Summary
Overview
Work History
Education
Skills
Timeline
Generic

Ada Newsuan

Georgetown,SC

Summary

Results-driven professional focused on delivering exceptional support for customer needs. Successfully manages concerns and resolves conflicts to maximize customer satisfaction. Offers strong background in customer relations and communication.

Overview

7
7
years of professional experience

Work History

Front Desk Assistant

Hampton Inn By Hilton
2024.06 - Current
  • Answered customer telephone calls promptly and appropriately handled needs.
  • Greeted visitors and customers upon arrival, offered assistance, and answered questions to build rapport and retention.
  • Maintained professional and welcoming front desk area, setting a positive first impression for guests.
  • Facilitated smooth operations during peak times with effective multitasking skills, managing multiple guest interactions simultaneously.
  • Oversaw fast-paced front desk operations and guests' needs at busy facility.
  • Trained new staff members in customer service techniques and hotel operations.

CALL CENTER CUSTOMER SERVICE

United Health Care
2020.12 - 2024.06
  • Provided support to 80+ customers per day via email, phone support, and company live chat
  • Responded to all customer inquiries in a timely manner regarding order updates and product requests, and resolved all issues following company protocol
  • Operated in a fast-paced environment while documenting accurate call and email notes and maintaining positive interactions
  • Met or exceeded call speed, accuracy, and volume benchmarks on a consistent basis
  • Contacts physician offices according to Department guidelines to request missing information from authorization requests or for additional information.
  • Enhanced member experience by providing exceptional customer service and maintaining a clean, welcoming fitness center environment.
  • Adapted quickly to changes in company products and services, ensuring accurate information was relayed to potential customers during calls.
  • Maintained accurate records of service calls and customer interactions for training and accountability purposes.
  • Increased customer retention through effective communication and professional demeanor during service calls.

Claims Specialist (Remote)

Blue Cross Blue Shield of NC
2019.08 - 2020.12
  • Performed company administrative duties clerical: Analyzed customer entries in company database for inaccuracies, responded to customer emails, and developed call scripts for phone and email correspondence
  • Verified details with policyholders and requested additional information
  • Walked customers through claim process, and answered any general questions
  • Provides telephone, clerical, and data entry support for Care Review team
  • Checked documentation for appropriate coding, catching errors, and making revisions.
  • Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
  • Managed high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
  • Developed strong working relationships with external partners such as adjusters, legal counsel, and medical professionals to facilitate efficient claim resolution processes.
  • Settled complex claims fairly by applying critical thinking, negotiation skills, and detailed knowledge of insurance policies.

Quality Assurance Specialist

Blue Cross Blue Shield of SC
2017.06 - 2019.07
  • Ensured necessary documents and notation was entered into company CRM system accurately and in timely manner
  • Reviewed agent phone and email interactions to assure agents are following company scripts and protocols to assure customer satisfaction
  • Monitored general Quality Assurance for e-mail correspondence and responded to customer emails
  • Monitored QA procedures for adherence by employees, notifying personnel of non-compliance issues
  • Contributed to business growth by confirming customer satisfaction with service and quality
  • Partnered with training and operational leaders to develop strategies to enhance customer experience.
  • Provided regular updates to team leadership on quality metrics by communicating consistency problems or production deficiencies.
  • Ensured product compliance with industry regulations by staying up to date on relevant standards and guidelines, implementing necessary changes to maintain conformance.
  • Enhanced customer satisfaction by addressing reported issues promptly and providing effective solutions.
  • Optimized workflow efficiency by introducing automation tools into the QA process where appropriate.

Education

Associate of Science - Medical Billing And Coding

Ultimate Medical Academy
Clearwater, FL
03.2020

Skills

  • Quality Assurance Experience
  • Advance Microsoft Office Navigation
  • Payment and Sales knowledge
  • Customer Service
  • 55 WMP typing speed
  • CRM software
  • Collaboration
  • Conflict Resolution
  • Hospitality services
  • Time Management
  • Problem-solving skills
  • Excellent Communication
  • Administrative Skills
  • Cash Handling
  • Complaint resolution
  • Conflict Management

Timeline

Front Desk Assistant

Hampton Inn By Hilton
2024.06 - Current

CALL CENTER CUSTOMER SERVICE

United Health Care
2020.12 - 2024.06

Claims Specialist (Remote)

Blue Cross Blue Shield of NC
2019.08 - 2020.12

Quality Assurance Specialist

Blue Cross Blue Shield of SC
2017.06 - 2019.07

Associate of Science - Medical Billing And Coding

Ultimate Medical Academy
Ada Newsuan