Eliese Burton
Eliese Burton

Customer Operations & Enablement Specialist

Actively looking · Member since 25 Oct 2026
Location
St. Louis, United States
Desired salary
65k–80k USD/yearly
Work preference
Remote Only / Full Time, Part Time
Experience level
Mid

About

Professional summary

I am a customer operations and enablement specialist with more than five years of experience supporting high-volume, quality-scored service teams in US healthcare, health insurance, pharmacy benefits, and government contracting environments.

I specialize in support operations, case management, customer onboarding, training documentation, quality assurance, and process improvement. I have consistently been asked to take on responsibilities beyond my core service role, including creating job aids, coaching new team members, evaluating calls, and sharing frontline workflow feedback with quality, data, and systems teams.

I am experienced in managing inbound and outbound customer interactions, complex escalations, ticket queues, claim reviews, and documentation requirements. I maintain accuracy and compliance while working under production targets and frequently changing program guidance.

I have worked fully remotely since 2020 and collaborate effectively across distributed teams using Slack, Microsoft Teams, Zoom, Salesforce-based platforms, CRM systems, and shared documentation tools. I am comfortable with asynchronous communication, remote troubleshooting, and clear written process documentation.

I am relocating to Bangkok, Thailand, in January 2027 and am seeking remote opportunities aligned with APAC business hours in customer operations, support enablement, onboarding, training, or quality assurance.

Skills

24 capabilities

Tech stack & tools

Working toolkit

Communications

Marketing and Sales Tools

Experience

Career history

Dispute Resolution Analyst C2C Solutions / TMF Health Quality Institute

Reviewed health insurance claim tickets submitted by healthcare providers for a US government contractor. Verified figures and supporting documentation against program reference manuals and databases while working a continuous, closely monitored production queue.

Maintained record-level accuracy as daily production targets increased to 48 tickets. Adapted to frequent guideline revisions by confirming current guidance with team leads through Skype and Microsoft Teams before processing each batch.

Member Service Guide I & II Devoted Health

Handled more than 30 inbound customer inquiries per day across multiple states regarding health plan benefits, costs, referrals, authorizations, and equipment. Documented each case, managed assigned outbound caseloads, and coordinated handoffs to enrollment teams, partner vendors, and nursing teams with complete customer context.

Tracked quality scores in Looker and set monthly and quarterly performance goals. Led live workflow sessions for quality, data, and systems teams, co-created department resource training, managed the team Slack channel, ran an outbound 24-hour support-line campaign, and resolved documentation gaps with external partners through three-way calls.

Operations Analyst / Pharmacy Support Express Scripts

Supported pharmacy benefit members with order, refill, and delivery inquiries, initially for a two-state territory and later nationwide. Documented quantities, shipping dates, and tracking information; followed quality-scored and compliance-scripted call flows; and escalated clinical and insurance questions to pharmacists with complete case notes.

Created job aids used by new hires when formal training materials were unavailable and trained new team members on call points, documentation standards, and escalation paths. Cross-trained with the quality assurance team to evaluate recorded calls during COVID staffing shortages and transitioned to fully remote work after initial onsite training.

Education

Learning history

St. Louis Community College

Associate of Arts, General Studies

Associate of Arts in General Studies completed at St. Louis Community College in Missouri, USA.

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