benefit contracts from various providers.
  • Had strong knowledge of benefit details from an employer, administrator, and an employee point of view.
  • Oversaw benefit program implementation.

Education

Bachelor of Arts -

University of Alberta
Camrose, AB
01-2006

High School Diploma -

Electric Ed.
Dawson Creek, BC
01-2004

Skills

  • Exceptional Customer support
  • Team Collaboration
  • Strong Communication
  • Administrative Duties
  • Complex issue resolutions
  • Streamlining communication between teams
  • Dynamic Environment Adaptability

Timeline

Claims Resolution Spe

myHSA
09.2018 - 03.2024

Team Manager

Jamberry-Commission based
09.2015 - 06.2018

Studio Owner

Self
09.2012 - 06.2022

Client Service Manager

BKI
12.2009 - 02.2012

Bachelor of Arts -

University of Alberta

High School Diploma -

Electric Ed.
Sally Robinson