Hackensack, NJ

Position Desired

Healthcare Administrative & Clerical
Hackensack, NJ


Education: 2010- Present Passaic County Community College Paterson, NJ Major Course Of Study: Criminal Justice Minor Course Of Study: Sociology Degree: Degree In Progress 2009-2009 Dover Business College Clifton, NJ Major Course Of Study: Surgical Technology Degree: No degree earned 2001-2005 HARP Academy Paterson, NJ Degree: High School Diploma
Experience:2010- Present ACS/Xerox Company Little Falls, NJ Full-Time Expert Care Representative· Answered inbound calls in support of participant needs.· Researched account activity regarding daily market fluctuations.· Assisting participants with transactions such as loans, withdrawals, fund transfers, rollover’s, investment direction changes and final distributions. · Updating participant information/ providing account balances, submitting inquires regarding account issues and concerns.· Communicate appropriate options for resolution in a timely manner.· Inform participants about services available to assist with investment options when needed. 2009-2010 Magellan Behavioral Health Parsippany, NJ Full- Time Customer Care/ Claims Representative · Researched and communicate information regarding member eligibility, benefits, claims status, and authorization inquiries to callers. · Setting up authorizations / level 1 appeals and verifying benefit coverage.· Updating member information, providing claim information, submitting claim request for reprocessing and adjustments on claims.· Advising when clinical reviews are needed/ TRF process. Systems Used: IP, PIBA, MEMS, RCOE, NASCO, Q-BLUE, TPOL, VALLS, MEMBER QUEUE, QFINITI, NE-CMC, AND OUTLOOK.2009-2009 Nike Factory Paramus, NJ Part- Time Sales Representative/ Cashier · Provided a positive shopping exp...

Login or Register to view the full resume.