Summary
Overview
Work History
Education
Skills
Languages
Timeline
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Eureka Desert

Apopka,Florida

Summary

Results-driven professional with a strong background in managing high-volume calls and resolving customer inquiries swiftly. Known for implementing effective customer engagement strategies that enhance overall service quality and compliance adherence.

Overview

7
7
years of professional experience

Work History

Customer Service Representative

Cigna-Evernorth
08.2023 - Current

Efficiently managed high-volume inbound calls, ensuring timely and professional responses to pharmacy-related queries.
Conducted thorough drug price comparisons, enhancing customer service regarding home delivery solutions.
Addressed retail pharmacy inquiries accurately, significantly boosting customer satisfaction ratings.
Partnered with upper management on projects such as testing for soft phone migration and supporting Express Scripts operations.
Exhibited exceptional multitasking capabilities by managing incoming calls and using various applications simultaneously.
Employed effective problem-solving strategies to resolve customer issues, focusing on one-call resolutions.
Strived to exceed established call center performance metrics while delivering quality service consistently.

Inbound Contacts Representative 2

Humana Inc./Careplus Health Care Plans
08.2020 - 08.2023

Educated members on plan-specific benefits and services to boost engagement and understanding.
Fostered collaboration with internal and external representatives to resolve inquiries effectively.
Utilized company resources to deliver timely solutions, often resolving issues in one interaction.
Demonstrated expertise in de-escalating tense situations while maintaining professionalism.
Handled sensitive customer information discreetly, ensuring compliance with privacy regulations.
Managed high-volume inbound calls, achieving swift resolution of inquiries and increasing satisfaction.

PERSONAL INJURY/VEHICLE ACCIDENT VERIFICATION

Clermont Radiology
03.2018 - 03.2020

Streamlined claims processing by verifying medical and auto insurance coverage.
Coordinated communication between attorneys and claims adjusters to facilitate case progression.
Ensured HIPAA compliance by maintaining patient confidentiality at all times.
Updated patient records in Medinformatix software to ensure precision.
Managed incoming calls, offering assistance and relevant information to patients.
Worked closely with medical professionals to gather documentation, leading to faster claim approvals.

Education

Associate of Arts -

Everest University
06-2015

Skills

  • Call center efficiency
  • Customer engagement strategies
  • Solution-oriented thinking
  • Conflict mediation
  • Compliance adherence
  • Inquiry response
  • HIPAA adherence
  • Team collaboration
  • 10-key
  • Medical terminology
  • Multi-task management
  • Microsoft Office Suite

Languages

English
Full Professional
French
Elementary
Spanish
Elementary

Timeline

Customer Service Representative

Cigna-Evernorth
08.2023 - Current

Inbound Contacts Representative 2

Humana Inc./Careplus Health Care Plans
08.2020 - 08.2023

PERSONAL INJURY/VEHICLE ACCIDENT VERIFICATION

Clermont Radiology
03.2018 - 03.2020

Associate of Arts -

Everest University
Eureka Desert