Professional with extensive experience in customer service. Strong focus on team collaboration and achieving results. Adept at handling inquiries, resolving issues, and adapting to changing needs. Reliable with excellent communication and problem-solving skills.
Overview
24
24
years of professional experience
Work History
REMOTE CSR Tier 1
Vecra Inc.
01.2024 - Current
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 and repeat business.
Enhanced customer satisfaction by promptly addressing inquiries and resolving issues efficiently.
Upheld strict adherence to company policies and procedures while providing exceptional service experiences for each client interaction.
Met customer call guidelines for service levels, handle time and productivity.
Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
Fraud Coordinator
Capital One
08.2013 - 11.2023
Led initiatives to refine fraud detection algorithms, achieving noticeable gains in identifying fraudulent activities swiftly.
Collaborate with teams to implement fraud protocols, boosting security measures.
Analyze customer behavior to detect fraud, ensuring proactive risk management.
Partnered with cross-functional teams to enhance fraud detection systems, fostering a culture of shared responsibility and vigilance.
Maintained accurate client data and monitored key performance indicators, ensuring swift access to vital information and continuous process improvement.
Facilitated training sessions for staff on fraud awareness, enhancing team knowledge and promoting a proactive approach to risk management.
PPO Billing and Enrollment CSR
Anthem Blue Cross Blue Shield WellPoint
10.2006 - 08.2012
Enhanced PPO billing accuracy through targeted training, resulting in noticeable gains in client communication and satisfaction.
Researched insurance policy updates to ensure compliance and accurate client information.
Collaborated with IT to automate processes, improving data entry efficiency.
Provided exceptional customer service, promptly addressing inquiries and concerns fostering trust, which strengthened client relationships.
Analyzed billing processes, recommending solutions to streamline operations.
Evaluated billing and enrollment workflows, identifying inefficiencies that resulted in measurable improvements in operational performance.
Fostered strong partnerships with internal teams to implement process enhancements, driving substantial growth in data entry efficiency.
Maintained a comprehensive database for PPO billing data analysis, ensuring accurate tracking and reporting aligned with compliance standards.
Medicare Customer Service Rep
Pearson's Government Solutions
11.2005 - 09.2006
Demonstrated exceptional interpersonal skills, effectively addressing customer concerns and enhancing overall satisfaction with Medicare plans.
Fostered strong relationships with brokers, enhancing communication channels and leading to improved response times.
Identified up sell opportunities, driving revenue growth.
Gathered feedback for product development, improving plans.
Ensured compliance with Medicare regulations, elevating service.
Analyzed customer inquiries to identify trends, enabling proactive solutions that significantly improved service efficiency.
Pediatric Surgery Office Assistant
Medical College of Virginia
08.2001 - 11.2005
Prepared surgical rooms, ensuring readiness and equipment availability for pediatric procedures.
Managed patient billing, verifying insurance and resolving outstanding balances efficiently.
Scheduled medical imaging, ensuring timely availability for pediatric surgical assessments.
Organized medical supplies, maintaining inventory to support uninterrupted surgical operations.
Tier 1 Live Chat Agent/Application Specialist at Vecra Inc/Maximus/Maryland Health ConnectionTier 1 Live Chat Agent/Application Specialist at Vecra Inc/Maximus/Maryland Health Connection