Summary
Overview
Work History
Education
Skills
Timeline
Generic

Ann Erblich

Summary

Proven leader and skilled communicator, adept in quality and time management, significantly enhanced customer satisfaction at Molina Healthcare. Excelled in CMS rules and Medicare services, achieving targets through effective coaching and quality evaluations. Expert in medical claims processing, showcasing a blend of hard and soft skills to drive results and improve productivity.

Overview

15
15
years of professional experience

Work History

Customer Service Representative

Molina Healthcare
05.2023 - Current
  • Offered advice and assistance to customers, paying attention to special needs or wants.
  • Responded to customer requests for products, services, and company information.
  • Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
  • Answered customer telephone calls promptly to avoid on-hold wait times.
  • Assisted with pilot program for Chat service for Member services.
  • Making sure that Hipaa and CMS guidelines are being followed.

Customer Service Representative

Nelnet Student Loan Services
10.2022 - 03.2023

Assisted borrowers with information on student loans, programs and assistance.

Inbound support for any questions.

Assisted with making sure that the Department of Education rules and guidelines are being followed.

Customer Service Representative

United Healthcare
03.2015 - 05.2022

Inbound member service support.

Did a pilot for repeat callers which were accounts that had been having multiple issues.

Did tier 2 support to assist tier one agents with processes and policies.

Service navigator: Outbound support for member with multiple issues, authorizations, hospitalizations.

Navigate4me: Assisted member with setting up and completely preventative care opportunities to align with CMS guidelines.


Supervisor

Convergys
11.2009 - 01.2014
  • Handled customer complaints, resolved issues, and adjusted policies to meet changing needs.
  • Created successful work schedules for each team member to maintain deadlines and fully staff shifts.
  • Monitored workflow to improve employee time management and increase productivity.
  • Achieved results by working with staff to meet established targets.
  • Coached agents weekly to go over metrics, quality, attendance and any other policies that needed attention.
  • Graded and did quality evaluations for all agents 2 times weekly.

Education

Associate of Applied Science - Business Management

Texas State Technical College - Harlingen
Harlingen, TX
05.2025

GED -

Los Fresnos High School
Los Fresnos, TX
03.2007

Skills

  • Appointment Scheduling
  • Account updating
  • Product Knowledge
  • Paperwork Processing
  • Vast knowledge of CMS rules and guidelines for Medicare and Medicaid services
  • Knowledge of medical claims and processing
  • Knowledge of quality, metrics, and time management for call centers

Timeline

Customer Service Representative

Molina Healthcare
05.2023 - Current

Customer Service Representative

Nelnet Student Loan Services
10.2022 - 03.2023

Customer Service Representative

United Healthcare
03.2015 - 05.2022

Supervisor

Convergys
11.2009 - 01.2014

Associate of Applied Science - Business Management

Texas State Technical College - Harlingen

GED -

Los Fresnos High School
Ann Erblich