Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
4
4
years of professional experience
1
1
Certification
Work History
Customer Service Professional
Cambia Health Solutions
Medford, OR
09.2021 - Current
Served as primary point of contact for subscriber, healthcare provider, agent/broker, group administrator, member representative and internal staff; addressing inquiries about benefits, claims payments and denials, eligibility decisions and other relevant information using diverse communication channels such as oral, written and online mediums.
Assessed provider and member inquiries accurately to identify errors and determined corrective measures for prompt error resolution.
Apply benefits according to appropriate contract. Determine benefit payments, maximum allowable fees, co-pays, and deductbles from appropriate contracts
Assist with CAHPS and other special projects.
Participate in quality and team-building activities, during team meetings, focus groups and department meetings, including giving ethics presentations
Customer Service Representative
First Call Resolution
Roseburg, OR
08.2020 - 08.2021
Handled client calls with a positive and professional approach
Offered support to clients in resolving product-related problems with website and application
Addressed complaint issues with empathy to ensure customer satisfaction
Compiled customer feedback, recommending improvements to management
Ensured problems were escalated to the relevant department for thorough investigation.