Arthur Godfrey

• Receive and review multiple types of dispute cases
• Non reciept of merchandise, damaged or defective merchandise, not as described or misrepresented service, canceled service or merchandise, processing error cases including paid by other means, altered amounts, duplicated transactions.
• Contact card members for clarification and additional information or to request supporting documentation.
• Explain the dispute process to ensure card members complete understanding.
• Utilize multiple non windows and windows based programs to process cases and submit claims.
• Utilize support tools to solve any processing issues.
• Adhere to all company policies and procedures.

I assisted with applying for Medicaid benefits as well as enrollment into Molina for eligible customers.

Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.

• Provided primary customer support to internal and external customers.
• Offered advice and assistance to customers, paying attention to special needs or wants.
• Responded to customer requests for products, services and company information.
• Consulted with outside parties to resolve discrepancies and create expert solutions.
• Understood and thoroughly explained services provided to customers and potential customers.
• Communicated effectively via telephone, email and in person with prospective customers.

As a Life insurance customer service representative I spoke with current policy holders to help them to understand their life insurance policies. I respond to customer inquiries ranging from simple requests such as address changes to complex inuqiries such as billing issues, beneficiary descrepancies. I have successfully dealt with every type of customer from satisfied to extremely irrate. This position requires an indepth knowledge of all types of life insurance policies from basic life to more complex policies such as variable or annuity.

• Reviewed and adjusted customer coverage levels to address, identify and resolve customer conflicts.
• Responded to customer requests for products, services and company information.
• Answered incoming phone calls to articulate product value to prospective customers and support current policyholders.

As a pharmacy client service representative I am responsible for providing quality customer service to clients including Injured workers, Doctors offices, and pharmacies in line with company values which are Integrity, Compassion, Relationships, Innovation, and Performance on an inbound as well as outbound basis to ensure injured workers receive the medication they need. In the Ancillary department I served by receiving and processing referrals for home health services such as physical therapy, and IV infusion. This position required a high level of organization and attention to detail to be successful.