Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
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Erica Nelson

Erica Nelson

Sherman,TX

Summary

A dedicated, sociable, and passionate worker, comfortable with high-pressure situations, able to respond to leadership opportunities. Highly motivated customer service specialist with 10+ years experience. Assisting in customer service, conflict resolution, team motivation and scheduling. Driven to focus on a singular business and maximize efficiency, time management and employee satisfaction. Driven Customer Service Representative with 8+ years of experience offering personalized, courteous service. Expert at managing insurance cycle, prospecting and follow-up support. Skillful in advising current and potential clients on insurance coverage plans and processing payments and corrections. Resourceful and versatile professional with reputation for consistently achieving goals.

Authorized to work in the US for any employer.

Overview

8
8
years of professional experience

Work History

Customer Service Advocate

Cigna Insurance Companies
07.2022 - Current
  • Handle multiple phone lines, communicate with members, providers, other insurance companies
  • Answer customer and provider inquiries through phone and email regarding their dental insurance policy, quoting and breaking down benefits thoroughly
  • Contacting other insurance companies and doctors offices, looking over claims for discrepancies, submitting them for review and correction if needed
  • Handling escalated calls and using deescalating tactics to find a resolution to the problem.

Outside Sales Representative

Unifirst
11.2021 - 07.2022
  • Engaged with different businesses in different communities outsourcing our services that would benefit the company with our uniform and facility services, selling them the products and services that best fit their needs and building those relationships for future networking.

Administrative Assistant/Receptionist

Denison Dental
04.2021 - 11.2021
  • Assist patients in checking them in, verifying insurance, organizing/faxing/scanning in important documents, assigning assistants in the back with various duties, verifying appointment time and dates, following up with patient care.

Coverage Specialist

Angels of Care Pediatric Home Health
02.2019 - 04.2021
  • Point of contact for nurses to schedule them onto shifts to treat and care for medically disabled children in their homes
  • Work on multiple software platforms and programs to be able to efficiently perform my job duties (examples are: predicament.net, Microsoft office, excel, Microsoft office mail, etc)

Waitress

Schulman's Movie Bowl and Grille
05.2019 - 03.2020
  • Serviced customers in their dining experience and provided them with their food and beverages, while also managing multiple cash/credit transactions.

Medical Customer Service Representative

Cigna
10.2016 - 02.2018
  • Handle multiple phone lines, communicate with members, providers, other insurance companies
  • Build relationship with members and schedule follow ups as needed
  • Answer customer inquiries through phone and email regarding their medical insurance policy, breaking down benefits thoroughly
  • Contact doctor offices, looking over claims for discrepancies, submitting them for review and correction if needed
  • Handling escalated calls and using deescalating tactics to find a resolution to the problem.

Waitress and Cashier

Olive Garden
08.2015 - 11.2017
  • Serviced customers in their dining experience and provided them with their food and beverages, while also managing multiple cash/credit transactions.

Insurance Validator

West
07.2015 - 09.2016
  • Verified medical bills to assess if there was an overpayment that occurred after insurance had processed the claim
  • Contacted multiple medical insurance companies to verify that the information provided was correct.

Education

High School Degree -

Whitewright High School
Whitewright, TX
2011

Skills

  • Medical Terminology
  • Medical Office Experience
  • Medical Billing
  • Insurance Verification
  • Sales
  • Medical Scheduling
  • Medical Coding
  • Data entry
  • Microsoft Word
  • Order Fulfillment
  • Brand Representation
  • Data Entry
  • Credit Card Payment Processing
  • Microsoft PowerPoint
  • Strategic Sales Knowledge
  • Coordination
  • Professional Telephone Demeanor
  • Records Preparation
  • Call Triaging
  • Team Development
  • Customer Account Management
  • Call Center Customer Service
  • Prioritization
  • Managing Multiple Tasks
  • Policy Review
  • Complaint Resolution
  • Inbound and Outbound Calling
  • Training Development Aptitude
  • 10-Key
  • Microsoft Excel
  • Multi-Line Telephone Operation
  • Spreadsheets
  • Computer Proficiency
  • CRM Software
  • Quality Assurance Controls
  • Technical Troubleshooting

Accomplishments

  • Customer Follow-up - Ensured that customers were satisfied with company products and services by doing purchase follow-up calls.
  • Monetary Transactions - Handled cash, check, credit and automatic debit card transactions with 100% accuracy.
  • Telephone Service - Professionally processed 80+ calls per day, providing information and service to ensure customer satisfaction.
  • Product Promotion - Up-sold products and motivated customers to upgrade current product plans.
  • Conflict Resolution - Responsible for handling customer account inquiries, accurately providing information to ensure resolution of product/service complaints and customer satisfaction.
  • Customer Relations - Earned highest marks for customer satisfaction, company-wide.
  • Achieved goals by completing multiple tasks with accuracy and efficiency.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.

Timeline

Customer Service Advocate

Cigna Insurance Companies
07.2022 - Current

Outside Sales Representative

Unifirst
11.2021 - 07.2022

Administrative Assistant/Receptionist

Denison Dental
04.2021 - 11.2021

Waitress

Schulman's Movie Bowl and Grille
05.2019 - 03.2020

Coverage Specialist

Angels of Care Pediatric Home Health
02.2019 - 04.2021

Medical Customer Service Representative

Cigna
10.2016 - 02.2018

Waitress and Cashier

Olive Garden
08.2015 - 11.2017

Insurance Validator

West
07.2015 - 09.2016

High School Degree -

Whitewright High School
Erica Nelson