Electra T Baskerville
Travel Insured International
New Britain,CT
39
years of professional experience
Customer Service Professional experienced in effectively addressing and resolving customer issues. Achieved high levels of customer satisfaction and loyalty through strong conflict resolution and communication skills. Focused on team collaboration and delivering empathetic service to meet organizational goals.
Work History
Customer Service Representative
12 Years 6 Months- Answered phones and assisted customers in selecting the appropriate policy for their traveling needs.
- Resolved customer inquiries and issues efficiently through effective communication and problem-solving skills.
- Managed multiple customer accounts, ensuring accurate and timely processing of claims and requests.
- Provided training and mentorship to junior representatives, enhancing team performance and service quality.
Beauty Advisor
5 Years 11 Months- Updated knowledge of store policies on payments, returns, and exchanges to ensure compliance and enhance customer service. Prevented store losses using awareness, attention to detail and integrity. Developed highly empathetic client relationships and earned a reputation for exceeding sales goals. Computed accurate sales prices for purchase transactions. Collaborated with team to perform cashier duties, assist customers with product inquiries, and maintain cleanliness in store.
- Advised clients on skincare routines and product selections tailored to individual needs.
- Demonstrated application techniques for makeup products, enhancing customer experience and satisfaction.
- Provided expert knowledge on mineral-based cosmetics, driving sales and brand loyalty.
Sales Assistant
8 Years 9 Months- Compiled weekly sales reports for sales departments, enabling tracking of product performance. Cross-trained and provided back-up for other customer service representatives. Calculated accurate sales prices for purchase transactions, facilitating smooth customer experiences.
- Assisted customers with product selection and inquiries to enhance shopping experience.
- Processed transactions accurately using point-of-sale systems to ensure efficient checkouts.
- Maintained organized merchandise displays, promoting sales and improving store aesthetics.
WC Claims Specialist
2 Years 6 Months- Obtained evidence and information on suspicious claims, enhancing investigation accuracy. Interviewed claimants, medical specialists, and employers to gather critical claim information, facilitating informed decision-making. Identified and collected evidence and determined its value to a specific claim. Analyzed first reports of loss and underlying file material to determine if a claim was suspect. Reviewed data to verify claim validity, ensuring compliance with policy standards.
- Analyzed complex claims to determine validity and coverage according to policy guidelines.
- Facilitated communication between clients and insurance providers to resolve claim issues efficiently.
- Reviewed documentation for accuracy, ensuring compliance with industry regulations and company standards.
Administrative and Claims Assistant
17 Years 9 Months- Answered multi-line telephone, relayed messages, and directed calls to appropriate personnel for efficient communication. Skilled in the use of computers, Microsoft Word. Executed clerical duties including copying, filing, faxing, and data entry to maintain organized records. Provided diverse clerical and secretarial support. Received, sorted and distributed interoffice mail, outside letters and deliveries. Assisted with setting up claims over the phone with providers. Maintained confidentiality and client privacy in accordance with HIPAA regulations.
- Processed claims efficiently, ensuring compliance with company policies and regulatory standards.
- Assisted in maintaining accurate records within claims management systems to enhance data integrity.
- Collaborated with claims adjusters to gather necessary documentation for timely claim resolution.
Patient Account Representative
3 Years 5 Months- Confirmed patient information, collected copays and verified insurance. Investigated past due invoices to minimize unpaid accounts. Recorded and filed patient data and medical records. Strictly followed all federal and state guidelines for release of information. Liaised between business department, billers and third party payers to resolve billing and reimbursement accuracy. Applied payments, adjustments and denials into medical manager system. Submitted refund requests for claims paid in error. Carefully prepared, reviewed and submitted patient statements. Informed patients of financial responsibilities prior to services rendered. Efficiently performed insurance verification and pre-certification and pre-authorization functions.
- Processed patient accounts efficiently, ensuring accurate billing and coding compliance.
- Coordinated insurance verification and eligibility checks to expedite claims processing.
- Resolved patient inquiries regarding account status, improving overall satisfaction levels.
Education
High School Diploma
Skills
Customer service
Data entry
Customer relations
Problem resolution
Relationship building
Policy selection
Critical thinking
Data management
Timeline
Customer Service Representative
Travel Insured International
04.2014 - CurrentRead More
Beauty Advisor
bareMinerals
05.2008 - 04.2014Read More
WC Claims Specialist
Berkley Administrators
07.2005 - 01.2008Read More
Sales Assistant
Kelly Temporary Services
08.2002 - 05.2011Read More
Patient Account Representative
Healthsouth
09.1999 - 02.2003Read More
Administrative and Claims Assistant
Royal & SunAlliance
07.1987 - 04.2005Read More
Weaver High School
High School Diploma
Read More