Experienced in customer service and looking to leverage extensive background in office operations into a full-time position with a professional company.
Overview
3
3
years of professional experience
Work History
Rep, Customer Service 2 Claims
Molina Healthcare
Fullerton, CA
03.2021 - Current
Supported providers on issues of varying complexity.
Provided excellent customer service.
Accurately documents all calls and interactions through alternate channels.
Achieves individual performance goals as it relates to call center objectives.
Engaged and collaborates with other departments. Demonstrates personal responsibility and accountability by meeting attendance and schedule adherence expectations.
May assist with training needs of other employees.
Member and Provider Services
Molina Healthcare
Long Beach, CA
02.2020 - 03.2021
Provided customer support and stellar service to meet the needs to members.
Supported member's needs for basic inquiries and assistance involving eligibility and covered benefits, Provider Portal, and status of submitted claims .
Achieved individual performance goals as it relates to call center objectives.
Demonstrated personal responsibility and accountability by meeting attendance and schedule adherence expectations
SUBROGATION COLLECTOR
AFA CLAIM SERVICES
ANAHEIM, CA
04.2019 - 12.2019
Prepared demands and maintained case files, correspondence and legal documents.
Negotiated with carriers, defense attorneys and municipalities to minimize leakage.
Billing carriers, customers, and attorneys.
Issuing checks from incoming invoices.
Prepared reports, such as inventory balance, price lists and shortages.
Reviewed and evaluated accident reports, individual claims, medical or other documents as needed.