Summary
Overview
Work History
Education
Skills
Timeline
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Julia Burrier

San Antonio,Texas

Summary

  • I am a well-rounded professional with 20 years of office management experience, which includes Strong customer service skills, writing skills and good oral communication. I also have computer skills in Microsoft Office, word, Excel, PowerPoint, and others.
  • Capable Claims Representative adept at claims investigations, information review and settlement management. Positive and reliable professional with a detail-oriented and systematic approach. Bringing 30 years of related experience.
  • Friendly Insurance Verification Specialist promoting a background in keeping sensitive patient data confidential while maintaining knowledge of Medicaid and private policy benefits.
  • Possessing great relationship building and communication skills.
  • Looking to tackle new challenges with a company that values dynamic skills and a strong work ethic. Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.

Overview

30
30
years of professional experience

Work History

Customer Service/Claims Representative (Contractor)

Pyramid Consulting (Gainswell Technology)
Remote, TX
04.2023 - 09.2023
  • Assisted customers in understanding the claims process for dental procedures
  • Facilitated the submission of claims and provided guidance on required documentation
  • Clarified policy details and coverage terms to ensure customers fully understood their dental insurance benefits
  • Educated customers on any policy updates, changes, or new offerings
  • Interact with customers to provide basic or scripted information in response to routine inquiries about products and services
  • May handle and resolve general complaints
  • Worked with Texas personnel who have Medicaid
  • Handled around 50-80 calls per day.

Customer Care Representative

Taskus Inc
New Braunfels, TX
08.2021 - 12.2022
  • Interact with customers to provide basic or scripted information in response to routine inquiries about products and services
  • Handled and resolved general complaints
  • Worked with customers that call in to report any safety issues
  • Handled around 40-50 calls per day.

Dental Insurance Support

Customer Care (Contractor)
, Remote
07.2020 - 10.2021
  • Efficiently processed and managed customer claims related to Medicaid benefits, demonstrating a high level of accuracy and attention to detail
  • Maintained thorough and organized documentation of customer interactions, ensuring compliance with company policies and industry regulations
  • Acquired in-depth knowledge of Medicaid policies and procedures, enabling the provision of accurate and detailed information to customers
  • Handled Incoming calls regarding Dental Benefits and Eligibility
  • Used Microsoft Office (MS Word, MS Outlook, and Excel).
  • Verified patient insurance coverage and eligibility for dental services.
  • Assisted patients in understanding their benefits packages, including co-payments, deductibles.
  • Responded promptly to inquiries from patients, providers, and insurers regarding claim status.
  • Informed patients of claims status after filing insurance claims.

Customer Service Representative

United Health Group
San Antonio, Remote
12.2019 - 03.2020
  • Handled Incoming calls regarding Dental Benefits and Eligibility
  • Used Microsoft Office (MS Word, MS Outlook, and Excel).
  • Provided excellent customer service to resolve customer complaints in a timely manner.
  • Developed strong relationships with customers by providing personalized assistance and support.
  • Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
  • Answered incoming calls and emails, providing frontline customer support or assistance with product and service transactions.
  • Provided outstanding service to new and long-standing customers by attending closely to concerns and developing solutions.
  • De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
  • Escalated customer concerns, issues and requirements to supervisors for immediate rectification.

Claims Representative

Aetna
San Antonio, TX
11.2017 - 10.2019
  • Help clients Submit claims
  • Investigate claims
  • Explanation of claims
  • Did call backs to ensure accurate information
  • Maintain stats for goals set by Aetna.

Customer Service Representative

The Results Companies
CORPUS CHRISTI, TX
10.2016 - 09.2017
  • Improved service quality and increased productivity by developing a strong knowledge of the company's products and services
  • Addressed negative customer feedback immediately
  • Resolved customer questions, issues, and complaints
  • Developed rapport with the customer base by handling difficult issues with professionalism
  • Ability to multitask to ensure excellent customer service.

Small Business Customer Service Rep (CSR)

American Express
PHOENIX, AZ
09.2012 - 01.2016
  • Delivered extraordinary customer care by responding to questions concerning customer accounts in a fast-paced structured customer care environment
  • Exhibiting professional listening skills, written, and spoken communication to provide outstanding customer satisfaction
  • Ability to work in a fast-paced metric driven environment.

Customer Service

Wells Fargo
Phoenix, AZ
08.2010 - 09.2012
  • Received inbound calls from customers requesting assistance with accounts
  • Performed visual audits and recommended solutions to situations
  • Directed calls to appropriate personnel
  • Great new and current customers.

Supervisor/Trainer

NCO Group
Yuma, AZ
11.2004 - 04.2010
  • Motivated a team of 16 employees to meet all standards and goals set by company
  • Coached employees as a team or on an individual basis to achieve the goals set by every client
  • Fashioned a team environment focused on achievement of goals, high quality standards, and high performance
  • Ensured the team was trained coached and trained in communication skills, performance, and quality metrics
  • Maintained individual and department productivity reports daily, weekly, monthly, and year-to-date statistics and provided feedback to management.

Military Police Officer

United States Marine Corp
Yuma, AZ
01.1985 - 12.1989
  • Provided security at the pentagon and the war room
  • Issued passes and decals to members of the base
  • Provided security for the base
  • Transported prisoners to the brig.

Education

Military Police -

United States Marine Corps

General Studies -

1 Year at College, Kansas Wesleyan University

Skills

  • Team Collaboration
  • Claims Investigation
  • Policy understanding
  • Conflict Resolution
  • Time Management
  • Flexible Schedule
  • Documentation research
  • Microsoft Office
  • Policy Knowledge
  • Insurance Claims Review
  • Decision-Making

Timeline

Customer Service/Claims Representative (Contractor)

Pyramid Consulting (Gainswell Technology)
04.2023 - 09.2023

Customer Care Representative

Taskus Inc
08.2021 - 12.2022

Dental Insurance Support

Customer Care (Contractor)
07.2020 - 10.2021

Customer Service Representative

United Health Group
12.2019 - 03.2020

Claims Representative

Aetna
11.2017 - 10.2019

Customer Service Representative

The Results Companies
10.2016 - 09.2017

Small Business Customer Service Rep (CSR)

American Express
09.2012 - 01.2016

Customer Service

Wells Fargo
08.2010 - 09.2012

Supervisor/Trainer

NCO Group
11.2004 - 04.2010

Military Police Officer

United States Marine Corp
01.1985 - 12.1989

Military Police -

United States Marine Corps

General Studies -

1 Year at College, Kansas Wesleyan University
Julia Burrier