Summary
Overview
Work History
Education
Skills
Roles And Responsibilities
Personal Information
References
Timeline
Generic

Erika Clark

Brandon,FL

Summary

Highly skilled and experienced Customer Service Representative/Case Manager with a proven track record of delivering exceptional customer service while effectively managing and resolving complex cases. Possessing strong communication and problem-solving abilities, excelling at building rapport with clients and finding innovative solutions to their inquiries and issues. With a keen attention to detail and a passion for helping others, committed to providing top-tier support and ensuring client satisfaction in every interaction. Reliable Customer Care Associate with strong background helping customers with diverse needs. Competent with telephone, email and chat inquiries. Calms individuals dealing with highly stressful situations. Balances scripted responses with personal expertise to quickly resolve inquiries.

Overview

12
12
years of professional experience

Work History

Customer Care Associate

Health First
05.2024 - Current
  • Providing accurate and professional service to Customers, adhering to department policies.
  • Responding to customer inquiries by researching, understanding and documenting plan information related to: * Covered benefits and exclusions, including prescription drug coverage * Eligibility, enrollment and disenrollment * Participating providers * Claims payments and processes * Authorization processes * Premium billing * Plan guidelines
  • Handling incoming sales inquiries from prospective customers by answering basic questions and referring to a licensed sales agent for closure

Case Manager

PharmaCord
02.2022 - 01.2024
  • Conducted comprehensive assessments to identify client needs and developed care plans in collaboration with interdisciplinary team members to ensure holistic support
  • Maintained accurate and detailed documentation of client progress, treatment interventions, and outcomes to ensure compliance with regulatory requirements and standards of care
  • Collaborated with community resources, including housing agencies, financial assistance programs, and vocational training providers, to advocate for clients' needs and enhance their overall well-being.

AWM Anti-fraud Prevention Associate

JP Morgan
04.2020 - 02.2022
  • Implemented proactive measures to prevent fraudulent activities within the asset and wealth management (AWM) sector
  • Conducted thorough investigations into suspicious transactions and client activities to identify potential fraud risks
  • Utilized advanced data analysis tools to detect patterns and trends indicating fraudulent behavior.

Tier 1 Customer Support Representative

Maximus
01.2020 - 04.2021
  • Provided timely and professional assistance to customers through multiple communication channels, including email, phone, and chat
  • Resolved customer inquiries and technical issues in a courteous and efficient manner, ensuring high levels of customer satisfaction
  • Documented all customer interactions and solutions accurately in the CRM system for future reference and analysis.

Data Entry Specialist

MedAssist
07.2016 - 03.2020
  • Efficiently and accurately inputted large volumes of data into company databases
  • Conducted regular quality checks to ensure data integrity and resolve any discrepancies
  • Developed and implemented improved data entry procedures to streamline processes and increase productivity.

City Carrier

United States Postal Service
11.2012 - 07.2016
  • Responsible for accurately sorting and delivering mail on assigned route within specified timeframes.

Education

Associate in Medical Billing and Coding -

Ultimate Medical Academy
Tampa, FL

Bachelor in Applied Behavioral Sciences - undefined

University of Phoenix
San Diego, CA

Skills

  • Customer service
  • Data entry
  • Typing 50 wpm
  • Case management
  • Complaint Handling
  • Dispute Resolution
  • Call center experience
  • Payment Processing
  • Coaching and Mentoring
  • Live chat support

Roles And Responsibilities

  • Conducted comprehensive assessments to identify client needs and developed care plans in collaboration with interdisciplinary team members to ensure holistic support
  • Maintained accurate and detailed documentation of client progress, treatment interventions, and outcomes to ensure compliance with regulatory requirements and standards of care
  • Collaborated with community resources, including housing agencies, financial assistance programs, and vocational training providers, to advocate for clients' needs and enhance their overall well-being.
  • Implemented proactive measures to prevent fraudulent activities within the asset and wealth management (AWM) sector
  • Conducted thorough investigations into suspicious transactions and client activities to identify potential fraud risks
  • Utilized advanced data analysis tools to detect patterns and trends indicating fraudulent behavior
  • Provided timely and professional assistance to customers through multiple communication channels, including email, phone, and chat.
  • Resolved customer inquiries and technical issues in a courteous and efficient manner, ensuring high levels of customer satisfaction.
  • Documented all customer interactions and solutions accurately in the CRM system for future reference and analysis.
  • Efficiently and accurately inputted large volumes of data into company databases
  • Conducted regular quality checks to ensure data integrity and resolve any discrepancies
  • Developed and implemented improved data entry procedures to streamline processes and increase productivity
  • Maintained excellent customer service by handling inquiries and resolving issues in a professional and courteous manner
  • Responsible for accurately sorting and delivering mail on assigned route within specified timeframes

Personal Information

Title: Customer Service Representative/Case Manager

References

Available upon Request

Timeline

Customer Care Associate

Health First
05.2024 - Current

Case Manager

PharmaCord
02.2022 - 01.2024

AWM Anti-fraud Prevention Associate

JP Morgan
04.2020 - 02.2022

Tier 1 Customer Support Representative

Maximus
01.2020 - 04.2021

Data Entry Specialist

MedAssist
07.2016 - 03.2020

City Carrier

United States Postal Service
11.2012 - 07.2016

Associate in Medical Billing and Coding -

Ultimate Medical Academy

Bachelor in Applied Behavioral Sciences - undefined

University of Phoenix
Erika Clark