Destiny Haigler
Montgomery,AL
Summary
Dedicated Customer Service Specialist providing skills to prioritize and multi-task in fast-paced working environment. Successfully works as part of team to reach personal and business goals. Known for successfully handling escalated customer support issues.
Overview
4
4
years of professional experience
Work History
Customer Service Representative
Adecco
Austin, TX
03.2023 - Current
- Respond to an average of 60+ customer inquiries daily regarding policy details, coverage, and claims via phone, email, and chat.
- Assist customers in understanding their health insurance benefits and coverage options.
- Resolve complex claims and billing issues, maintaining a 98% resolution rate.
- Guide customers through the process of filing and appealing claims and educate customers on preventive care benefits and wellness progress.
- Collaborate with the underwriting and medical review teams to expedite claim approvals.
- Maintain accurate and detailed records of customer interacts and transactions in the CRM system.
- Trained new employees on health insurance products, customer service protocols, and regulatory compliance.
Customer Service Representative
Everise.
Florida City, Florida
04.2021 - 02.2023
- Provide high-quality customer service to patients, healthcare providers, or members, responding to inquiries related to healthcare services, benefits, or claims.
- Assist patients and members in understanding their health plan benefits, claims statuses, and coverage details.
- Resolve issues related to healthcare services, including referrals, medical records, authorizations, billing, and claims.
- Maintain accurate and up-to-date records of customer interactions, inquiries, and resolutions.
- Handle escalated calls or issues and ensure prompt resolution with a customer-focused approach.
Education
High School Diploma -
Sidney Lanier High Schoo
Montgomery, AL05-2015
Skills
- Account updating
- Scheduling
- Complaint resolution
- Multi-line telephone operations
- [Software] CRM system proficiency
- Inbound and outbound calling
- Microsoft PowerPoint
- Call escalation
- Typing proficiency
- Appointment scheduling
Timeline
Customer Service Representative
Adecco
03.2023 - Current
Customer Service Representative
Everise.
04.2021 - 02.2023
High School Diploma -
Sidney Lanier High Schoo