Dedicated senior professional with several years of experience in providing superb customer service. Expert in establishing rapport by listening to customers and understanding specific needs. Manage consistent one-call resolution to offer prompt and streamlined service.
Overview
16
16
years of professional experience
Work History
Senior Customer Service Representative
WellMed Medical Management - United Health Group
San Antonio, TX
11.2021 - Current
Increased customer satisfaction ratings by effectively answering questions, suggesting effective solutions, and resolving issues quickly.
Work with providers and health plan representatives by giving helpful information regarding the status of claims, the eligibility of the members, and additional information such as CPT code history, authorization updates, and existing documents sent by providers.
Assisting in resolving issues pertaining to claim disputes and claims processed incorrectly.
Routing callers to the correct departments, documenting the necessary information of each caller, and ensuring providers are satisfied at the end of the call.
Personal Shopper
Neiman Marcus
Dallas, TX
08.2009 - 08.2019
Maintained up-to-date knowledge of fashion trends, new collections, and market availability.
Compiled and analyzed client feedback to identify trends and areas for service enhancement.
Engaged casual shoppers to provide information about featured products and recommend merchandise, driving sales opportunities.
Used excellent verbal skills to engage customers in conversation and effectively determine needs and requirements.
Processed payments for purchased items using cash registers or other payment systems.
Assisted customers in selecting items that met their individual needs and preferences.
Licensed Practical Nurse Case Manager at WellMed Medical Management - United Health GroupLicensed Practical Nurse Case Manager at WellMed Medical Management - United Health Group
Registered Nurse Case Manager at WellMed Medical Management - United Health GroupRegistered Nurse Case Manager at WellMed Medical Management - United Health Group