Summary
Overview
Work History
Education
Skills
Timeline
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Nikki Long

Chattanooga

Summary

Dynamic and results-oriented professional with a proven track record at BlueCross BlueShield of Tennessee Inc., enhancing process efficiency and team collaboration. Expert in Microsoft Office and adept at managing multiple projects with exceptional organizational skills. Demonstrated ability to work independently, ensuring high-quality standards and fostering team development through effective coaching.

Overview

18
18
years of professional experience

Work History

Professional Cook

Hard Fuel Meals
11.2021 - Current

Full service commercial kitchen that creates and delivers individual healthy meals to over 35 different locations.


  • Cooks and Prepares food for meals.
  • Makes sure that all ingredients are included in each meal.
  • Labels individual meals.
  • Quality checks all meals and labels prior to delivery.
  • Orders ingredients and supplies for the kitchen.
  • Does inventory of all kitchen supplies and food.
  • Cleans kitchen daily prior to each shift and after each shift.
  • Delivers meals to different locations.


Performance Improvement Analyst

BlueCross BlueShield of Tennessee Inc.
03.2015 - 02.2024

Quality Analyst for PIO Division

  • Collaborated with cross-functional teams to identify opportunities for process improvement and increased efficiency.
  • Improved internal knowledge sharing by developing comprehensive documentation outlining standard operating procedures for various tasks.
  • Enhanced team collaboration by providing clear communication of complex findings through visualizations and reports.
  • Analyzed phone calls for Provider Service Teams to determine if errors were made.
  • Ulysses Master Coach.
  • Performed monthly audits on quality examiners.
  • Managed multiple projects while adhering to daily deadlines and managing quality standards.


Provider Service Technical Team Expert

BlueCross BlueShield of Tennessee Inc.
06.2011 - 03.2015

Team Lead for Provider Service Team

  • Self-motivated, with a strong sense of personal responsibility.
  • Worked effectively in fast-paced environments.
  • Skilled at working independently and collaboratively in a team environment.
  • Proven ability to learn quickly and adapt to new situations.
  • Provided assistance to team with questions or issues regarding provider calls.
  • Reviewed phone calls to determine quality standards were met.
  • Coached CSRs on Ulysses.
  • Covered specific topics during team meetings.
  • Created education materials to help educate the CSRs on our specific guidelines.
  • Worked reports for AU and other standards that needed to be met.


Customer Service Representative

BlueCross BlueShield of Tennessee Inc.
06.2007 - 06.2011
  • Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
  • Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
  • Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
  • Responded to customer requests for products, services, and company information.
  • Assisted Provides with calls regarding benefits and eligibility for their patients.
  • Assisted Providers with calls regarding claims issues that was affecting their payments for services rendered.
  • Developed strong product knowledge to provide informed recommendations based on individual customer needs.
  • Provided coaching and mentoring to new hires, contributing to their successful integration into the team.

Education

High School Diploma -

Whitwell High School
Whitwell, Tn
05-2003

Skills

  • Extensive knowledge of Microsoft Office
  • Independent worker with minimal supervision required
  • Extensive PIO knowledge with all areas of the division
  • Very Organized
  • Experience with Facets, Dashboard, Quality databases, OLH manuals, MTM guidelines
  • Very detail orientated
  • Previous WAH employee so has great time management skills

Timeline

Professional Cook

Hard Fuel Meals
11.2021 - Current

Performance Improvement Analyst

BlueCross BlueShield of Tennessee Inc.
03.2015 - 02.2024

Provider Service Technical Team Expert

BlueCross BlueShield of Tennessee Inc.
06.2011 - 03.2015

Customer Service Representative

BlueCross BlueShield of Tennessee Inc.
06.2007 - 06.2011

High School Diploma -

Whitwell High School
Nikki Long