Summary
Overview
Work History
Education
Skills
Timeline
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Jennifer Gregory

Martinsville,VA

Summary

I have been in customer service since 1998 working for ther call centers and retail establishments including resrestaurants.

Overview

13
13
years of professional experience

Work History

Customer Care Associate

Magellan Halth
09.2022 - Current
  • Followed up on outstanding issues to complete resolutions and maintain customer satisfaction.
  • Maintained good call control to quickly uncover questions and keep call times low.
  • Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
  • Assisted callers with authorizations pertaining to Diagnostic Imaging, advising of status next steps for approval.

Provider/Member Services Specialist

Results Companies
09.2017 - 09.2022
  • Investigated and resolved customer inquiries and complaints quickly.
  • Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
  • Met customer call guidelines for service levels, handle time and productivity.
  • Assisted members and providers with eligibility requirements, and In network or out of network providers

Cashier/Deli Sales Associate

Food Lion
07.2015 - 09.2018
  • Greeted customers at counter to fulfill requests and answer questions.
  • Maintained clean, trash-free workspaces to maximize productivity and safety.
  • Cleaned and sanitized dishes and utensils, consistently keeping adequate supplies on hand for expected customer loads.
  • Responded to telephone inquiries regarding available products and services and helped customers make appropriate choices.
  • Made and decorated cakes for customers.
  • Restocked supplies and prepared additional ingredients during downtime for expected busy periods.
  • Took special orders for event catering and party trays, assisting customers by recommending additional items, condiments and garnishes.
  • Prevented food spoilage by monitoring dates, rotating stock and following proper storage procedures.
  • Kept kitchen, counter and dining areas cleaned and sanitized.
  • Accurately operated cash register to process customer payments.
  • Kept drawer balanced by accurately processing cash, credit and debit payments.

Claims Representative/CTM

Results Companies
09.2010 - 07.2015
  • Examined reports, accounts and evidence to determine integrity and accuracy of information.
  • Worked productively in fast-moving work environment to process large volumes of claims.
  • Followed up with customers on unresolved issues.
  • Processed and recorded new policies and claims.
  • Verified client information by analyzing existing evidence on file.
  • Generated, posted and attached information to claim files.
  • Maintained strong knowledge of basic medical terminology to better understand services and procedures.
  • Made contact with insurance carriers to discuss policies and individual patient benefits.
  • Assured timely verification of insurance benefits prior to patient procedures or appointments.

Education

High School Diploma -

Laurel Park High School
Martinsville, VA
06.1998

Skills

  • Till Counting
  • Cash Register Operations
  • Call Control
  • Complaint Reviews
  • Member Education
  • Maintaining Clean Work Areas
  • Problem Resolution
  • Claims Monitoring
  • Closing Procedures
  • Microsoft Office
  • Account Changes
  • Security Verification
  • Productivity Standards
  • Inbound Customer Service
  • Active Listening and Communication
  • Verifying Coverage
  • Membership Inquiries and Renewals
  • Calm and Professional Under Pressure
  • Issue and Complaint Resolution
  • Policy and Procedure Adherence
  • Documentation

Timeline

Customer Care Associate

Magellan Halth
09.2022 - Current

Provider/Member Services Specialist

Results Companies
09.2017 - 09.2022

Cashier/Deli Sales Associate

Food Lion
07.2015 - 09.2018

Claims Representative/CTM

Results Companies
09.2010 - 07.2015

High School Diploma -

Laurel Park High School

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Jennifer Gregory