Effective Customer Service Representative with years of experience assisting customers using active listening and customer needs assessment to offer targeted solutions. Consistently friendly and professional when handling diverse customer needs in high-volume call center environments. Smoothly manage workflow and optimize team strengths to meet service quotas. Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Phone representative in call center assisting customers and providers with questions and issues regarding health insurance policies, including payment issues, Medicare, HIPPA and multiple state regulations to insure correct claims payment.
Worked phone lines and computer platforms receiving phone calls from various regions and policy types.
Determined primacy between multiple insurance policies using Medicare federal guidelines and State regulations.
Provided internal and external customers with coordination of benefits information to facilitate correct payment of claims.
Conducted research on other insurance coverage using multiple sources.
Entered and maintained insurance information in several computer systems.
Worked with Attorneys on subrogation, motor vehicle and Workers Compensation issues to insure correct payment of claims.
Reviewed reports to insure correct payment of claims when multiple insurances were applicable.
Handled work for company President, Vice President, Controller and senior staff.
Reviewed daily receipts for ten stores.
Prepared bank deposits.
Assisted in annual inventory of ten stores.
Worked the reception desk, answered telephones, greeted visitors. Operated Apple and in house computer systems.
Prepared product information packets for professional audio division.