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ShanekaS.Kelly
9110 OldCedarAve.S #105
Bloomington,MN 55425
(952)649-9091
Skelly201121@gmail.com
To Whom It May Concern:
Please considermyqualificationsforthe careeropportunityyouhave postedonIndeed.com.With
my customerservice andproblemsolvingexperience,Ibelieve I’mqualifiedandeagertorepresent
your company.Iam a recentgraduate of AvedaInstitute MinneapolisEsthiologyprogramAugust
10th
2013 and CosmetologyprogramJune 19 2014.
I thrive ina fast pacedenvironmentwhere productiondeadlinesare a priorityandhandlingmultiple
tasksis a norm.
Enclosedismyresume andI am lookingforwardtohearingfromyouto discussmy qualifications.
Thank youverymuch foryour time andconsideration.
Sincerely
ShanekaS.Kelly
SHANEKA S. KELLY
9110 Old Cedar Ave S. #105
Bloomington, MN 55425
(952)649-9091
Skelly201121@gmail.com
SUMMARY
Extremelymotivated,professional andloyal customerservice representative.MyPride comesfrom
handlingamultitude of situationswithindividualswithvariedpersonalities. Incredible drive,
graduatingthe AvedaInstitute 3/2013 – 6/2014 gainingknowledge asbotha cosmetologist,
esthiticianandacustomerservice specialist.
PROFESSIONAL EXPERIENCE
Insurance OverloadServices
1. UCare Minneapolis,MN 2014 – 2015
Coordinationof BenefitsSpecialist
Assistingthe claimsdepartmentwithCoordinationof benefitsviatelecommunicationswith
otherinsurance companies.Workingwiththe TPLreport via excel tocoordinate benefitsand
recoupingorpayingmoniesfromincorrectlyprocessed claims. Updatingthe DHSwebsite to
ensure correctinformationislisted.
 Updatingmemberalternate insurancecoverage informationonAmisysviaMacaccess
systems.
 Telecommunicationswithotherinsurancecompaniestocoordinate benefits.
 Creatingservice formsforthe recoveriesdepartmenttoinvestigate incorrectly
processedclaims
 Workingcloselywithclaimsexaminers,recoveriesandbenefitsspecialisttoensure the
correct informationisupdated.
 Communicatingwiththe Departmentof Humanservicesto ensure correctalternate
insurance coverage islistedforeachparticipantonMN-ITS
Masterson Personnel
2. MinneapolisPublicHousingAuthority Minneapolis,MN 2011 – 2012
Section8 WaitlistAdministrative Assistant
Section8 InspectionAdministrativeAssistant
Assistingwithselectionof individualsfromthe section8waitlisttoverifythe preferences
selectedonthe update formcompletedbythe applicant;Assistinginmassmeetingsto
informthe newparticipantsof the Voucherassistance programof the HUD and Housing
Authorityrules.Settingupappointmentsandupdatinginspectionsinthe ISSIsystemand
MicrosoftOutlookcalendar,reprimandingproblemparticipantsbymeetingwiththemand
showingavideoof our rulesandregulations.
 UpdatingapplicantinformationonVisualHomesISSIsystemsuchasname change,
addresschange,andfamilycomposition.
 Telecommunicationswithapplicants,owners,andmanagersregarding statusonthe
waitlist,inspectiondate andcomplaints.
 Sendingletterstoparticipantsof the Section8VoucherAssistance Programregarding
annual inspectiondatesandcomplaints.
 Updatingthe inspectorscalendarswiththe addressof the inspectionandowner
information.
 Confirmationof inspectiondate andtimesviaemailand/orphone.
 Composingletterstobe senttoparticipantsonthe Section8 waitlist.
 Auditingfiletoensure accuracyand HUD regulationsare followed.
Prime TherapeuticsEagan, MN 2008 – 2010
ClaimsExaminer
Adjudicatingclaimsusingstandardprocessingprocedure;whileensuingaccuracyanda timelyturn
around.Ensuringall claimsare enteredintothe necessarydatabasesand/orfaxedtothe
appropriate departmentsforevaluation.
 EnteringMedicare D memberandproviderclaimsintothe RxClaimssystem.
 Generatingmemberlettersnotifyingthemof paymentordenial.
