Andrea T. Mayer
Shelbina,MO
Summary
Knowledgeable and dedicated customer service professional with extensive experience in any industry. Solid team player with outgoing, positive demeanor and proven skills in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Specialize in quality, speed and process optimization. Articulate, energetic and results-oriented with exemplary passion for developing relationships, cultivating partnerships and growing businesses.
Overview
16
16
years of professional experience
Work History
CUSTOMER ADVOCATE SPECIALIST (PHARMACY/MEDICAL)
BLUE CROSS/BLUE SHIELD
11.2014 - 10.2023
- Assisting/Supporting Customer Advocates with Member's Benefits, Eligibility, and Billing.
- De-escalating calls by determining root cause and taking steps to correct/resolve issue.
- Sent feedback to Customer Advocates and their Supervisor's, when needed.
- Worked inventory in ques, spreadsheets, and escalation emails from members, physicians, and employers.
- Held 1:1 meeting with 10 Customer Advocates to address any questions regarding claims, eligibility, or with how to utilize resources to resolve member's issue.
- Collaborated with cross-functional teams to provide timely and accurate responses to customer inquiries.
- Researched and resolved account and service problems with friendly, knowledgeable support.
- Listened to customers in actively to assess issues and provide accurate information.
CUSTOMER ADVOCATE
BLUE CROSS/BLUE SHIELD
03.2010 - 11.2014
- Answered calls and assisted members with their issue, such as: Benefits, Eligibility, Claims, and Accumulators.
- Worked individual and unit inventory
- Collaborated with cross-functional teams to provide timely and accurate responses to customer inquiries.
- Researched and resolved account and service problems with friendly, knowledgeable support.
- Listened to customers in actively to assess issues and provide accurate information.
CDHP EXAMINER
BLUE CROSS/BLUE SHIELD
01.2009 - 03.2010
- Reconciled member's accounts to verify accuracy. If there were any discrepancies, any difference would either be entered or removed from member's account balance.
CLAIMS PROCESSOR
BLUE CROSS/BLUE SHIELD
04.2008 - 01.2009
- Processed medical claims.
Education
High School Diploma -
Greenfield-Central High School
Greenfield, IN05.1987
Skills
- Calm and Professional under pressure
- Completed projects/tasks, on time, with accuracy and efficiency
- Strengths in planning, researching, organizing, and communicating
- 20 years of Bookkeeping experience
- MS Office
- Multitasking Abilities
- Attention to Detail
- Flexible and Adaptable
- Active Listener
- Friendly, Positive Attitude
Timeline
CUSTOMER ADVOCATE SPECIALIST (PHARMACY/MEDICAL)
BLUE CROSS/BLUE SHIELD
11.2014 - 10.2023
CUSTOMER ADVOCATE
BLUE CROSS/BLUE SHIELD
03.2010 - 11.2014
CDHP EXAMINER
BLUE CROSS/BLUE SHIELD
01.2009 - 03.2010
CLAIMS PROCESSOR
BLUE CROSS/BLUE SHIELD
04.2008 - 01.2009
High School Diploma -
Greenfield-Central High School