Robert Redgil

• Assisted in loading delivery trucks with prepared packages.
• Sorted packages to appropriate slide, line or belt for final distribution.
• Used scanners to record parcel information and determine route for delivery.
• Stacked boxes onto pallets in an efficient manner.
• Reported any lost or damaged items to supervisors immediately upon discovery.
• Protected company inventory by maintaining and organizing storage areas.
• Worked with cross-functional teams to achieve goals.
• Prioritized and organized tasks to efficiently accomplish service goals.
• Recognized by management for providing exceptional service.
• Adhered to all safety procedures.
• Tugger certified.

• Intake and upload relevant case files to a appeal and determine case type and subtype.
• Review and Appellant case file and research all case date.
• After analysis determine a case resolution or next step plan.
• Letter writing to the Appellant(s) based upon case status.
• Appellant outreach and communication as necessary.
• Preparation of a case before factual summary hearing.

• Process CMS Marx member file information transfers .
• Process bad event files for medicare parts a and b premiums and apply proper corrective measures.
• Process broker updates.
• Letter triggering.

• Performed daily call evaluations for customer service representatives.
• Performed weekly individual coaching sessions to develop an ongoing improvement plan.
• Participated in monthly client calibration sessions.
• Acted as subject material expert to aid in the training of new hires.
• Presented to new hires in the training room setting.

• Responded to inbound calls from caregivers and plan members.
• Advised both the requirement for and status of procedure authorizations.
• Produced requests for prior authorizations.
• Completed on call research for caregivers and plan members compliant with all plan policies.
• Adhered to complete and concise documentation requirements for each call.
• Delivered information regarding care and medications to patients and caregivers in comprehendible terminology.

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