United Health Group - Rapid Resolution Expert Resume Example

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Charlotte Murphy
XXXX XXXXXXXX XXX , San Antonio , TX 78251 | (H) XXXXX XXXXXXXX | XXXXXXXXXXXXXXXXXX
Summary
Resourceful, dynamic professional with broad range of experience in different industries as a leader and innovator. Highly skilled in operations and management, planning and logistics, and resource optimization. Strong leader and motivator who excels in teaching, training and empowering. Proven track record of success in creative and effective management of diverse personnel in different industries. Flexible, adaptable, results driven and committed to doing my best and delivering quality service. Technical Expertise includes: Microsoft Office Suite, Internet Explorer
Education
Masters of Science: Clinical Psychology Capella University - Minneapolis, MN Clinical Psychology, unfinished.
Bachelor of Science: Biology Mount St Clare College - Clinton, IA Biology
Skills
  • Administration and Management
  • Active Listening
  • Critical Thinking
  • Monitoring
  • Complex Problem Solving
  • Time Management
  • Computers and Electronics
  • Instructing
Experience
Rapid Resolution Expert 08/2014 to Present
United Health Group San Antonio, TX
  • Perform adjustment (i.e., closed, denied, and simple adjustments)
  • Meet quality, productivity, compassion, and attendance requirements. 
  • Ensure member satisfaction through: Maintaining accurate documentation, providing assistance to members with status updates, and being responsible for ownership and issue resolution of member issues. 
  • Identifying and resolving anticipated member issues to prevent future calls
  • Maintain proficiency in all technical applications (technical skills and system knowledge).
  • Comply with all current policies, procedure and work flow.
  • Direct phone-based customer interaction to answer and resolve a wide variety of inquires.  
  • Work independently and accountable for individual work. 
Customer Care Professional 01/2013 to 08/2014
United Health Group San Antonio, TX
  • Assist members with selecting the best benefit plan options available to them through the enrollment process. 
  • Resolve member services inquires related to: medical benefits, eligibility, claims, Financial spending accounts, and pharmacy benefits.
  • Educate members about the fundamentals of consumer-driven health care.
  • Helping member chose quality care providers.
  • Own problem through to resolution on behalf of the member in real time or through comprehensive and timely follow-up with the member. 
  • research complex issues across multiple databases and work with support resources to resolve member issues.  
Senior Treatment Supervisor 01/2012 to 01/2013
ABRAXAS YOUTH AND FAMILY SERVICES San Antonio, TX
  • Supervises and schedules 3 Treatment Supervisors and 32 Unit staff and evaluates their job performance. 
  • Develops treatment schedule and plan for supervisors and oversee individual treatment plan progress. 
  • Operate as the Administrator on duty in charge of the facility and the 133 residents. 
  • Generates supervisory conferences notes each month and insures that all paperwork and forms are filled out properly and turned in on time. 

Treatment Supervisor 07/2011 to 01/2012
Abraxas Youth and Family Services San Antonio, TX
  • Supervises and confirm that intake, client, and family treatment, assessment, and intervention needs are completed within contractual and licensing guidelines. 
  • Participates in treatment team conferences for the discussion of behavior, diagnosis, progress, and aftercare of clients
Youth Development Team Leader 01/2009 to 07/2011
ABRAXAS YOUTH AND FAMILY SERVICES San Antonio, TX
  • Responsible for the direct-care of residential clients and supervision of the staff assigned to the unit.
  • Assign staff to residents and plan schedule and activities for residents. 
  • Monitor and correct behavior from residents, reward appropriate behavior and  correct inappropriate behavior. 
Account Manager 01/2005 to 01/2009
ADT FIRE & SECURITY San Antonio, tx
  • Responsible for sales and account management of residential security systems.

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About this resume

Rapid Resolution Expert FROM San Antonio , Texas RESUME

This is a resume for a Rapid Resolution Expert in San Antonio, Texas with experience working for such companies as United Health Group and United Health Group. The grade for this resume is 0 and is one of hundreds of Rapid Resolution Expert resumes available on our site for free. Use these resumes as templates to get help creating the best Rapid Resolution Expert resume.

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School Attended
Capella University