Experienced customer service professional with a strong background in the healthcare and health insurance industry. Reliable and dedicated team player, known for a positive demeanor and ability to establish rapport with clients. Committed to maintaining high levels of customer satisfaction and contributing to the overall success of the company.
Overview
16
16
years of professional experience
Work History
Customer Service Professional
Kaiser Permanente Washington
02.2022 - 09.2024
Handled approximately 100 inbound calls per day regarding health insurance/plans over the telephone
Researched claims, payment and billing issues including identifying errors and determining what corrective steps needed to be taken to resolve
Resolved customer complaints swiftly, finding resolutions that maintained customer satisfaction
Interacted with other departments, physicians or administrators as needed to resolve or escalate when appropriate
Provided benefit information to members, prospective members, providers, other insurance carriers, agents and brokers, attorneys, employer groups and other member representatives
Offered web support to members requiring assistance with the online Portal
Maintained working knowledge of Health Insurance information including updated terminology, government guidelines and requirements
Interpreted and applied all benefits according to appropriate contract
Documented all interactions in contract tracking system according to regulatory guidelines
Monitored feedback from members regularly, implementing improvements based on their suggestions and needed
Promoted membership retention through proactive outreach and personalized followups during open enrollment
Managed complex membership accounts, ensuring accurate record-keeping and timely updates
Resolved escalated member issues professionally, demonstrating empathy and understanding while maintaining company guidelines
Consistently met performance metrics by setting personal goals and seeking feedback from supervisors for continuous improvement
Office Assistant/Receptionist
Jacobs Custom Living
06.2019 - 02.2022
Entered sales invoices for all sales departments
Ordered all fabrics/ materials needed for projected upholstery jobs
Scheduled and coordinated regional deliveries
Scheduled and maintained commercial, residential and auto upholstery projects and awning install schedule using Excel spreadsheets
Collected payments
Maintained cleanliness of showroom and kitchen
Enhanced office efficiency by managing schedules, organizing files, and maintaining clean workspace.
Greeted customers and directed them to correct dept salesperson
Maintained working knowledge of product inventory
Answered multi-line phone
Ordered and maintained all office supplies
Made daily phone calls to customers when their project is complete
Managed warehouse, service and delivery teams
Collected and resolved end of day reports
Front Desk/Guest Service Associate
European Wax Center
01.2019 - 06.2019
Verified client information, check in and print correct work ticket for wax specialist
Scheduled, coordinated and balanced appointments for up to 8 wax specialists each day
Collected payments
Explained and sold wax pass savings plans
Collected patient profile data
Maintained working knowledge of product information
Answered multi-line phone
Verified and confirmed next day appointments by phone or text
Collected and resolved end of day reports
Customer Service/Scale Operator
Sunshine Disposal
08.2015 - 06.2018
Greeted customers entering facility
Entered customer/account information including material for disposal or recycling, vehicle description and weight
Relayed information via two-way radio as required.
Wore proper PPE (Hi-Vis clothing, hard hat, mask, etc.)
Directed customers into appropriate disposal bay
Assisted in Hazardous Material identification and proper disposal
Organized, stocked and maintained inbound and outbound scale house
Weighed out vehicles after drop off and obtained payment
Completed financial report each evening at close of facility
Maintained smooth operations by promptly addressing any scale malfunctions or issues
Vocational Program Supervisor
Seven Oaks Community Homes
06.2008 - 01.2015
Trained and managed 11 staff members
Obtained ABA certification October 2008
Developed customized behavioral and vocational programs for developmentally and/or intellectually disabled adults
Implemented procedures in accordance with state medical protocol
Charted and entered data using summary & graph computer program
Monthly presentation of progress notes at Idaho State required client staffings/IEPs
Responsible for the management and oversight of client financials and workshop petty cash funds.
Assisted in the front office as needed (filing, multi-line phone, charting, assisting nurses)
Education
1 year - General Theology And Philanthropy
Moody Institute
Chicago, IL
Skills
Customer Service
Call center experience
Front Office
Management
Clerical Experience
Time Management
Data Entry
Payment Processing
De-Escalation Techniques
Quality Assurance
Technical Support
Documentation
Product Knowledge
Microsoft Outlook
Scheduling
Service Upselling
Personal Information
Authorized To Work: US
Languages
English
Interests
Passionate about balancing physical health with mental and emotional wellness
Music
Participating in local clean-up initiatives
DIY and Home Improvement
Historical Exploration
Camping
Timeline
Customer Service Professional
Kaiser Permanente Washington
02.2022 - 09.2024
Office Assistant/Receptionist
Jacobs Custom Living
06.2019 - 02.2022
Front Desk/Guest Service Associate
European Wax Center
01.2019 - 06.2019
Customer Service/Scale Operator
Sunshine Disposal
08.2015 - 06.2018
Vocational Program Supervisor
Seven Oaks Community Homes
06.2008 - 01.2015
1 year - General Theology And Philanthropy
Moody Institute
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