Dedicated Customer Service professional with knowledge of service delivery and proven multitasking abilities. Committed to maintaining professional relationships to increase profitability and drive business results.
Overview
8
8
years of professional experience
Work History
CSR - Customer Service Representative
GlobalHealth
08.2023 - Current
Receives, researches, and resolves provider inquiries such as claims, eligibility, and other inquiries
Use of telephony equipment, company systems/software, and any other tools used within the company
Answer health plan related questions from inbound member and provider calls
Ascertains reason for calls and assists customers with their questions or concerns in a manner providing them with
Coordinates with other departments to effectively resolve the customers concern or complaint
Ascertains type of call and assists customers with their complaints, appeals and/or grievances in a manner providing them with immediate acknowledgement, accurate information and focusing on obtaining details of the customers experience
Customer Care Representative
Conduent - Remote
07.2018 - 07.2023
Ensure daily performance targets are met
Participate in internal and client discussions to Medicare /Medicaid Member inquiries using standard
scripts and procedures
Communicates appropriate options for resolution in a timely manner
Process insurance claims made by customers, determining the amount of coverage they are eligible
to receive through their current policy and authorizing payments
Adheres to call center metrics and guidelines within established p
Answer a variety of incoming calls from members regarding their healthcare questions and other
inquiries the member may have
Build rapport with callers using a friendly, courteous and professional manner
Gathers information, assesses caller needs, research and resolves inquiries and documents calls
Provides clear and concise information regarding eligibility, claim status and provider enrollment
status
Follows documented policies and procedures including call handling and escalations
Overall acts as an advocate for the Medicare/Medicaid
Shift Supervisor
Citi Trends
03.2016 - 07.2017
Assign staff members to shifts
Assign tasks to staff members
Supervise staff to ensure that tasks are completed on time and according to safety laws
Order materials needed for production
Open up or close the warehouse at the start and end of the day
Evaluate staff performance and provide training where necessary
Resolve workplace disputes.
Education
High school diploma -
Murrah High School
Skills
Customer relations (Less than 1 year), customer service (Less than 1 year), Excellent customer service
Skills (Less than 1 year), RECEPTIONIST (Less than 1 year), RETAIL SALES (Less than 1 year), Customer
Support, CSR, Customer Care, Call Center
SKILLS
Excellent customer service skills Staff training and development