Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
5
5
years of professional experience
Work History
Claims Customer Service Representative
BlueCross BlueShield Of SC
Columbia, SC
05.2022 - 01.2023
Reviewed and adjusted customer coverage levels to address, identify and resolve customer conflicts.
Submitted claims and initiated damage appraisal to facilitate claims process for policyholders.
Checked documentation for accuracy and validity on updated systems.
Answered incoming phone calls to articulate product value to prospective customers and support current policyholders.
COVID-19 Contact Tracer
Apple One
Remote
08.2021 - 03.2022
Communicated with documented COVID-19 patients and other exposed persons via phone call, text, e-mail and other platforms.
Provided educational and informational resources regarding isolation policies and quarantine measures.
Investigated and identified confirmed and suspected coronavirus cases, also documenting potentially affected contacts.
Performed record keeping by logging client information within secure contact-tracing software.
Eligibility Specialist
Department Of Health And Human Services
Columbia, SC
07.2019 - 08.2021
Reviewed applications for different aid programs and determined which qualification criteria for individuals.
Followed guidelines when reviewing applicant data to determine eligibility for economic assistance.
Scheduled appointments with applicants to gather information and explain benefits processes.
Interviewed applicants and explained scope of different available benefits.
Customer Service Representative
Call Experts
Charleston, SC
10.2017 - 06.2019
Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
Answered constant flow of customer calls with minimal wait times.
Offered advice and assistance to customers, paying attention to special needs or wants.
Education
Bachelor Of Science - Public Health
Charleston Southern University
Charleston, SC
05.2019
Skills
Insurance Claim Forms Review
Active Listening
Data Entry and Maintenance
Courteous with Strong Service Mindset
Investigation of Claims
Verifying Coverage
Critical Thinking
Resolving Customer Issues
Reading Comprehension
Efficient Service
Knowledge Base
Accounts Payable and Accounts Receivable
Complex Problem-Solving
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
If you really look closely, most overnight successes took a long time.
Benefit Files Analyst II (BlueChoice Operations) at BlueCross BlueShield of SCBenefit Files Analyst II (BlueChoice Operations) at BlueCross BlueShield of SC
Claims Customer Service Advocate II/(FSA,HSA,HRA,) at BlueCross BlueShield of SCClaims Customer Service Advocate II/(FSA,HSA,HRA,) at BlueCross BlueShield of SC