NAME Phone Street Address City State Zip Code email Summary Results oriented professional skilled in problem solving and responsive to the needs of clients coworkers and management Organizational ability to handle multiple tasks easily able to adapt to change and eager to assume increasing levels of responsibility Professional Experience Humana Louisville KY Medicare Reconciliation February 2009 Present Researche all individual and group Medicare plan types to ensure our member information is accurate and investigates any potential discrepancies with coverage Analyze payment charts to identify improperly paid insurance premiums and originates recovery of non payment or misapplied capital with the Centers of Medicare and Medicaid Services CMS Allocate payments that are issued from CMS and processes each transaction separately by specific coding Implement innovative strategies to improve process efficiency and user ability Ability to adapt to change on a daily basis as membership volume increases resulting in new processes and procedures Exceed all production and quality levels while adhering to strict guidelines established by CMS through excellent time management skills Customer Care Specialist October 2008 February 2009 Communicated with providers and pharmacies to ensure prescription drug authorizations and overrides are processed correctly and in a timely manner Assisted members with billing issues and set up payment withdrawal accounts or established social security payment options Handled 100 inbound calls per day pertaining to general customer service issues Exceeded matrix standards measured by total call time hold time customer personalization and quality of information given Farmers Insurance Group New Albany IN Insurance Agent Advisor 2007 September 2008 September Represented all lines of coverage including homeowners auto recreational vehicles life and health insurance Negotiated options with current and potential clients to increase portfolio of business Networked within the community to expand business and the awareness of the Farmers Insurance Group brand in southern Indiana Consistently achieved sales quotas goals by utilizing marketing tools to attract new clients Educated clients on billing insurance limitations and safety services to clients to ensure peace of mind Hillcrest Country Club Indianapolis IN Assistant Director of Golf Operations January 2007 August 2007 Managed tournament operations clinics and special events Responsible for equipment and clothing purchasing inventory control and vendor negotiation Interacted with members and future members on a daily basis to ensure satisfaction and increase membership enrollment Facilitated personal golf lessons as well as group sessions Chariot Run Golf Course Golf Course of Caesar s Indiana Laconia IN Assistant Director of Golf Operations March 2004 January 2007 Supervised a staff of 15 to 20 team members to ensure the highest quality of customer service to guests and casino VIP members Managed tournament operations merchandising and inventory control Evaluated business needs conducted interviews and hired qualified candidates Conducted weekly staff meetings with supervisors managers and directors as well as monthly staff meetings with outside golf staff to provide ongoing training Participated in annual budget meetings to guarantee the correct amount of staffing to accommodate the volume of customers Education and Licensing Indiana University East B S Business Administration Expected Graduation December 2012 Dean s List Fall 2011 Spring 2012 Summer 2012 Indiana University Purdue University Indianapolis Business Management 2001 2003 Life and Health Insurance License September 2007 Property and Casualty Insurance License November 2007 Professional Golf Management Level 1 Program Achievements and Awards Star Award Humana December 2009 Chairman s Award Winner for Superior Team Results Caesars Indiana MVP Nomination for Managing Coaching Category Caesars Indiana Additional Training and Skills Proficient in Microsoft Applications including Word Excel Outlook and Access CCP2 Customer Interface PBS Argus Market Prominence Mentor Litton Sales Management Career Training Farmer Insurance University Interviewing Skills Training Leadership Management Training Customer Satisfaction Assurance Training Life Cycle of a Team Member and Fast Track Leadership and Delegating Training Caesars Indiana