Committed to ensuring customer satisfaction by providing exceptional service and unmatched support. Proficient in utilizing customer service best practices and adept at exploring different solutions to address customer needs effectively.
Overview
12
12
years of professional experience
Work History
Benefits Specialist
Manhattan Life Insurance
02.2023 - Current
Assist with enrollment and benefit verification and benefit changes
Process billing request for diverse dental, vision, hearing, supplemental, and medical policies.
Analyze, calculate, explain, fax and mail claims and eob's.
Maintained comprehensive records of all correspondence
Assist patients, providers, and all agents and brokers assistance with policy details related to billing, claims, policies, applications and all other services.
Provide customer service , answering high volume of calls inbound and outbound
Senior Customer Service Representative
Spectrum
10.2019 - 01.2023
Handle Supervisor De-escalation calls
Maintain security and privacy of all partners and clients with integrity with every account.
Offered varies techniques of troubleshooting of connectivity issues across networks such as Wi-Fi, cellular and all smart devices.
Managed high levels of call flow and responded to technical support needs
Responded to customer calls and emails to answer questions about products and services.
Upsell all products ranking top 3 in sales/technical division
Customer Service Representative
Texas Children's Health Plan
03.2016 - 10.2019
Provided education to members and perspective members in regards to State Benefits: Medicaid/Chip/Star/Star Kids/Chip prenatal.
Verifying Eligibility, Authorizations, Filed Claims with hundreds of provider offices in network.
Registered/Enroll all active members into classes, set events hosted with Health Organization.
Taking multiple calls a day while being HIPPA compliant.
Administration Benefits
Aon Hewitt Svc Corp
03.2013 - 03.2016
Worked with supervisors and management to maintain status reports and update information for client projects.
Developed and updated spreadsheets and databases to track, analyze and report on performance and sales data.
Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
Education
High school - Business Communications
Master's Senior
Houston, TX
01.2011
Skills
Excellent Communication
Organizational Skills
Active Listening
Task Prioritization
Interpersonal Skills
Analytical Thinking
Benefits Administration
Customer Service
Call Center
Accounting
Problem-Solving
Time Management
Problem-solving abilities
Timeline
Benefits Specialist
Manhattan Life Insurance
02.2023 - Current
Senior Customer Service Representative
Spectrum
10.2019 - 01.2023
Customer Service Representative
Texas Children's Health Plan
03.2016 - 10.2019
Administration Benefits
Aon Hewitt Svc Corp
03.2013 - 03.2016
High school - Business Communications
Master's Senior
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