Anna Virelles
Tampa,FL
Summary
Seasoned Customer Representative Support Specialist versed in handling back-to- back phone customer service inquiries and processing claims, verifying information and managing software updates and other information proficiently. Friendly and upbeat team player with organized and disciplined approach. Offering strong communication skills with the team members and communicating with clients resulting in positive results and feedback, maintaining metrics goals for the organization.
Overview
5
5
years of professional experience
Work History
Claims Representative
Sedgwick CMS
07.2021 - 01.2024
- Worked productively in fast-moving work environment to process large volumes of claims.
- Followed up with customers on unresolved issues.
- Improved customer satisfaction by providing timely and accurate information on claim status and resolution.
- Maintained compliance with industry regulations by adhering to established procedures and guidelines in claims handling.
- Enhanced claim processing efficiency by streamlining workflows and implementing best practices.
Customer Service Support Specialist
Alight Solutions
09.2020 - 07.2021
- Improved first-call resolution rates by actively listening to customer concerns and offering appropriate solutions.
- Assisted customers in navigating online resources effectively, increasing their self-sufficiency when dealing with future inquiries.
- Collaborated with team members to ensure consistent quality in customer interactions.
- Enhanced customer satisfaction by promptly addressing and resolving inquiries and issues.
- Contributed toward exceeding monthly targets consistently through diligent work ethic and commitment to results-oriented support strategies.
Customer Service Representative
Optum Financial/United Health Group
07.2019 - 09.2020
- 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.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Responded to customer requests for products, services, and company information.
- Maintained detailed records of customer interactions, ensuring proper follow-up and resolution of issues.
- Assisted customers in navigating company website and placing online orders, improving overall user experience.
Education
Associate Of Business Administration -
Union County College
Cranford, NJ06.1998
Skills
- Microsoft office
- Insurance claims review
- Claims investigation
- Time management
- Team collaboration
- Customer service
- Attention to detail
- Active listening
- Critical thinking
- Teamwork and collaboration
- Organizing and prioritizing work
- Google suite proficiency
- Data entry
- Patient rapport
- Appointment scheduling
- Problem-solving abilities
- Multitasking
Languages
Spanish
Full Professional
Timeline
Claims Representative
Sedgwick CMS
07.2021 - 01.2024
Customer Service Support Specialist
Alight Solutions
09.2020 - 07.2021
Customer Service Representative
Optum Financial/United Health Group
07.2019 - 09.2020
Associate Of Business Administration -
Union County College
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