Proven time management skills with over 7 years of experience in customer service. Demonstrated ability to prioritize tasks effectively, ensuring timely responses to customer inquiries. Strong focus on enhancing customer satisfaction through efficient service delivery. Consistently recognized for maintaining high standards in fast-paced environments.
Work History
Customer Service Representative
9 Months
Principle Choice Solutions LLC | 01.2026 - Current
Resolve inbound customer inquiries regarding medical and RX claims for providers and beneficiaries for CHAMPVA. Adhering to policies and going over coverage. Update some demographics for beneficiaries.
Improved call flow by identifying recurring issues and recommending process updates for faster resolution.
Addressed complex service concerns with timely follow-up and clear communication across departments.
Maintained detailed case documentation to ensure accuracy, continuity, and efficient handoff across teams.
Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
Developed rapport with customers through active listening skills, leading to higher retention rates and positive feedback from clients.
Member Services Representative
2 Years
Aetna, a CVS Health Company | 10.2024 - Current
Secured permanent position with CVS Aetna through Rose International temp service.
Conducted eligibility verification for Aetna Better Health of Oklahoma contracts.
Confirmed benefits and updated client demographics accurately.
Reviewed prescription claims to ensure compliance and accuracy.
Managed inbound and outbound calls to assist clients effectively.
Member Services
8 Months
Rose International | 02.2024 - 10.2024
Conducted eligibility verification for Aetna Better Health of Oklahoma / CVS Aetna contracts.
Confirmed benefits for members, ensuring accurate coverage details.
Updated demographic information to maintain current records.
Reviewed prescription claims for compliance and accuracy.
Dollar Tree Assistant Manager
7 Months
Dollar Tree | 09.2023 - 04.2024
Executed opening and closing procedures to ensure smooth store operations.
Managed cash handling, including deposits and safe counts for accuracy.
Conducted inventory checks to maintain stock levels and organization.
Processed transactions efficiently as a cashier, enhancing customer experience.
Performed computer duties for inventory management and sales tracking.
Unloaded trucks promptly to facilitate timely stock replenishment.
Maintained cleanliness and orderliness throughout the store to promote a positive environment.
Healthcare Advocate
2 Years 6 Months
Faneuil / humana | 11.2020 - 05.2023
Reviewed documentation to ensure compliance with healthcare regulations.
Advocated for patient needs in claims, benefits, and pharmacy matters.
Processed Medicaid billing to maximize reimbursements.
Assisted clients with web and mobile healthcare solutions.
Triage and Desktop
Banking Customer Service Representative
3 Years
Sitel | 08.2017 - 08.2020
Conducted maintenance on debit, credit, and ATM cards to ensure optimal functionality.
Executed data entry for disputes and fraud cases, enhancing accuracy in records.
Reviewed documentation to support compliance and service improvements.
Addressed customer inquiries by providing policy and service information promptly.
Resolved customer complaints, improving satisfaction and retention rates.
Processed balance consolidations to streamline account management.
Handled general questions, offering clear and concise responses.
Maintained partially remote operations to adapt to changing work environments.
HTS/MAT House Manager
2 Years 7 Months
Meadowbrook Acres | 01.2015 - 08.2017
Supported disabled clients with daily activities to enhance independence.
Coordinated transportation for medical appointments and scheduled future visits.
Facilitated client participation in social events to promote engagement.
Executed daily, weekly, and monthly paperwork to ensure accurate record-keeping.
Managed medication inventory to uphold safety and compliance.
Customer Service Representative
4 Months
William Sonoma call center | 09.2014 - 01.2015
Managed over-the-phone orders for four to six brands efficiently.
Processed online and catalog orders promptly to ensure customer satisfaction.
Coordinated special pickups and deliveries to meet client needs.
Facilitated refunds and exchanges in a timely manner.
Maintained inventory across food, clothing, home supplies, and various products.
Personalized items to enhance customer experience and engagement.
Customer Service Rep
5 Months
Xerox | 08.2013 - 01.2014
Managed inbound call center operations for U.S. Cellular, enhancing customer service efficiency.
Activated phones and tablets for customers to ensure smooth onboarding experiences.
Processed payments and established payment arrangements promptly to maintain account accuracy.
Reviewed billing refunds and payments to verify correctness and resolve issues.
Transferred phone services according to customer requests, ensuring seamless transitions.
Suspended and unsuspended customer service accounts as needed to address issues swiftly.
Education
High school or equivalent - High school Diploma
U. S. Grant High School | Oklahoma City, OK | 05.2012