Summary
Overview
Work History
Education
Skills
Timeline
Generic

Anne Hiles

Carmichael

Summary

Seasoned Customer Associate with many years of experience dedicated to providing highest quality service and making customers feel welcome. Committed to meeting expectations and furthering company goals. Timely and situationally aware employee dedicated to supporting productive work environments.

Overview

11
11
years of professional experience

Work History

Customer Service Associate

Anthem Blue Cross Of California
03.2019 - 06.2023
  • Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
  • Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
  • Answered customer telephone calls promptly to avoid on-hold wait times.
  • Offered advice and assistance to customers, paying attention to special needs or wants.
  • Responded to customer calls and emails to answer questions about products and services.
  • Provided training and support to new associates to help provide high-quality customer service.
  • Handled billing and payment issues following guidelines, resolving disputes properly.

Claims Examiner II

Anthem Blue Cross Of California
09.2012 - 03.2019

Researches all assigned accounts through reports, spread sheets and special projects. Researches denied and improperly processed claims, due to coding issues. Call and check claim status, work A/R on insurance carriers. and organize all aspects of appeals process for assigned insurance carriers.

  • Researched claims and incident information to deliver solutions and resolve problems.
  • Handled complaints and grievances using negotiating and problem-solving skills

Education

Associate of Arts - General Education

American River College
Sacramento, CA
06.1983

High School Diploma -

El Camino Fundamental High School
Sacramento, CA
06.1980

Skills

  • Inbound and Outbound Calling
  • Inbound and Outbound C
  • Correcting Discrepancies
  • Account Management
  • Customer Service and Assistance
  • Document Conversion
  • Membership Inquiries and Renewals
  • Call Volume and Quality Metrics
  • Presenting Solutions
  • Product Knowledge
  • Billing Adjustments and Refunds
  • Calm and Professional Under Pressure

Timeline

Customer Service Associate

Anthem Blue Cross Of California
03.2019 - 06.2023

Claims Examiner II

Anthem Blue Cross Of California
09.2012 - 03.2019

Associate of Arts - General Education

American River College

High School Diploma -

El Camino Fundamental High School
Anne Hiles