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PWT (Pilot Workforce Team) Supervisor
Claims and operations professional at MAXIMUS who analyzed performance data and improved claims and appeals workflows.
United StatesPWT (Pilot Workforce Team) Supervisor at MAXIMUS Inc.
Monitored call quality and reviewed performance metrics to identify trends and improve accuracy. Created and analyzed reports using Excel, Power BI, and internal systems, and supported process improvements.
ExcelPower BIInternal ReportingQuality AssuranceCall MonitoringPerformance MetricsTrend AnalysisProcess ImprovementEscalation ReviewDocumentation
Reviewed employee performance and call quality, provided coaching, and supervised teams handling health insurance claims and appeals. Trained new employees on policies and procedures.
Earned a High School Diploma from Gladys Porter High School in Brownsville, Texas.
Assisted health insurance customers with claims and billing questions, researched issues, and explained filing and appeal steps. Documented interactions accurately and met service benchmarks.
Customer ServiceClaims SupportBilling SupportDocumentationHealth InsuranceMedicareMarketplace
Assisted Ambetter health insurance customers with billing questions, payment processing, and payment arrangements. Resolved service concerns and provided floor support.
Customer ServiceBilling SupportPayment Processingproblem resolution
Answered calls, scheduled appointments, welcomed customers, identified service needs, and entered orders into electronic systems.
Customer ServiceAppointment SchedulingData Entry
Profile sourced from Himalayas.