Focused customer service professional dedicated to meeting and exceeding customer expectations by delivering industry-leading support. Skilled in handling inbound and outbound calls, online requests and emails with good problem-solving, multitasking and research abilities.
Overview
18
18
years of professional experience
Work History
Customer Care Advocate III, EROC Select Dedicated
Excellus BCBS of CNY
Rochester, NY
03.2022 - Current
Answered customer inquiries via phone, email, and online chat.
Provided technical support to customers regarding product usage and troubleshooting issues.
Resolved customer complaints in a timely manner while maintaining high levels of customer satisfaction.
Maintained records of customer interactions, transactions, comments and complaints.
Identified trends in customer feedback and reported them to management for further investigation.
Coordinated with other departments to ensure seamless resolution of customer requests.
Managed escalated calls from customers who are dissatisfied with service received.
Handled billing inquiries accurately and efficiently according to company policy.
Delivered fast, friendly and knowledgeable service for routine questions and service complaints.
Conducted research on claim issues, utilizing available resources such as databases and other documentation.
Interacted with clients via telephone, email, or in person to discuss claim status and provide updates.
Customer Service Advocate
Excellus BCBS of CNY
Rochester, NY
11.2021 - 03.2022
Greeted and assisted customers with inquiries regarding products and services.
Provided accurate, valid, and complete information to customers in a timely manner.
Resolved customer complaints via phone, email, mail or social media.
Developed relationships with customers through friendly conversations.
Identified potential opportunities to upsell products or services.
Performed follow-up procedures after customer service interaction was completed.
Commercial Lines Rater
Utica National Insurance Group
New Hartord, NY
01.2017 - 07.2019
Analyzed customer data to determine appropriate coverage levels and rates.
Created reports detailing rate changes and new business opportunities.
Support underwriting for all accounts sizes pertaining to countrywide renewal and new business.
Provided technical support to underwriters on complex rating issues.
Reviewed policy documents to ensure accuracy of information and compliance with regulations.
Assisted in developing training materials related to rating procedures and processes.
Maintained an up-to-date database of all current policies, rates, and coverages.
Member Relationship Specialist
Americu CU - Yorkville
Rome, NY
06.2016 - 01.2017
Managed member accounts by verifying data accuracy and processing payments, refunds, credits, returns, and exchanges.
Provided technical assistance to members on the use of online resources such as web portals and mobile apps.
Maintained up-to-date knowledge of current products and services offered by the organization.
Built relationships with members through face-to-face meetings or telephone conversations.
Disability Case Manager
Metlife
Oriskany, NY
03.2006 - 12.2012
Provided ongoing case management support to ensure access to appropriate services and resources.
Maintained accurate documentation of all case activities according to agency policies and procedures.
Reviewed and analyzed insurance claims to determine validity, completeness, accuracy, and eligibility for payment.
Investigated complex or high-value claims to identify discrepancies and fraud indicators.
Researched medical records to evaluate claim validity and verify the existence of pre-existing conditions.
Processed payments for valid claims according to established procedures.