Vivian Green
Midlothian
Summary
Hardworking, passionate, and dependable professional with a proven track record of strong organizational skills. Excited about the opportunity to contribute to team success. Committed to delivering exceptional results and exceeding expectations. Ready to bring dedication and enthusiasm to make a positive impact in a dynamic work environment.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Member Services Advocate
ANTHEM BCBS
12.2021 - Current
- 5 years of experience advocating for members including prior authorization research and support
- Experience researching and resolving issues involving denied prior authorizations with clinical guidelines, CPT and ICD-10 codes
- Strong understanding of plan benefits and the ability to explain them using clear language
- Have exceeded performance metrics every year by efficiently managing tasks and prioritizing workload - 2024 YTD service skills 99% based on customer surveys
- Resolved escalated member issues with diplomacy, tactfully navigating challenging situations while maintaining rapport with all parties
Unarmed Security Staff
RMC Events
09.2019 - Current
- Assisted in the successful execution of numerous events, providing exceptional customer service to attendees.
- Ensured crowd safety by effectively implementing and monitoring entry procedures and access control points.
- Implemented crowd control strategies effectively, managing large groups during high-traffic periods at events.
- Promoted positive relationships between venue staff, vendors, performers, and patrons by maintaining open lines of communication and addressing concerns promptly.
- Enhanced security measures by conducting thorough pre-event inspections and risk assessments.
- Mitigated potential threats through ongoing collaboration with local law enforcement agencies before and during events.
- Supported efficient response times by promptly reporting incidents to supervisors or law enforcement as necessary.
- Collaborated with event organizers and security team members, ensuring a safe environment for all guests.
- Handled conflicts professionally, deescalating tense situations between patrons while maintaining overall security.
- Patrolled internal building spaces and facility grounds to identify and deter threats to assets.
- Investigated suspicious activities and persons to maintain security of premises.
- Wrote detailed reports of all security breaches and investigations.
- Recorded observations and occurrences and interviewed witnesses to complete and submit incident report.
- Operated handheld metal detector and other surveillance devices to screen individuals entering facility.
Customer Service Representative
ANTHEM BCBS
11.2019 - 12.2021
- Interacted with members both verbally and in writing with the aim of first call resolution
- Cross trained to assist with overflow calls in the Central, New York and Northeast regions
- Advocate for my members both internally and externally
Education
No Degree - Liberal Arts
J Sargent Reynolds
Richmond, VASkills
- Clinical Guidelines and medical terminology
- CPT & ICD-10 codes
- Strong service skills
- Problem Resolution
- Personalized Service
- Attention to Detail
- Microsoft Office Word and Excel
Community Service
- Special Olympics - Assist and encourage participants with special needs to engage in events.
- Angel Tree - Encourage adoption of angels and/or donations.
- Feed More - Assist with assembling food packages.
- Sanctuary Rescue and B.A.R.K. - Dog Rescue Organizations - process adoption applications and fostered 46 dogs and 2 cats (so far).
Certification
- Licensed DCSJ Security Officer- 2019 - present
Timeline
Member Services Advocate
ANTHEM BCBS
12.2021 - Current
Customer Service Representative
ANTHEM BCBS
11.2019 - 12.2021
Unarmed Security Staff
RMC Events
09.2019 - Current
No Degree - Liberal Arts
J Sargent Reynolds
- Licensed DCSJ Security Officer- 2019 - present
Similar Profiles
Chris MilneChris Milne
Business Analyst III at Anthem BCBSBusiness Analyst III at Anthem BCBS
Debra StewartDebra Stewart
Lead Customer Service Representative at Anthem BCBSLead Customer Service Representative at Anthem BCBS
EDWINA REGISTREEDWINA REGISTRE
Strategic Sales & Account Advisor Executive at ANTHEM BCBS NVStrategic Sales & Account Advisor Executive at ANTHEM BCBS NV