Answered questions and resolved issues based on phone calls from patients, providers, and
plan sponsors
Triaged resulting rework to appropriate staff
Provided excellent customer
service for high volume inbound provider calls for the Claims Inquiry/Claims Research team
Conducted extensive claims research on multiple platforms to assist providers with
payment questions
Provided the customer with related information to answer the unasked questions, e.g
Additional plan details, benefit plan details, member self-service tools, etc
Explained
member's rights and responsibilities in accordance with the contract
Processed claim referrals, new claim handoffs, nurse reviews, complaints (patient/provider),
grievance and appeals (patient/provider) via target system
Leave No Veteran Behind
Contact Tracer
Leave No Veteran Behind
CHICAGO, IL
10.2020 - 10.2022
Contact Tracer
Used a web-based platform to call all contacts of anyone diagnosed with COVID-19; Verified the contact’s identity during initial communications and prior to disclosing confidential information; Provided information and guidance on quarantine procedures and what to do if symptoms develop; Assessed contact’s ability to quarantine at home, with adequate water, food, and other necessities.
Strengthened communication skills through regular interactions with others.
Participated in team projects, demonstrating an ability to work collaboratively and effectively.
Managed time efficiently in order to complete all tasks within deadlines.
Worked well in a team setting, providing support and guidance.
Skilled at working independently and collaboratively in a team environment.
Event Security Officer
Monterrey Security
CHICAGO, IL
06.2016 - 10.2020
Provided customer assistance at concerts, sporting events, and private events in the
Chicago area
Secured the spaces, checked bags, assisted with crowd control, and watched
over entrances/exits.
Overnight Billing
Specialist
Acceptance Solutions Group
CHICAGO, IL
03.2010 - 06.2016
Accurately entered debit card or bank information [as listed on loan contract], for funds to be
deducted from customer accounts.
Call Center Agent
Chicago Lighthouse
CHICAGO, IL
01.2015 - 08.2015
Provided customer assistance pertaining to I-Pass electronic tolling accounts, and the
Illinois Tollway; Responded to customer inquiries via telephone, mail and e-mail; Exceeded
department standards for productivity and quality; Maintained up-to-date knowledge of the
Illinois Tollway regulations and policies as they apply.
Editorial Researcher
Manufacturers’ News
CHICAGO, IL
09.2009 - 03.2010
Contacted companies to verify correct address, phone, and web address, and supported the
editorial team with other research projects.
Reservation Center Agent
EZLinks Golf, LLC
CHICAGO, IL
01.2007 - 04.2008
Booked tee times for customers at public and private golf clubs across the U.S; Answered
customer questions about golf courses, pricing, lessons, etc
Over the phone; Processed credit
card and gift card transactions over the phone; Maintained 91% daily availability for callers.
Education
Bachelors of Business Administration - Business Administration, Management
Robert Morris University
Skills
Time management, CRM systems, Microsoft Office, internet research, typing, writing emails
Timeline
Customer Service
Representative
CVS
10.2022 - 08.2023
Contact Tracer
Leave No Veteran Behind
10.2020 - 10.2022
Event Security Officer
Monterrey Security
06.2016 - 10.2020
Call Center Agent
Chicago Lighthouse
01.2015 - 08.2015
Overnight Billing
Specialist
Acceptance Solutions Group
03.2010 - 06.2016
Editorial Researcher
Manufacturers’ News
09.2009 - 03.2010
Reservation Center Agent
EZLinks Golf, LLC
01.2007 - 04.2008
Bachelors of Business Administration - Business Administration, Management