Committed to ensuring customer satisfaction by providing exceptional service and unmatched support. Proficient in utilizing customer service best practices and adept at exploring different solutions to address customer needs effectively.
Overview
13
13
years of professional experience
Work History
Customer Service Representative
United Healthcare
04.2015 - Current
Handle incoming calls from Providers about claims, benefits and Authorization’s
Meet required Metrics such as Surveys, Adherence, Hold time and Engagement
Team Lead where I assist my supervisor and others with issues
Worked on the initial PAC Team
Escalate issue and schedule call backs to keep provider informed
Worked on PRISM project for a year handling escalation
Cases were assigned daily with a certain turnaround time
Cases varied form Projects with over 100 claims to assigning new Provider ID
Selected to the Escalation Team where we handled Supervisor calls from agents
Selected to Individual Health Record Department as a Lead
Assist Providers with Bonus checks
Customer Service Representative
FIS Global
11.2014 - 04.2015
Handle incoming calls from Casino's about limit increase or decline
Assist in processing declines from Walmart Check cashing customers
Assist in processing disputes for customers on claims
Billing Specialist/ Customer Service Representative
Liberty Mutual Insurance
01.2012 - 09.2013
Speak with Mortgage companies about payments and policy issues
Analyzing information choose the best solution and solve problems
Collected payments for Insurance Plans and Mortgages and updated accounts to reflect new balances
Education
Texas Southern University
Houston, TX
Skills
Customer service
Problem-solving
Active listening
Adaptability and flexibility
Microsoft Excel
Conflict resolution
Dispute resolution
Spreadsheets
CBRM, PCRL, Cosmos
Doc 360
Super User
Service Now
Enterprise Now
RXBK I &II
Timeline
Customer Service Representative
United Healthcare
04.2015 - Current
Customer Service Representative
FIS Global
11.2014 - 04.2015
Billing Specialist/ Customer Service Representative