Experienced Customer Service Specialist with over 10 years of top-notch expertise in oral and written communication, active listening and analytical problem-solving skills to identify and prevent potential fraud; with a passion to promote lasting customer satisfaction by delivering quality service and unparalleled support. Natural ability to enhance customer experiences by employing service-oriented behaviors, understanding customer desires, and providing customized solutions to build loyalty.
Overview
10
10
years of professional experience
Work History
Customer Service Specialist I
Pacific Life Insurance Company
02.2023 - Current
Communicate with customers by phone or in writing; take on average 20-25 calls daily; by request, sent callers information via emails and fax
Utilize multiple systems such as Salesforce, FileNet, MainFrame to answer questions quickly and proficiently.
Take payment information and other pertinent information such as addresses and phone numbers to update information.
Build strong customer relationships, establishing confidence, trust and rapport to ensure customers have a positive experience and perception of Pacific Life.
Track customer interactions using CRM software, helping teams identify trends and areas of improvement in service delivery.
Customer Service Specialist II
Blue Cross Blue Shield Of Alabama
08.2014 - 07.2022
Provided world-class customer service, education of healthcare benefits, technical assistance and claim support to customers.
Handled on average 90-120 inbound calls per day. If requested, used chat, email or fax to form customer relationships.
Achieved high satisfaction rating through proactive one-call resolutions of customer issues by actively listening to members
Utilized multiple systems, such as BlueCare, CIS, BOL, JIVA, GEMS, AIM and EviCore to research information to resolve customer questions or issues
Supported customer complaints and internal teams with troubleshooting errors and network issues with online services or app
Took secure payment information and updated other pertinent information such as addresses, name changes, SSN and DOB
For one year I worked in BCBSAL Insurance fraud department and investigated and analyzed suspicious claims. I collaborated with internal teams to develop fraud prevention strategies to cut down on fraudulent activities.
Education
High School Diploma -
Shades Valley High School
Irondale, AL
Associate of Arts - Liberal Arts And General Studies
Virginia College - Birmingham
Birmingham, AL
09.2003
Skills
Remote worker with 7 years of WFH experience
Technical troubleshooting
Excellent decision-making and critical thinking abilities
Escalation Management
Proficient interpersonal skills
Efficient and Detail-Oriented
Outstanding organizational, multitasking and problem-solving abilities
Excellent communication skills with a focus on team-building and customer relations
Remarkable ability to manage multiple priorities
Master of Microsoft Office and Google Suite
Typing speed of >60wpm
Call Center experience
Timeline
Customer Service Specialist I
Pacific Life Insurance Company
02.2023 - Current
Customer Service Specialist II
Blue Cross Blue Shield Of Alabama
08.2014 - 07.2022
High School Diploma -
Shades Valley High School
Associate of Arts - Liberal Arts And General Studies
Virginia College - Birmingham
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