Summary
Overview
Work History
Education
Skills
Timeline
Generic
Dominique Simmons

Dominique Simmons

Detroit,MI

Summary

Diligent professional with 6+ years of experience and knowledge of customer communications and customer service. Strengths include organization, time management and effective listening. Also knowledgeable in phone system operation and health care data entry. Aiming to leverage my skills to successfully fill the Customer Service Representative position your company

Overview

9
9
years of professional experience

Work History

Licensed Health Insurance Agent

HP One
Remote
07.2023 - Current
  • Performed needs analysis to obtain information required to make appropriate health insurance product recommendations.
  • Answered inbound calls from existing and future policyholders to answer inquiries and discuss insurance options.
  • Used Think Agent to process benefit transactions.
    Adhered to health and prescription insurance products, delivery systems and claims systems.

Clinical Customer Service Representative, Remote

American Specialty Health
San Diego , CA
08.2021 - Current
  • Handled customer service inquires from health plan members as well as verified patient eligibility while maintaining a professional tone
  • Maintained department customer satisfaction goals by addressing concerns of members and practitioner offices on a daily basis.
  • Met daily inbound call requirements
  • Maintained a average schedule adherence rate of 91% as well as an above average quality rating throughout employment.

Customer Service Represenative

Evolent Health
Remote
10.2022 - 03.2023
  • Answered flow of 75+ customer calls daily with minimal wait times.
  • Maintained confidential patient, employee and company information in compliance with company policies and regulatory requirements.
  • Gathered information, assessed and fulfilled callers' needs and educated on important policies and procedures.
  • Verified insurance eligibility and coverage for patients.
    Investigated insurance claims denials and appeals.

Medicare Sales

Ttec
Remote
06.2022 - 10.2022
  • Educated potential clients on Medicare Basics and prescription drug coverage.
  • Determined financial needs by assessing existing coverage and aligning new products and services with long-term goals.
  • Worked with sales team to collaboratively reach targets, consistently meeting or exceeding personal quotas.

Customer Service

Papa Joes Gormet Market
Royal Oak, MI
05.2018 - 08.2020
  • Received payment by cash, check, credit cards, vouchers, or automatic debits.
  • Answered customers' questions, and provide information on procedures or policies.
  • Checked to ensure that appropriate changes were made to resolve customers problems.
  • Prepared and served food according to company and food safety guidelines.

Cashier

Holiday Market
Royal Oak, MI
10.2014 - 11.2019
  • Processed cash, check, credit card, and debit payments.
  • Issued receipts, refunds, credits, or change due to customers.
  • Promoted customer loyalty through friendly and efficient service.
  • Requested information or assistance using paging systems.
  • Supervised others and provided on-the-job training.

Education

High School Diploma -

Highland Pa
Highland Park MI
09.2009 - 06.2012

Skills

  • Inbound and Outbound Calling
  • Data Entry and Maintenance
  • POS Systems and Ordering Platforms
  • Upbeat and Positive Personality
  • Issue and Complaint Resolution
  • Verbal and Written Communication
  • Building Customer Trust and Loyalty
  • De-escalation Techniques

Timeline

Licensed Health Insurance Agent

HP One
07.2023 - Current

Customer Service Represenative

Evolent Health
10.2022 - 03.2023

Medicare Sales

Ttec
06.2022 - 10.2022

Clinical Customer Service Representative, Remote

American Specialty Health
08.2021 - Current

Customer Service

Papa Joes Gormet Market
05.2018 - 08.2020

Cashier

Holiday Market
10.2014 - 11.2019

High School Diploma -

Highland Pa
09.2009 - 06.2012
Dominique Simmons