Avigail Cummings
Temple,TX
Summary
Compassionate and Driven Individual with a Passion for Helping Others. Experienced in Customer Service, Conflict resolution, and Team Leadership. dedicated to creating a Positive and Inclusive work environment where everyone feels Valued and Supported.
Overview
8
8
years of professional experience
Work History
Customer Service Representative
Humana
10.2020 - Current
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
- Informed Customers on Eligibility, Benefits, Claims Payment.
- Pharmacy benefits
- Web Support
- Demographic Changes
- Demonstrating empathy and resolving problems
- Placing OTC Orders
- Placing Outbound Calls to Providers Office
- Reduced processing times by effectively managing a high volume of authorizations, referrals, and appeals.
- Handled sensitive client information with discretion, adhering to HIPAA privacy regulations at all times.
- Billing
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
CSR
Carelon Rx Pharmacy
02.2024 - 06.2024
- Managed high call volumes, maintaining a professional demeanor during peak hours and effectively multitasking in a fast-paced environment.
- Demonstrated empathy and active listening skills, resulting in a higher rate of customer satisfaction.
- Assisted Patients by filling prescriptions and responding to patient questions regarding prescription and medication-specific issues.
- Educated customers about billing, payment processing and support policies and procedures.
- Checked Patients Prescriptions Orders and Provided Estimate Shipment Time frame.
- Met customer call guidelines for service levels, handle time and productivity.
- Investigated and resolved customer inquiries and complaints quickly.
- Maintained up-to-date knowledge of product and service changes.
- Faxed out a New Rx Request to Providers.
- Provided excellent customer service while addressing patient inquiries regarding medications and prescriptions.
Style Advisor
Justice For Girls
07.2019 - 09.2019
- Greeted Customers and Helped with Product Questions, Selections and Purchases.
- Informed customers of current store promotions to encourage additional sales purchases.
- Folded and arranged merchandise attractive displays to drive sales.
- Maintained Clean sales floor and straightened and faced merchandise.
- Balanced and Organized cash register by handling cash.
- Checked Pricing, scanned items, applied discounts and printed receipts to ring customers.
- Helped Customers find desired items and sizes by closely supporting each person throughout the buying process.
Dietary Aide
Lutheran Sunset Ministries
05.2016 - 01.2019
- Served meals to residents in accordance with established schedules and dietary procedures.
- Kept all kitchen areas clean, tidy and free of hazards.
- Washed plates, cups, serving, and eating utensils and kitchen equipment in commercial dishwasher.
- Cleared tables and removed dishes, trays, and utensils from dining room to dishwashing area.
- Assisted in maintaining dry storage areas and handling unpacking, dating, and rotating of food and non-food supplies as directed.
- Followed all food safety regulations while preparing meals for patients.
- Arranged tray and or table settings with proper tableware, condiments, and tray card.
Education
High School Diploma -
Whitney High School
CMA
Temple College
No Degree - Dental Assisting
Texas State Technical College - Waco
09.2017
Skills
- Customer Relations
- Team Player
- Positive Attitude and Energetic
- Calm and Professional Under Pressure
- Managing Multiple Tasks
- Conflict Resolution
- Customer Service
- Customer Relationship Management (CRM)
- Ability to adapt to changes
- Active Listening
- Problem Resolution
Timeline
CSR
Carelon Rx Pharmacy
02.2024 - 06.2024
Customer Service Representative
Humana
10.2020 - Current
Style Advisor
Justice For Girls
07.2019 - 09.2019
Dietary Aide
Lutheran Sunset Ministries
05.2016 - 01.2019
High School Diploma -
Whitney High School
CMA
Temple College
No Degree - Dental Assisting
Texas State Technical College - Waco