Summary
Overview
Work History
Education
Skills
Timeline
Generic

Joyce McCormack

Callahan,FL

Summary

Knowledgeable and dedicated customer service professional with extensive experience in insurance industry. Solid team player with outgoing, positive demeanor and proven skills in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Specialize in quality, speed and process optimization. Articulate, energetic and results-oriented with exemplary passion for developing relationships, cultivating partnerships and growing businesses. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Customer Service Representative bringing top-notch skills in oral and written communication, active listening and analytical problem-solving skills. Enhances customer experiences by employing service-oriented behaviors, understanding customer desires and providing customized solutions to build loyalty. Knowledgeable and dedicated customer service professional with extensive experience in insurance industry. Solid team player with outgoing, positive demeanor and proven skills in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Specialize in quality, speed and process optimization. Articulate, energetic and results-oriented with exemplary passion for developing relationships, cultivating partnerships and growing businesses.

Overview

8
8
years of professional experience

Work History

Aetna Answer Team

Aetna
07.2022 - Current
  • Enhanced customer satisfaction by promptly addressing inquiries and resolving issues.
  • Streamlined call handling processes for improved efficiency and reduced wait times.
  • Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
  • Collaborated with team members to achieve departmental goals and provide exceptional customer service.
  • Handled high-volume calls while maintaining a professional demeanor and remaining focused on customer needs.
  • Maintained accurate records of customer interactions with attention to detail and confidentiality.

Customer Service

Aetna
10.2019 - 07.2022
  • Provide first call resolutions to customer inquiries for multiple issues ranging claims, prescriptions prior authorizations for services as well as brokers for enrollment issues
  • Acted as key contract between providers and members and insurance companies
  • Achieved and maintained documentation of quality KPI about 98% Communicated information regarding a product or function including claims and benefits
  • Processed claims in ACAS worked in systems such as ASD, GPS, Rumba, Sales force springboard, e business, smart worked with brokers provided insurance quotes efficient in word.
  • Provided excellent customer service resulting in increased patient retention rate.
  • Increased client loyalty through exceptional customer service and personalized consultations.
  • Immediately brought critical issues to customer service manager for resolution.
  • Kept accurate records to document customer service actions and discussions.
  • Promoted positive member relations through providing excellent customer service.

Bus Driver

Nassau County School Board
10.2016 - 10.2019

All paperwork for children’s assigned stop.

  • Obeyed federal, FL and local traffic laws and regulations to enable safe transportation outcomes for participants.
  • Reported vehicle maintenance and repair issues to appropriate personnel for timely resolution.
  • Demonstrated professionalism at all times while engaging with students, parents, colleagues, and administrators alike during daily duties.
  • Completed pre-trip and post-trip bus inspections and documented info in vehicle logs.
  • Provided positive environment for students during transportation, fostering respectful interactions and promoting good behavior.
  • Assisted in maintaining bus cleanliness with regular sanitizing and disinfecting.
  • Transported passengers safely along prescribed routes according to tight schedules.
  • Ensured proper bus equipment functionality through regular checks of lights, signals, mirrors, brakes, tires, and other essential components.
  • Complied with all relevant state and federal regulations regarding school transportation services, ensuring safety and well-being of students at all times.
  • Kept bus interiors clean and tidy to provide comfortable passenger environments.
  • Maintained clean and sanitary bus interior by regularly inspecting for cleanliness, removing trash, and reporting necessary repairs to management.
  • Conducted pre-trip inspections of bus for safe operation.

Education

Diploma -

Keystone Heights High School
Florida
01.2010

Skills

  • 4 years of customer service, working in Aetna member services, New Business Unit, and Aetna Answer team working with all sides of insurance world Organization, Leadership, Communication, Problem-Solving, excelling in Fast-Paced Environment, Working on Team, Time Management Claims processing, quoting insurance plans
  • Strong communication skills
  • Quoting insurance plans
  • Medical Claims
  • Detailed and organized
  • Trained in Microsoft office
  • Call Center/customer service
  • Time management
  • Hard worker
  • Strong Work Ethic
  • Empathy and patience
  • Scheduling and Planning
  • Data entry proficiency

Timeline

Aetna Answer Team

Aetna
07.2022 - Current

Customer Service

Aetna
10.2019 - 07.2022

Bus Driver

Nassau County School Board
10.2016 - 10.2019

Diploma -

Keystone Heights High School
Joyce McCormack