TIFFANY MCBRIDE
Orange,USA
Summary
Customer Service Specialist known for exceptional prioritization and multitasking abilities in fast-paced environments. Proven track record of effectively resolving escalated customer support issues while collaborating with team members to achieve shared goals. Aiming to leverage expertise in a dynamic organization focused on delivering outstanding service.
Overview
7
7
years of professional experience
Work History
Fraud Specialist/Customer Service
Fiserv
Remote
02.2024 - Current
- Guided customers through mobile app for online banking setup.
- Monitored reports and flagged suspicious transactions to identify potential fraud.
- Identified fraud patterns and anomalies through data analysis.
- Focused on boosting productivity and driving overall success.
- Handled an average of 100 customer inquiries daily.
Customer Service Representative
Centene
Remote
01.2022 - 12.2023
- Resolved customer complaints promptly and efficiently.
- Asked probing questions to determine service needs and accurately input information into electronic systems.
- Maintained detailed records of customer interactions, transactions and comments for future reference.
- De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
- Answered customer inquiries via phone, email, and chat.
Prior Authorization Representative
CVS
Remote
02.2018 - 12.2021
- Supported physicians, healthcare providers, patients with prior authorization needs based on payer guidelines.
- Supplied necessary data for the efficient handling of prior authorization claims in pharmacies.
- Monitored referral submissions throughout prior authorization process.
- Communicated with insurance providers to confirm prior approvals for medical services.
- Managed a high volume of incoming customer calls each day.
Education
High School Diploma -
Franks Educational
Beaumont, TX05.2010
Skills
- Customer Engagement
- Computer Skills
- Troubleshooting Skills
- Proficient in CRM Tools
- Financial Activity Monitoring
- Fraud Detection Strategies
Timeline
Fraud Specialist/Customer Service
Fiserv
02.2024 - Current
Customer Service Representative
Centene
01.2022 - 12.2023
Prior Authorization Representative
CVS
02.2018 - 12.2021
High School Diploma -
Franks Educational
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