Customer service representative with over 10 years experience in telephone and face-to-face customer service. Experience with troubleshooting, tech support, and customer care. Knowledgeable with major customer service software, Microsoft, handling customer complaints, and maintaining a positive and friendly disposition. Over 10 years experience successfully performing a number of data entry and clerical tasks. A proven track record of efficiency and accuracy in managing multiple functions, solving problems, maintaining confidentiality and producing quality work. Hoping to use my wealth of experience to attain employment in a customer service role.
Overview
18
18
years of professional experience
Work History
Customer Service Representative/Medicare Enrollment Specialist
Wipro Health Plan Services
Remote
01.2023 - Current
Responds to customer inquiries in a courteous and professional manner
Researches assistance requested and consistently provides accurate information to resolve internal and external member and provider inquiries via verbal and written communications through all channels including phone, email, web portal, and chat interactions
Thoroughly and completely document all customer interactions
Educates customers and dental professionals on eligibility, benefits, claims payment, and authorizations
Provides direction on the usage and benefits of self-service tools
Assist members on gaining access to care by locating a network dentist or assignment to a primary care dentist
Appropriately routes inquiries to the necessary departments or individuals when resolution of the inquiry is beyond the span of control of this role
Meets or exceeds individual, department, and client specific goals
Understands and adheres to all of Wipro’s administrative and contractual policies and procedures
Contributes to the success of the organization by suggesting ways to improve the service delivery processes
Handle inbound calls from policyholders, healthcare providers, and other insurance companies
Answer inquiries on policy coverage and dental claims
Accurately document, research and resolve customer service issues
Manage high call volume with tact and professionalism
Translating insurance benefits to patients as well as answering their questions related to billing procedures, insurance coverage plans, and claim procedures
Maintaining and improving quality results by adhering to established standards and guidelines and recommending improved procedures as well as providing reviews and remittance advice for payment errors, denials, and under payments.
School Bus Driver
Escambia County School District
Pensacola, FL
08.2022 - 12.2023
Performed daily inspections of the vehicle
Answered 2 way radio calls from drivers
Kept record of passenger numbers and maintained a log books and safety records
Providing a safe environment for my passengers
Teaching safety procedures
Maintaining a positive attitude and providing excellent customer service.
Mortgage Operation Support Assistant
Navy Federal Credit Union
Pensacola, FL
12.2021 - 05.2022
To provide operational support for Management, Supervisory staff, Mortgage Loan Officers (MLOs), Processors and Closers in order to execute essential mortgage production tasks, minimizing the inherent risk Navy Federal and its members assume during the origination process
Assist with new loan setup including indexing, member follow up, ordering and/or validating documents; updating mortgage lending systems while ensuring compliance with regulatory requirements
Index loan documents received electronically via fax and e-mail from members, Processors, Closers and/or third parties
Complete initial contact with the member appropriate information such as contact name, hours, contact numbers, etc to ensure member education and enhanced member service
Maintain systematic, consistent and reliable notes and contact history information on each member interaction and actions taken on accounts
Track and update action items in database(s)
Interact with mortgage staff, government agencies, and vendors to resolve discrepancies
Assist in member follow up, documenting mortgage status, and compiling outstanding documentation
Review, prepare and submit production reports for tracking purposes
Continually evaluate the effectiveness of current processes, make recommendations for efficiency improvement
Serve as mentor/trainer and provide guidance and assistance to team members
Review daily production reports and take action(s) as needed
Understand and comply with federal and other regulations relating to financial products and services
Place telephone calls or arrange conference calls as instructed
Route emergency calls appropriately
Page individuals to inform them of telephone calls, using paging and interoffice communication equipment
Relay and route written and verbal messages
Perform clerical duties, such as typing, proofreading, accepting orders, scheduling appointments, and sorting mail
Monitor alarm systems in order to ensure that secure conditions are maintained
Contact security staff members when necessary, using radio-telephones
Keep records of calls placed and charges incurred
Record messages, suggesting rewording for clarity and conciseness necessary.
Certified Nursing Assistant
Bayside Manor
Pensacola, FL
04.2011 - 01.2014
Provides patients' personal hygiene by giving bedpans, urinals, baths, backrubs, shampoos, and shaves; assisting with travel to the bathroom; helping with showers and baths
Provides for activities of daily living by assisting with serving meals, feeding patients as necessary; ambulating, turning, and positioning patients; providing fresh water and nourishment between meals
Provides adjunct care by administering enemas, douches, nonsterile dressings, surgical preps, ice packs, heat treatments, sitz and therapeutic baths; applying restraints
Maintains patient stability by checking vital signs and weight; testing urine; recording intake and output information
Provides patient comfort by utilizing resources and materials; transporting patients; answering patients' call lights and requests; reporting observations of the patient to nursing supervisor
Documents actions by completing forms, reports, logs, and records
Maintains work operations by following policies and procedures
Protects organization's value by keeping patient information confidential
Serves and protects the hospital community by adhering to professional standards, hospital policies and procedures, federal, state, and local requirements, and JCAHO standards
Updates job knowledge by participating in educational opportunities; reading professional publications; participating in professional organizations; maintaining licensure
Enhances nursing department and hospital reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments.
Customer Service Representative
West Corporation
Pensacola, FL
10.2008 - 03.2011
Provides answers to clients by identifying problems; researching answers; guiding client through corrective steps
Improves client references by writing and maintaining documentation
Participates in development of client training programs by identifying learning issues; recommending instructional language
Accommodates client disabilities by recommending devices and techniques
Avoids legal challenges by monitoring compliance with service agreements
Improves system performance by identifying problems; recommending changes
Updates job knowledge by participating in educational opportunities; maintaining personal networks
Accomplishes information systems and organization mission by completing related results as needed.
Certified Nursing Assistant
UNI Health Care
Milton, FL
01.2006 - 10.2008
jatoating, turning, and positioning patients; providing fresh water and nourishment between meals
Provides adjunct care by administering enemas, douches, nonsterile dressings, surgical preps, ice packs, heat treatments, sitz and therapeutic baths; applying restraints
Maintains patient stability by checking vital signs and weight; testing urine; recording intake and output information
Provides patient comfort by utilizing resources and materials; transporting patients; answering patients' call lights and requests; reporting observations of the patient to nursing supervisor
Documents actions by completing forms, reports, logs, and records
Maintains work operations by following policies and procedures
Protects organization's value by keeping patient information confidential
Serves and protects the hospital community by adhering to professional standards, hospital policies and procedures, federal, state, and local requirements, and jcaho standards
Updates job knowledge by participating in educational opportunities; reading professional publications; participating in professional organizations; maintaining licensure
Enhances nursing department and hospital reputation by accepting ownership for accomplishijatow and different requests; exploring opportunities to add value to job accomplishments.
Education
High school diploma in General Studies -
Santa Rosa High School
05.2007
Skills
Certified Nursing Assistant (CNA)
Medical Terminology
Customer service
Multi-line Phone Systems
Medical Records
Administrative Experience
Clerical experience
Documentation review
Microsoft Outlook
Call Center
PBX
Software Troubleshooting
Commercial Driving
Conflict management
Medical terminology
Technical Support
Typing
Nursing
Proofreading
Receptionist
Communications
Microsoft Office
Timeline
Customer Service Representative/Medicare Enrollment Specialist