Karketa Major
Columbia
Summary
Skilled professional ready to excel in leadership role with focus on results-driven performance. Proven ability to streamline operations and foster team collaboration to achieve organizational goals. Known for reliability and adaptability in meeting changing demands while maintaining high standards.
Overview
20
20
years of professional experience
Work History
Supervisor
Blue Cross Blue Shield - National Alliance
10.2024 - 02.2026
- Oversaw and mentored staff, ensuring effective performance management, staff training, and team development.
- Provided one-on-one coaching to employees and peers to aid in the development of knowledge and skills needed. Conducted monthly, yearly reviews and approval of evaluations, assessment activities and programs.
- Monitored and tracked progress of employees to follow up with managers and directors for yearly evaluations.
- Worked with other departments to coordinate projects, share information, and align on priorities.
- Tracked key performance metrics, identify areas for improvement, and implement quality improvement strategies. Manage healthcare data, ensure data quality, and support reporting for compliance and performance purposes.
Customer Service Coordinator (Perm)
Medicare Part B, Jurisdiction JJ/JM; Blue Cross Blue Shield - Palmetto GBA - GPC
02.2018 - 10.2024
- Provides extensive research in flow for the provider contact center for Medicare Part B. This includes looking up provider enrollment applications, looking up correspondence, assisting with appeal questions and assisting the caller with understanding the document located within iFlow. I determine if something can be handled by me or if it needs to be escalated via iFlow to another department.
- Researches and processes claim according to business regulation, internal standards and processing guidelines. Verifies the coding of procedure and diagnosis codes. Ensures claims are processing according to established quality and production standards
- Resolves system edits, audits and claims errors through research and use of approved references and investigative sources.
- Ensures efficient departmental operation by assisting management in planning, coordination, and/or assignment of work. Assists with the development and direction of staff to achieve and maintain optimum levels of performance. Maintains basic knowledge of quality work instructions and company policies.
- Provides one-on-one coaching to employees to aid in the development of knowledge and skills needed. Provides final review and approval of evaluations, assessment activities and programs. Monitors and tracks progress of employees to follow up with senior management.
- Aids with special projects such as testing for new business implementation or system changes, reviewing change requests, interpreting department workload, statistical reports, assisting co-workers, etc
Customer Service Representative II (Temp)
Palmetto GBA - Medicare / VA Choice
09.2016 - 02.2018
- Acted as team lead in assisting peers, Supervisors and Director with questions and escalations.
- Managing large amounts of inbound and outbound calls in a timely manner
- Identifying customers' needs, clarify information, research every issue and providing solutions and/or alternatives
- Keep records of all conversations in our systems DOMA, QC and PC 3, It's, Iflow, MCSDT MCS, HIGLAS, PECOS, Document manager systems
- Frequently attend educational training to improve knowledge and performance level
- Meet personal/team qualitative and quantitative targets
Processing Technician
Octapharma Plasma
10.2014 - 09.2016
- Ensured prompt and sterile collection of plasma samples using electric heat sealer and centrifuge
- Cleaned and maintained equipment on a daily basis and resolved issues as they arise
- Maintained compliance with SOP, current Good Manufacturing Procedures (cGMP) and regulatory guidelines
- Complied with federal, state, local and company-specific regulations related to quality of product, employee and donor safety and to the proper performance of day-to-day activities.
- Educated new donors on the use of products made from donated plasma.
Medical Assistant/Extern
Springdale Family Practice
West Columbia, SC
09.2014 - 10.2014
- Performed phlebotomy and centrifuged blood specimens
- Collected specimens for urinalysis, assisted with ear irrigations
- Checked patients in, assessed record vitals, scheduled appointments, and made reminder calls
- Assigned procedure and diagnostic codes for bill payment
UPC/Invoice Clerk/Customer Service Manager
Wal-Mart
Columbia, SC
01.2010 - 01.2014
- Finalize trucks, process invoices, pay vendor bills and file claims against vendors and the DC
- Verified pricing information of shelved items
- Manually counted items to verify shelf quantity match amount in computer system
- Ordered and distributed store supplies while adhering to a fixed budget
Crew Member Promoted to Shift Manager
Hardee's
01.2006 - 01.2010
- Documented and recorded inventory
- Created weekly schedules for employees and trained crew members
- Completed daily deposits to the bank
- Resolved customer complaints and provided customer service
Education
Medical Assisting - Nursing
Remington College
Columbia, SCHigh School -
Richland Northeast High School
Columbia, SCSkills
- Subject Matters Expert
- Training & Development
- Time management & Patience
- Microsoft Office & Excel
- Strong interpersonal skills
- Quick learner
- Team Leadership
- Staff Supervision
- Performance Management
- Conflict Resolution
- Delegation
- Team Building
- Training and mentoring
Awards
Certificate of Completion: The Privacy Rule and Health Care Practice, Blood borne Pathogens in the Workplace, HIPAA Security Basics for the Health Care Workforce, President’s List, Director’s List, Perfect Attendance, Certification of Appreciation (Marine Corps League), Military Officers Association of America (U.S Army) Medal received, The Military Order of the World Wars (Marine Corps) Medal received, Employee of the month
Timeline
Supervisor
Blue Cross Blue Shield - National Alliance
10.2024 - 02.2026
Customer Service Coordinator (Perm)
Medicare Part B, Jurisdiction JJ/JM; Blue Cross Blue Shield - Palmetto GBA - GPC
02.2018 - 10.2024
Customer Service Representative II (Temp)
Palmetto GBA - Medicare / VA Choice
09.2016 - 02.2018
Processing Technician
Octapharma Plasma
10.2014 - 09.2016
Medical Assistant/Extern
Springdale Family Practice
09.2014 - 10.2014
UPC/Invoice Clerk/Customer Service Manager
Wal-Mart
01.2010 - 01.2014
Crew Member Promoted to Shift Manager
Hardee's
01.2006 - 01.2010
Medical Assisting - Nursing
Remington College
High School -
Richland Northeast High School