Case Manager Resume

SUMMARY:

My objective is to gain employment as a junior developer to continue to enhance my skills. I enjoy working with groups to learn diverse expertise and other outlooks. I have always been chosen to assist other co - workers to better educate them on the role and better tactics to getting the job done

SKILLS:

HTML/CSS
Bootstrap
Heroku
Github
MySQL
Javascript
Algorithms
JQuery
API
JSON
AJAX
MongoDB
Node.js
Express.js

EXPERIENCE:

Case Manager

Confidential

Responsibilities:

Worked with patients and health care providers to assist with prior authorization and appeal submissions.
Conducted case research to obtain product specific drug coverage and responded energetically to escalated issues in a timely manner.
Assisted with training of new hires from beginning of program, while being a part of the mentor program, running daily reports for management, managing daily reports of my personal case load and working closely with the client to review proper case management.

Senior Customer Service Advocate

Confidential

Responsibilities:

Assisted Medicare Part D member and high touch clients with insurance, prescriptions and accounting questions.
Worked on the lead team handling escalated calls and answering questions from 2nd tier representatives resolving more complex customer issues.
Helpdesk training conducting too-soon-to-fill overrides, vacation supply lost and damaged for high touch clients and prior authorization team assistance.
Demonstrating outstanding service to identify the source of caller’s issues while resolving the inquiry in a timely and professional manner.
Metrics always exceeded goals.

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