Daniella Anthony
Dallas,GA
Summary
Service-oriented Customer Service Representative with 8 years background in a fast past environment. Core competencies include excellent communication skills, problem solving ability and superb learning and listening skills as well as excellent leadership and time management skills. Handles tasks with accuracy and efficiency.
Overview
7
7
years of professional experience
Work History
Sir Consultant
PROGRESSIVE INSURANCE
Tampa , Florida
09.2017 - Current
- Resolve customer’s service or billing complaints by performing activities such as reviewing coverages, refunding money, or adjusting bills
- Refer unresolved customer grievance to designated departments for further investigation
- Determine charges for services requested, collect payments of arrange for billing
- Review insurance policy terms to determine whether particular loss is covered by insurance
- Confer with customers by telephone to provide information about products or services, take or enter orders, cancel accounts, or obtain details of complaints.
- Delivered outstanding service to clients to maintain and extend relationship for future business opportunities.
- Managed over 50 customer calls per day.
Senior Quality Eligibility Auditor MERITIAN
HEALTH OF AETNA
Tampa , Florida
06.2015 - 09.2017
- Managing heavy calendars, screen and prioritize calls and requests and schedule and coordinate materials for business meetings and events
- Identify, document, and report any transaction errors or communications issues in timely manner to ensure prompt resolution
- Tracking and trending audit results and providing feedback to management
- Identify and report on systemic issues which create ongoing quality concerns
- Maintained positive provider relations and coordinated functions within company to ensure provider requests and questions were handled appropriately and in timely manner
- Identified issues of non-compliance and elevated reports to senior personnel.
- Reviewed work instructions and production strategies to verify compliance with established standards.
- Analyzed unstructured information to derive key insights
- Created spreadsheets using Microsoft Excel for daily, weekly and monthly reporting
- Managed over 25 contracts per day.
Education
Bachelor of Science - Physical Therapy
UNIVERSITY oF CENTRAL FLORIDA
Orlando, FL06.2010
Associate of Arts - Pharmacy Technology
Anthem College - Bryman School
Phoenix, AZ09.2006
Skills
- Sales and Marketing
- Education and Training
- Time Management
- Social Perceptiveness
- Resource Evaluation
- Data Entry and Maintenance
- Client Requirements Assessment
- Effective and Professional Communication
Additional Information
- Judgment and Decision Making Active Learning Activities , Top performing for R&R Mentoring Peers Outstanding Achievement in Customer Satisfaction
Timeline
Sir Consultant
PROGRESSIVE INSURANCE
09.2017 - Current
Senior Quality Eligibility Auditor MERITIAN
HEALTH OF AETNA
06.2015 - 09.2017
Bachelor of Science - Physical Therapy
UNIVERSITY oF CENTRAL FLORIDA
Associate of Arts - Pharmacy Technology
Anthem College - Bryman School
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