Conscientious Customer Service Representative with experience solving problems creatively and using tact and diplomacy to achieve win-win outcomes. Great team player comfortable thriving in competitive, fast-paced environments. Polished in handling direct customer inquiries, implementing customer service policies and executing financial responsibilities. Excellence in Customer Service award
Overview
24
24
years of professional experience
Work History
Customer Service Representative
Blue Cross Blue Shield Of Nebraska
08.2020 - Current
Assist providers and members with medical, dental and prescription benefits
Provide status on medical, dental and prescription claims
Route claims to appropriate department for review and adjustment
Collect feedback from providers and route concerns to management and provider executives
Collaborate up with resource center to seek resolution to benefit and claims issues.
Follow up with providers and members on prior authorizations
Educate providers on how to navigate website, and company policy and procedures manuel
Establish trust and confidence with providers and members
Call new members to welcome to Blue Cross Blue Shield, assist them with understanding health insurance
Recipient of provider and member compliments on level of service provided
Maintain adherence to member privacy by completing VOI
Attend training classes
Review timely filing requests for possible approval
Research non timely ADOs and educate providers
Educate and answer provider requests on company procedures and policies
Improve provider satisfaction by addressing concerns promptly and effectively.
Senior Customer Service Representative
Graybar Electric
04.2000 - 05.2020
Developed highly empathetic client relationships and earned reputation for exceeding service standard goals
Managed work flow to exceed quality service goals
Maintained up-to-date knowledge of product and service changes
Met all customer call guidelines including service levels, handle time and productivity
Adhered to all confidentiality requirements at all times
Built long-term customer relationships and advised customers on purchases and promotions
Dedicated to continuously improving sales abilities and product knowledge
Lead team in number of lines items and orders processed each month
Routinely answered customer questions regarding merchandise and pricing
Recipient of multiple positive reviews acknowledging dedication to excellent customer service
Ensured superior customer experience by addressing customer concerns, demonstrating empathy and resolving problems on the spot
Managed wide variety of customer service and administrative tasks to resolve customer issues quickly and efficiently
Developed reputation as an efficient service provider with high levels of accuracy
Effectively communicated with and support sales, marketing and administrative teams on a daily basis
Provided an elevated customer experience to generate a loyal customer base
Politely assisted customers in person and via telephone
Investigated and resolved customer inquiries and complaints in an empathetic manner
Updated customer orders from start to finish in an accurate and timely manner
Effective liaison between customers and internal departments Processed, scheduled and executed customer orders for new and established customers
Education
Bachelor of Arts - Communications
University of Colorado
Denver, CO
12.1992
Skills
Exceptional interpersonal communication skills
Excellent time management skills
Effective problem solver
Adherence to high customer service standards
Customer-focused
Well organized
Detail-oriented
Positive and friendly
Staff education and training
Knowledge of Medical, Dental and Prescription benefits and claims
Provider Executive Support
Timeline
Customer Service Representative
Blue Cross Blue Shield Of Nebraska
08.2020 - Current
Senior Customer Service Representative
Graybar Electric
04.2000 - 05.2020
Bachelor of Arts - Communications
University of Colorado
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