 ReviewingquarterlyMedicarespreadsheetsfor Accuracy.
 Calculatingdollaramountsonthe HighDollarreport.
 Sendingaweeklyreporttogovernmentprograms.
 Sendingamonthlyreporttocompliance.
 Assistinginqualitycontrol byreviewingprocessedclaims.
 Problemsolvingthoughcommunication withthe ClaimsAnalysisteam.
 Complyingwiththe 72 hourtime restraintof receivedclaims.
Target Corporation Eagan, MN 2007 – 2008
Cashier/SalesAssociate
Assistingcustomerswithafun,fastandfriendlycheckout;Takingcare tosee if theyhave found
everythingtheyneededbefore theyexitthe store.
 Effectivelyandaccuratelyprocessing financial transactions.
 Baggingcustomergoods
 Ensuringa cleancheckoutworkspace
 Assistinginplacinggoodsbackonthe shelves/racksduringandafterhours.
 Assistingwithlunchandbreakperiods.
TempForce Burnsville,MN 2006 – 2007
ClaimsProcessor
1. Prime Therapeutics Apple Valley,MN
Processingclaims,ensuring accuracyand documentingcorrectand/orincorrectinformation.
Filingclaimsbystate.
 Enteringdata fromclaimsreceiptsfromIllinois.
 Filingreceiptsfrompharmacies.
 Filingclaimsreceiptsfrominsurance companies.
Wal-MartBloomington,MN 2003 – 2006
OvernightCashier/Stocker
Assistingcustomerswithfinancial transactionssuchaspurchases,returneditemsand/orLayaway.
Helpingcustomerslocate itemsthroughoutthe store aswell asstockingincomingproducts.
 Assistingcustomerswithexcellentcustomerserviceanda timelycheckout.
 Accuratelystockingmerchandise throughoutthe store alsoeffectivelypricing
merchandise.
 Ensuringthat all returnedmerchandiseiscorrectlyplaced backintothe systemandthe
customers’moneyusreturnedtothempromptly.
 Communicatingwithcustomerbydirectingthemtothe properlocationof items
throughoutthe store
 Retrievingcartsfromtheirimproperlocationsandplacingtheminsidethe cartrail.

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SHANEKA Resume

  • 1. ShanekaS.Kelly 9110 OldCedarAve.S #105 Bloomington,MN 55425 (952)649-9091 Skelly201121@gmail.com To Whom It May Concern: Please considermyqualificationsforthe careeropportunityyouhave postedonIndeed.com.With my customerservice andproblemsolvingexperience,Ibelieve I’mqualifiedandeagertorepresent your company.Iam a recentgraduate of AvedaInstitute MinneapolisEsthiologyprogramAugust 10th 2013 and CosmetologyprogramJune 19 2014. I thrive ina fast pacedenvironmentwhere productiondeadlinesare a priorityandhandlingmultiple tasksis a norm. Enclosedismyresume andI am lookingforwardtohearingfromyouto discussmy qualifications. Thank youverymuch foryour time andconsideration. Sincerely ShanekaS.Kelly
  • 2. SHANEKA S. KELLY 9110 Old Cedar Ave S. #105 Bloomington, MN 55425 (952)649-9091 Skelly201121@gmail.com SUMMARY Extremelymotivated,professional andloyal customerservice representative.MyPride comesfrom handlingamultitude of situationswithindividualswithvariedpersonalities. Incredible drive, graduatingthe AvedaInstitute 3/2013 – 6/2014 gainingknowledge asbotha cosmetologist, esthiticianandacustomerservice specialist. PROFESSIONAL EXPERIENCE Insurance OverloadServices 1. UCare Minneapolis,MN 2014 – 2015 Coordinationof BenefitsSpecialist Assistingthe claimsdepartmentwithCoordinationof benefitsviatelecommunicationswith otherinsurance companies.Workingwiththe TPLreport via excel tocoordinate benefitsand recoupingorpayingmoniesfromincorrectlyprocessed claims. Updatingthe DHSwebsite to ensure correctinformationislisted.  Updatingmemberalternate insurancecoverage informationonAmisysviaMacaccess systems.  Telecommunicationswithotherinsurancecompaniestocoordinate benefits.  Creatingservice formsforthe recoveriesdepartmenttoinvestigate incorrectly processedclaims  Workingcloselywithclaimsexaminers,recoveriesandbenefitsspecialisttoensure the correct informationisupdated.  Communicatingwiththe Departmentof Humanservicesto ensure correctalternate insurance coverage islistedforeachparticipantonMN-ITS Masterson Personnel 2. MinneapolisPublicHousingAuthority Minneapolis,MN 2011 – 2012 Section8 WaitlistAdministrative Assistant Section8 InspectionAdministrativeAssistant Assistingwithselectionof individualsfromthe section8waitlisttoverifythe preferences selectedonthe update formcompletedbythe applicant;Assistinginmassmeetingsto informthe newparticipantsof the Voucherassistance programof the HUD and Housing Authorityrules.Settingupappointmentsandupdatinginspectionsinthe ISSIsystemand MicrosoftOutlookcalendar,reprimandingproblemparticipantsbymeetingwiththemand showingavideoof our rulesandregulations.
