Professional Documents
Culture Documents
Objective:
Resourceful and passionate individual seeking a position in Health and Wellness where I can use my
knowledge to help others in ways of living a healthy life. Being able to explain diet options, exercise
programs, stress levels in their life, coping methods and show clients how to live a positive and healthy
lifestyle. Highly organized, able to multi task in a fast paced environment using a positive attitude, great
attention to detail and accuracy, and a desire to succeed in helping people change their lived for the better.
Summary of Qualification:
Educated in Stress Management & Prevention; Nutritional Counseling & Analysis; Sports Nutrition; Current
Exercise Programs for all ages; Vitamins, Herbs & Nutritional Supplements and also Complementary &
Alternative Medicine.
Highly organized, detail oriented, excellent verbal communication and interpersonal skills when working with
clients.
Dedicated and focused to helping clients meet their personal goals and to help them be able to maintain
Able to maintain and track multiple schedules and appointments for multi clients and staff
Education:
Professional Experience:
01/2014Current
04/2012- 01/2015
Wayne, NJ
Answer phones, process payments, handle documents and filing, process endorsements, and provide
client documentation
Responsible for audits and billing for branch office
Selling business with new and existing clients for all lines of business: Long-Term Healthcare, Life
Insurance, Auto & Home Insurance
Assist in marketing product and reaching out to local communities to network and entice business
Manage appointments for Financial Service Representative with current and new clients
Manage Agency Owner calendar on a day-to- day basis to scheduling meetings and appointments
Scan phone calls to ensure proper calls to be transferred
Assist in managing deadlines, travel, and preparation of meeting material
Gathered information to help assist for presentations for senior management
Train office staff on new materials and new software programs
Organize corporate training schedules for office staff
02/2012 12/2013
09/2009 6/2010
Franklin Lakes, NJ
Head of the project with error code 99. Open tickets, follow up with account managers and ensure tickets
are closed in a timely manner.
Review multiple daily logs for daily status of mailings to members, error codes
Prepare Daily Surveillance Spreadsheet for distribution to the Medco Management Team
Receive and analyze Non-Delegated report and inform proper account management on the processing of
redeterminations for certain clients
Commence review of Remedy Reliability Ticket Submissions
Review and analyze Commercial and Med-D No Reject Letter Report
Send claims that are not process able via eSD to vendor with proper keying instructions
Partner with Coverage Review team to ensure that cases are built and letters are sent timely for Med-D
members who require prior authorization
Update Control Charts weekly
Work with vendors to ensure the correct payment of claims.
Train vendor on error codes for Med-D claims and proper keying of claims
Schedule meetings with vendor and Managers on new procedures
06/2010 02/2012
Wayne, NJ
Answer phones, process payments, handle documents and filing, process endorsements, and provide
client documentation
Assist in audits and billing for branch offices
Soliciting business with new and existing clients for all lines of business: Long-Term Healthcare, Life
Insurance, Auto & Home Insurance
Assist in marketing product and reaching out to local communities to network and entice business
Manage Agency Owners calendar on a day-to- day basis by scheduling meetings and appointments
Assist in managing deadlines, travel, and preparation of meeting material
Gathered information to help assist for presentations for senior management
Franklin Lakes, NJ
Quality Control charts-Process Exxon claims as well as convert and process foreign claims
Quality Control audit-keep track of employee work on the quality control tables
Mail distribution-open and sort through the mail, ensure that is sent to the proper department
Health and Medical Questionnaire audit-review and report errors.
Skills:
Microsoft word, Power Point, Excel, Databases (eSD, Sir), Outlook,