
Customer Service Representative with 5+ years of experience in healthcare and retail environments. Skilled in handling high-volume call queues (50–70 calls/day), resolving complex customer issues, and supporting insurance-related inquiries including benefits, claims, and CPT codes. Strong communicator with a track record of meeting performance metrics and delivering positive customer experiences.
• Assisted customers with product inquiries, order updates, and account changes.
• Handled inbound calls and scheduled customer appointments.
• Processed payments, refunds, and transactions accurately
• Provided technical and product support to improve customer satisfaction.
• Maintained accurate customer account records and documentation.
• Assisted members with insurance benefits, claims, and appeals, ensuring accurate and timely resolution.
• Researched CPT codes to support billing inquiries and reduce claim errors.
• Resolved customer complaints while maintaining high satisfaction and compliance standards.
• Handled 50–70 inbound calls daily, resolving benefits, claims, and provider inquiries while meeting performance KPIs, "Key performance Indicator".
• Assisted customers with product inquiries, order updates, and account changes
• Handled inbound calls and scheduled customer appointments
• Processed payments, refunds, and transactions accurately
• Provided technical and product support to improve customer satisfaction
• Maintained accurate customer account records and documentation
• Managed 50+ inbound calls daily, assisting customers with Medicare benefits and provider searches.
• Resolved customer complaints and escalated issues when necessary.
• Guided customers through online portal usage, improving self-service adoption.
• Processed requests for ID cards and customer communications (letters, updates).
• Maintained performance standards for call handling and issue resolution.
• Provided administrative support including data entry, document preparation, and record management.
• Directed calls and customer inquiries to appropriate departments.
• Managed executive communications, scheduling, and correspondence.
• Maintained organized filing systems and personnel records.
• Improved office efficiency by updating documentation and internal processes.
• Handled 50–70 inbound calls daily regarding billing, payments, and service inquiries.
• Processed payments and assisted customers with payment plans and account setup.
• Documented customer interactions and tracked issue resolution.
• De-escalated customer concerns and provided effective solutions.
• Educated customers on services, pricing, and available options.
• Supported daily operations including intake, documentation, and resident assistance.
• Maintained accurate records and assisted with reporting and organization.
• Coordinated referrals to community resources and services.
• Ensured a safe and organized environment for residents.
Customer Service & Conflict Resolution
High-Volume Call Handling (50–70 calls/day)
Healthcare Support (Medicare, Benefits, Claims, CPT Codes)
Data Entry & Documentation
Appointment Scheduling & Coordination
Payment Processing & Billing Support
Microsoft Office (Excel, Word)
CRM / Customer Management Systems
Problem Solving & De-escalation