Qualified Member Services Representative with over 10 years in fast-paced customer service and call center environments. Personable and professional under pressure.
Overview
15
15
years of professional experience
Work History
Member Relations Specialist
Jefferson Health Plans
Philadelphia , Pennsylvania
02.2024 - Current
Resolved customer service issues by responding promptly to inquiries from members.
Referred unresolved customer grievances to designated departments for further investigation.
Updated databases with new and modified member data.
Kept records of customer interactions or transactions, thoroughly recording details of inquiries.
Helped members resolve account problems and navigate internal systems to handle routine needs.
Enhanced member relationships by providing excellent service during each interaction.
Consulted with customers regarding needs and addressed concerns.
Direct Support Professional
Medi-Home Healthcare Agency
Philadelphia
01.2020 - Current
Administer personal care to clients; such as meal preparation and personal hygiene assistance
Prepare and maintain records of client progress and services performed
Provide clients with communication assistance; such as typing their correspondences, and scheduling their necessary appointments.
Group Leader
Rutgers University
Camden
08.2012 - Current
Assign maintenance tasks to fellow team members
Oversee and assist in the cleanliness and pristine appearance of private and common areas, inside and outside of assigned work spaces
Retain a record of all equipment and chemicals along with their instructions and safety data sheets for restocking and proper uses
Train new hires in cleaning protocols for the University
Sort through and update tasks lists as they are completed by the team to forward to my superior.
Insurance Inquiry Representative
Reimbursement Technologies Inc.
Conshohocken
10.2009 - 08.2012
Made outgoing calls via automated dial-er to obtain insurance information for medical claims processing
Met department wide objectives for the quantity of calls made and their duration
Forwarded calls to the proper departments for further claims assistance if needed
Notated patient files with updated information such as insurances, addresses, phone numbers, name changes and dates of birth
Also provided training and orientation to new hires.
Education
Associates of Arts -
Community College of Philadelphia
06.2014
Skills
Issue Resolution
member support
Call Documentation
Microsoft Office
Inbound and Outbound Calling
Member Education
Additional Information
References Upon Request.
Personal Information
Title: Superior Customer Service Specialist
Timeline
Member Relations Specialist
Jefferson Health Plans
02.2024 - Current
Direct Support Professional
Medi-Home Healthcare Agency
01.2020 - Current
Group Leader
Rutgers University
08.2012 - Current
Insurance Inquiry Representative
Reimbursement Technologies Inc.
10.2009 - 08.2012
Associates of Arts -
Community College of Philadelphia
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