Customer Service Representative bringing top-notch skills in oral and written communication, active listening and analytical problem-solving skills. Enhances customer experiences by employing service-oriented behaviors, understanding customer desires, ad providing customized solutions to build loyalty.
Overview
39
39
years of professional experience
Work History
Customer Service Representative
Marshfield Clinic-Security Health Plan
Handled customer inquiries and suggestions courteously and professionally.
Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
Answered constant flow of customer calls with minimal wait times.
Answered customer telephone calls promptly to avoid on-hold wait times.
Offered advice and assistance to customers, paying attention to special needs or wants.
Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
Responded to customer requests for products, services, and company information.
Participated in team meetings and training sessions to stay informed about product updates and changes.
Provided primary customer support to internal and external customers.
Utilized customer service software to manage interactions and track customer satisfaction.
Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
Promoted superior experience by addressing customer concerns, demonstrating empathy, and resolving problems swiftly.
Customer Service Representative
Marshfield Clinic-Outreach Labortory
Provided primary customer support to internal and external customers.
Investigated and resolved customer inquiries and complaints quickly.
Met customer call guidelines for service levels, handle time and productivity.
Phlebotomist
Marshfield Clinic
Labeled transfer tubes and followed exact directions for handling and storing specimens for transport.
Completed proper sanitation and cleaning of equipment and work areas between patients.
Centrifuged blood samples as outlined in clinical protocols.
Established and maintained positive working relationships with patients, staff and clinical personnel to build trust and camaraderie.
Used personal protective equipment correctly to protect coworkers and patients.
Medical Claims Processor
Marshfield Clinic
04.1985 - Current
Utilized specialized software to process incoming claims, enter data and generate reports.
Complied with regulations and guidelines related to claims processing to maintain quality and adherence to standards.
Assisted in onboarding of new claims processors to familiarize with company procedures, policies and processes.
Managed workload and priorities to meet claims processing meet deadlines.
Utilized excellent analytical and problem-solving skills to quickly and accurately assess insurance claims.
Responded to customer inquiries, providing detailed explanations of insurance policies and claims processes.
Identified and reported potential fraud or abuse related to claims to protect system's integrity.
Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Maintained confidentiality of patient finances, records, and health statuses.
Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
Paid or denied medical claims based upon established claims processing criteria.