Asking probing questions to determine service needs.
Assisted policyholders with website issues, password resets.
Assisted policyholders with current insurance coverage.
Assisted policyholders with fraud claims.
Assisted policyholders with durable medical equipment processed claims
Placed 3 way calls.
Escalated customer concerns.
Advised of current insurance coverage
Patient Access Representative
St. Tammany Hospital
Covington, LA
10.2022 - 08.2023
Verified insurance information
Collected copayments/coinsurance
Updated demographic information
Guided patients through admission to hospital.
Completed check in and check out for patients.
Schedule appointments.
Answer multi-lines, and direct calls.
Scan and file documents pertaining to medical records.
Customer Service Representative
Aflac
Columbus, GA
05.2021 - 09.2022
Asking probing questions to determine service needs, accurately putting information into electronic systems.
informed policyholders about claim billing procedures, processed payments, and provided payment option setup.
Assisted customers with website issues, resetting passwords, unlocking accounts.
Escalated customer concerns, store issues, and inventory requirements to supervisors.
Communicated with cardholders, and company personnel, utiliizing active listening, and interpersonal skills.
Utilized effective interpersonal active listening skills during interviews with witnesses regarding fraud cases.
Conducted reviews of processed claims.
Identified documents needed for claims to process correctly and accurately.
Customer Service Representative
Anthem
Columbus, GA
11.2019 - 03.2021
Educated providers with claim information to assess current issues and determine potential solutions.
Created and implemented process improvements to reduce workloads and callback efficiency.
Tracked each interaction for auditing reports, and training purposes.
Informed customers about billing procedures and how payments are processed.
Ask probing questions to determine service needs, and place accurate information into electronic systems.
Reviewed account and service histories to discover trends, and address issues.
Customer Service Representative
TSYS
Columbus, GA
03.2014 - 11.2019
Asking probing questions to determine service needs, accurately putting information into electronic system.
Informed cardholders about billing procedures, processed payments, and provided payment option setup assistance.
Escalated customer concerns, store issues, and inventory requirements to supervisors.
Set up, and activated cardholder accounts to maintain QA satisfaction levels.
Communicated with cardholders, and company personnel, utilizing active listening and interpersonal skills.
Utilized effective interpersonal active listening skills during interviews with witnesses regarding fraud cases.
Conducted reviews of flagged fraud transactions and reports that show suspicious activity.
Identified fraud patterns through large quantities of data.
CUSTOMER SERVICE CASHIER
TARGET
COLUMBUS, GA
09.2012 - 03.2014
Counted tills at the beginning of shifts with start money and balanced/reconciled register, reflecting financial aid discrepancies, refunds, and account deferrals
Handled customer complaints and concerns promptly, escalated complex issues to direct supervisors for quick resolutions
Greeted customers and responded to informational request
Redeemed coupons and cross-sold products to maintain customer satisfaction levels.
learned roles of other departments to provide coverage and keep store operational.
Assisted with purchases, loading items, and signing up for rewards programs.
Kept check out area clean, organized and well stocked to keep store attractive.
processed credit card, EBT, and gift certificates in electronic systems.
Exchanged and refunded items, noting all details in company database and place returned merchandise in bins for restocking.