Autumn Alphonse
Summary
Developed strong communication and problem-solving skills within customer-focused environment. Demonstrated ability to handle complex inquiries and provide clear, concise resolutions. Seeking to leverage these transferable skills in new field with opportunities for growth and impact.
Overview
3
3
years of professional experience
Work History
Provider Customer service representative (Remote)
Premera Blue cross
09.2023 - Current
- Serve as first point of contact for contracted/non-contracted providers
- Fax copies of Claim denials, EOBs, EOPs, Prior Authorization approval/denial letters
- Coordinated with internal departments to resolve escalated issues promptly and effectively.
- Review received medical records
- Provide claim denial explanations
- Log all inquiries, capturing appropriate data required for reporting
- Initiate follow ups when appropriate
- Assist with Credentialing applications
- Maintained up-to-date knowledge of product and service changes.
- Meet customer call guidelines for service levels, handle time and productivity.
- Effectively handle escalated interactions
- Educated customers about billing, payment processing and support policies and procedures.
- Identified and resolved discrepancies and errors in customer accounts.
- Simultaneously navigate across multiple systems
- Handle a fast-paced environment/back-to-back calls
- Responded to customer requests, offering excellent support and tailored recommendations to address needs.
Sales Associate (key holder)
SAS shoes
06.2022 - 09.2023
- Handle inbound/outbound calls
- Organize store merchandise
- Place special orders through POS according to customer needs
- Educated clients on current promotional offerings and products using persuasive selling tactics.
- Helped customers locate products and checked store system for merchandise at other sites.
- Handled cash transactions efficiently while adhering to company cash handling policies, ensuring accuracy in all financial exchanges.
- Train new employees
- Assisted in training new staff members on company policies, product information, and sales techniques for a seamless onboarding experience.
Remote Customer Service Representative
Chime Solutions
01.2022 - 05.2022
- Educated customers about billing, payment processing and support policies and procedures
- Participated in cross-functional teams to discuss ways to improve overall customer satisfaction across company.
- Review sensitive PPI (Personal private information)
- Maintained detailed records of customer interactions, ensuring proper follow-up and resolution of issues.
- Access multiple systems to research customer problem
- Developed strong product knowledge to provide informed recommendations based on individual customer needs.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
Sales Associate
Old Navy
08.2021 - 11.2021
- Rotated stock and restocked shelves to maintain product availability and store appearance.
- Participated in team meetings and training sessions regularly for continuous professional development within the retail industry.
- Assisted in training new staff members on company policies, product information, and sales techniques for a seamless onboarding experience.
- Educated clients on current promotional offerings and products using persuasive selling tactics.
- Managed efficient cash register operations.
Education
Associate of Science -
Richland College (DCCCD)
Dallas, TX05.2020
High School Diploma - undefined
Emmett J. Conrad High School (Collegiate Program)
Dallas, TX05.2020
Bachelor of Science - Sociology
University of North Texas At Dallas
Dallas, TX05-2026
Skills
- Written Communications
- Microsoft Office365
- Technical aptitude/Troubleshooting
- Computer Navigation Proficiency
- Policies and procedures adherence
- Data entry
- Conflict Resolution
- Health Insurance coverage
- Working Collaboratively
- Customer Support
- Telephonic communications
- Organization and Prioritization
Timeline
Provider Customer service representative (Remote)
Premera Blue cross
09.2023 - Current
Sales Associate (key holder)
SAS shoes
06.2022 - 09.2023
Remote Customer Service Representative
Chime Solutions
01.2022 - 05.2022
Sales Associate
Old Navy
08.2021 - 11.2021
High School Diploma - undefined
Emmett J. Conrad High School (Collegiate Program)
Associate of Science -
Richland College (DCCCD)
Bachelor of Science - Sociology
University of North Texas At Dallas