Experienced with managing customer escalations and resolving issues promptly and effectively. Utilizes strong communication skills to mediate conflicts and implement solutions. Knowledge of customer service principles ensures high levels of satisfaction and loyalty.
Overview
20
20
years of professional experience
Work History
Senior Escalation Specialist
Centene
04.2022 - 06.2025
Resolved complex customer escalations through effective communication and problem-solving techniques.
Collaborated with cross-functional teams to identify root causes of issues and implement corrective actions.
Developed training materials for team members to enhance understanding of escalation processes and tools.
Analyzed escalation trends to propose process improvements that enhanced overall service quality.
Coordinated with other departments to gather necessary information and resources for the successful resolution of escalated cases.
Provider Services Representative
Teleperformance USA
09.2020 - 04.2022
Facilitated effective communication between healthcare providers and insurance representatives.
Resolved provider inquiries regarding claims processing and reimbursement issues.
Conducted training sessions for new employees on system navigation and policy updates.
Analyzed provider feedback to identify trends and recommend process improvements.
Customer Service Representative
Adecco
11.2019 - 09.2020
Answering phones from multiple clients with correct opening
Assisting customers in placing orders
Tracking orders, reships, refunds, applying any promotional offers, or returns on products
Knowing all and new products
Surf Style
02.2019 - 11.2019
Unboxing, merchandise readiness for floor
Stocking floor and matching sure all counts are correct
Setting up new diagrams and store readiness
Assisting customers in finding merchandise
Kelly Services (TransAmerica)
02.2018 - 07.2018
Answering call from members
Life Insurance policy assistance
Triage calls to Representatives
Receptionist
Spectraforce with Florida Blue
10.2017 - 12.2017
Temp position
Opening store
Answering phones
Making/changing/cancel appointments
Making and stocking coffee area
Front Desk
Bay Dermatology
06.2016 - 03.2017
Coordinate daily office workflow following procedures to ensure maximum efficiency
Manage skincare sales and goals
Manage procedure bookings and re-bookings
Answering and directing phone calls
Organizing and scheduling appointments
Process patient payment and ensure that all of patient’s needs are met prior to leaving office
Maintaining files and records with effective electronic filing systems
Supporting other teams with various administrative tasks
Organize sales analysis
Keep product inventory, responsible for reorders
Call Center Representative
24/7 Intouch
10.2015 - 06.2016
Determines requirements by working with customers
Answers inquires by clarifying desired information; researching, locating, and providing information
Resolves problems by clarifying issues, researching and exploring answers and alternative solutions, implementing solutions; escalating unsolved problems
Sells additional services by recognizing opportunities to up-sell
Maintains call center database by entering information
Office Attendant
Joshua Land Farm
09.2014 - 06.2015
Preparing paperwork and verifying truckers paper against RRC paperwork.
Testing mud to ensure appropriate chlorine level before acceptance.
Signing truckers out and giving them the proper paperwork. Starting and ending the day. Inputting final numbers in the system and on the board.
Soft line's Lead Merchandising
Sears
05.2013 - 07.2014
Preparing registers in the morning, closing registers at night
Training new associates
Greeting each and every member
Scheduling
Maintain store shelves, removing damaged or refreshing products, tidying store shelves, providing optimum display of products
Working a mod schedule every day
Handling customer/associate issues
Overriding any errors
Working the stock room, observing inventory levels prompting for reorder. Keeping sales up, etc.
Senior Customer Advocate
Sears
11.2012 - 04.2013
As a level 2 acting in a supervisor position.
Answering supervisor calls from level 1 agents and customers
Triage calls determine if upgrade to a level 3 agent warranted.
Prepare documents for customers and management
Monitor all customer inquiries and complaints and assist in effective resolution of same
Coordinate with customer and ensure optimal level of customer services. Provide support to managerial operations for customers
Selling car insurance and taking payments, Accepting and sending large amounts of money to the bank
Customer Representative
Euro Staff
08.2009 - 03.2010
Taking call and transferring through the switch board, for Apple and a few other companies out of Indiana.
Associate System/HDW Specialist
Home Depot Austin Technology Center
07.2007 - 07.2009
Assisted associates with multiple issues relating to software applications and hardware.
Store Operations assisted the Aims program (hiring), kronos (time clock), scheduler, associate center, AIS groups, reports, career depot, desktop services, email, e-learning, mobile system software.
Hardware POS assisted with computers, register, mobile carts, scan guns, bear guns, access points, bounce services, sending technicians, replacing equipment.
Customer Representative
Xbox
11.2005 - 07.2007
Inbound calls from customers with their Xbox.
Cancelling/saving accounts.
Offering games for our customers to stay with Xbox live.
Training new associates with the computer, applications, phone, proper ways for rebuttal.
Acknowledged as the highest save associate (saved accounts).
Assisted customers with fixing their Xbox/Xbox 360’s or sending them for repair. Assisted in setting up Xbox live and any issues with connecting up to the internet.Occasional training for a team lead opportunity, performed team leads duties on the UK contract.
HR duties of scheduling, performing reviews, listening to calls, and terminating associates.
Education
GED, CNA
Gary Job Corps
Austin, TX
12.2005
Bachelor of Science - Social Work
Walden University
04-2029
Skills
Windows 2000/XP and Windows Vista, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook, EMR
Complaint handling
De-escalation techniques
Assertiveness
Goal setting and achievement
Client retention strategies
Spreadsheet tracking
Complaint investigation
Reporting and documentation
Teamwork and collaboration
Problem-solving skills
Problem resolution
Additional Activities
Walked for Relay for Life through Home Depot Volunteered for Earth Day in cleaning up the parks with Home Depot Volunteered extra working hours during Hurricane Katrina to assist in closing and saving stores Volunteered at Camp Eskimo for 2008 and 2009 “Homer Award” – provided for excellent customer feedback “Orange Blooded” awards – onsite presentation by customer recommendation “Customer Commendations” - Xbox - customer submitted “Thank Q” certificate - Harte-Hanks - supervisor presented “Star Performer” award - Staffmark - onsite presented References on Request
QUALIFICATIONS
Major strengths include strong leadership, excellent communication skills, competent, strong team player, attention to detail, dutiful respect for compliance in all regulated environments, and computer and Internet literate. Ability to multi-task while maintaining a high performance level.