Increased customer satisfaction by addressing and resolving complaints in a timely manner.
Handled customer complaints quickly and professionally to restore customer confidence and prevent loss of business.
Enhanced company reputation by providing exceptional customer service and support.
Greeted customers warmly to set tone of customer experience and provide welcoming and friendly atmosphere.
Exceeded performance targets through diligent work ethic and focus on results-driven tasks.
CICR/Claims Research
CVS Health
11.2021 - 04.2024
Assisting providers with claims processing, reprocessing and submissions
Providing the appropriate protocol and info re: appeals, corrections & UM
Researching claims and denials and providing info accordingly.
Customer Service Advocate
Viva Health
06.2017 - 11.2021
Assisting with members and provider, advising benefits
Helping members understanding benefits, claims, COB, etc
Breaking down claims processing and assisting with payments, etc.
Pay Plan Representative
State Farm Insurance
10.2008 - 02.2017
Assisting agents and policy holders with billing issues
Making corrections & updating accounts
Offering Exceptional customer service.
Customer Service Consultant I
Infinity Insurance Co
12.2011 - 07.2013
Assisting policy holders as well as agents with payments, policy Corrections, additions and deletions
Providing Remarkable customer service.
Payroll Specialist
Paychex Inc
11.2010 - 10.2011
Processing Payroll per clients request, responding to correspondence from said client, via fax, mail or email
Assisting random client calls while maintaining a daily schedule for a client list of 100+.
Education
Certified Medical Coder - Medical Billing And Coding
Virginia College - Birmingham
Birmingham, AL
02.2005
Skills
Excellent Customer Service
Accounting
Typing
Data Entry
10-Key
Data entry proficiency
Goal-oriented mindset
Customer Relations
Career Overview
An enthusiastic hard worker with the ability to understand customer and team needs. A quick learner with demonstrated experience at working in fast paced environments, such as customer service, call centers and payroll processing. Able to work on own initiative or as part of a team. Strong communication skills, attention to detail and excellent customer service skills. Will work extra hours as needed.
References
Available upon request
Timeline
Provider Care Service Representative
United Health Care
04.2024 - Current
CICR/Claims Research
CVS Health
11.2021 - 04.2024
Customer Service Advocate
Viva Health
06.2017 - 11.2021
Customer Service Consultant I
Infinity Insurance Co
12.2011 - 07.2013
Payroll Specialist
Paychex Inc
11.2010 - 10.2011
Pay Plan Representative
State Farm Insurance
10.2008 - 02.2017
Certified Medical Coder - Medical Billing And Coding