Julius James
Loa,UT
Summary
Dynamic Customer Service Representative with expertise in managing accounts for UnitedHealthcare and other major insurance providers. Proven ability to resolve complex issues while maintaining professionalism under pressure. Skilled in CRM systems and committed to ensuring compliance and data accuracy, enhancing member satisfaction through effective communication and problem-solving.
Overview
1
1
year of professional experience
1
1
Certification
Work History
Customer Service Representative
Healthy Benefits Plus
Minneapolis, Minnesota
07.2024 - Current
- Provided personalized assistance to members of UnitedHealthcare, Blue Cross Blue Shield, Humana, UCare, and other insurance plans regarding their Healthy Benefits Plus accounts.
- Answered customer inquiries related to balances, eligibility, transactions, and program details, ensuring a positive and informed user experience.
- Managed customer accounts within the platform, updating information, processing transactions, and troubleshooting discrepancies.
- Educated members on EBT program eligibility, usage guidelines, mobile app navigation, and online account access.
- Ensured compliance with company policies, data privacy regulations, and security protocols when handling sensitive customer information.
- Accurately documented customer interactions and generated reports to support internal audits and business operations.
- Handled escalated complaints professionally, collaborating with internal teams to ensure timely and satisfactory resolutions.
- Assisted customers in navigating company website and placing online orders, improving overall user experience.
- Maintained detailed records of customer interactions and transactions, ensuring accurate documentation and follow-up.
- Maintained up-to-date knowledge of product and service changes.
Education
High School Diploma -
Clintondale
Clinton Township, MI06-2004
Skills
- Expertise in assisting members of UnitedHealthcare, Blue Cross Blue Shield, Humana, UCare, and other insurance providers
- Strong verbal and written communication for clear and professional customer interactions
- Proficiency in customer relationship management (CRM) systems for efficient account management
- In-depth knowledge of Healthy Benefits Plus programs and EBT guidelines
- Ability to troubleshoot and resolve Card access, balance, transaction, and account discrepancies
- Attention to detail in data entry, reporting, and policy adherence
- Strong teamwork and ability to work independently in a fast-paced environment
- Data entry
- Computer proficiency
- Payment processing
- Call center operations
- Technical support
Certification
Computer Repair
Timeline
Customer Service Representative
Healthy Benefits Plus
07.2024 - Current
High School Diploma -
Clintondale
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