Personable and dedicated customer service representative with extensive experience in industry. Solid team player with upbeat, positive attitude and proven skill in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Articulate, enthusiastic and results-oriented with demonstrated passion for building relationships, cultivating partnerships and growing businesses.
Respond and resolve on the first call customer service inquiries and issues by identifying the topic and type of assistance the caller needs, such as eligibility, claims, financial spending accounts, and cimeorrespondence. Help guide and educate customers about plan benefits, maximizing the value of their health plan, and choosing quality care providers.
Reach out to providers offices on behalf of customer and assist with appointment scheduling with connections with specialists if needed.
Assist customers with navigating myuhc.com to become self sufficient.
Own problem through resolution on behalf of customer in real time and or timely follow up with member.
Provide education and status on previously submitted pre-auth or pre-determination requests.