Dedicated customer service representative motivated to maintain customer satisfaction and contribute to company success. Proven ability to establish rapport with members and providers alike.
Overview
9
9
years of professional experience
Work History
Provider Service Advocate
UnitedHealth Group
02.2022 - Current
Handle calls/chats daily with duties of giving providers information.
Answer benefits/eligibility questions.
Assist with checking authorization requirements and submitting requests.
Provides claim status along with claim denial reasons.
Customer Advocacy Analyst
Great HealthWorks
10.2018 - 03.2020
Assisted agents with irate customers who threatened to report the company to the following: Financial Institution, Better Business Bureau, Social Media, Lawyer/Attorney.
Handled emails/letters pertaining a customer's account. This involved actioning out a customer's account and then generating a letter/email appropriate to what the customer requested.
Made outbound calls to customers who threatened to report company, to ensure they knew we were sincerely sorry for any inconvenience.
Conducted investigations when there were claims that a customer never ordered from the company or agreed to the auto-ship program.
Customer Service Representative
Teleperformance
06.2015 - 12.2017
Handled calls daily. with duties including signing up new members, retrieving member's data, presenting information in regarding to member's health insurance policy.
Provided back-up for other customer service representatives when needed.
Maintained up to date knowledge of account changes.
Developed highly empathetic client relationships and earned reputation for exceptional customer service.
Awarded "Blue Diamond" for consistent outstanding performance.
Clinical Transformation Manager at UnitedHealth Group- UnitedHealth Care DivisionClinical Transformation Manager at UnitedHealth Group- UnitedHealth Care Division
Senior Provider Relations Advocate, Account Manage at UnitedHealth Care, UnitedHealth GroupSenior Provider Relations Advocate, Account Manage at UnitedHealth Care, UnitedHealth Group