  • 3.  UpdatingapplicantinformationonVisualHomesISSIsystemsuchasname change, addresschange,andfamilycomposition.  Telecommunicationswithapplicants,owners,andmanagersregarding statusonthe waitlist,inspectiondate andcomplaints.  Sendingletterstoparticipantsof the Section8VoucherAssistance Programregarding annual inspectiondatesandcomplaints.  Updatingthe inspectorscalendarswiththe addressof the inspectionandowner information.  Confirmationof inspectiondate andtimesviaemailand/orphone.  Composingletterstobe senttoparticipantsonthe Section8 waitlist.  Auditingfiletoensure accuracyand HUD regulationsare followed. Prime TherapeuticsEagan, MN 2008 – 2010 ClaimsExaminer Adjudicatingclaimsusingstandardprocessingprocedure;whileensuingaccuracyanda timelyturn around.Ensuringall claimsare enteredintothe necessarydatabasesand/orfaxedtothe appropriate departmentsforevaluation.  EnteringMedicare D memberandproviderclaimsintothe RxClaimssystem.  Generatingmemberlettersnotifyingthemof paymentordenial.  ReviewingquarterlyMedicarespreadsheetsfor Accuracy.  Calculatingdollaramountsonthe HighDollarreport.  Sendingaweeklyreporttogovernmentprograms.  Sendingamonthlyreporttocompliance.  Assistinginqualitycontrol byreviewingprocessedclaims.  Problemsolvingthoughcommunication withthe ClaimsAnalysisteam.  Complyingwiththe 72 hourtime restraintof receivedclaims. Target Corporation Eagan, MN 2007 – 2008 Cashier/SalesAssociate Assistingcustomerswithafun,fastandfriendlycheckout;Takingcare tosee if theyhave found everythingtheyneededbefore theyexitthe store.  Effectivelyandaccuratelyprocessing financial transactions.  Baggingcustomergoods  Ensuringa cleancheckoutworkspace  Assistinginplacinggoodsbackonthe shelves/racksduringandafterhours.  Assistingwithlunchandbreakperiods. TempForce Burnsville,MN 2006 – 2007 ClaimsProcessor 1. Prime Therapeutics Apple Valley,MN Processingclaims,ensuring accuracyand documentingcorrectand/orincorrectinformation. Filingclaimsbystate.
  • 4.  Enteringdata fromclaimsreceiptsfromIllinois.  Filingreceiptsfrompharmacies.  Filingclaimsreceiptsfrominsurance companies. Wal-MartBloomington,MN 2003 – 2006 OvernightCashier/Stocker Assistingcustomerswithfinancial transactionssuchaspurchases,returneditemsand/orLayaway. Helpingcustomerslocate itemsthroughoutthe store aswell asstockingincomingproducts.  Assistingcustomerswithexcellentcustomerserviceanda timelycheckout.  Accuratelystockingmerchandise throughoutthe store alsoeffectivelypricing merchandise.  Ensuringthat all returnedmerchandiseiscorrectlyplaced backintothe systemandthe customers’moneyusreturnedtothempromptly.  Communicatingwithcustomerbydirectingthemtothe properlocationof items throughoutthe store  Retrievingcartsfromtheirimproperlocationsandplacingtheminsidethe cartrail.