Dynamic Benefit Value Advisor skilled in customer service, project management, and effective communication. Proven ability to enhance team efficiency and drive customer satisfaction through proactive coaching and innovative solutions.
Overview
2
2
years of professional experience
1
1
Certification
Work History
Benefit Value Advisor
Health Care Service Corporation
Denham Springs, Louisiana
11.2024 - Current
Implement best practices in customer service while responding promptly to inquiries from current and potential customers.
Proactively orients all team members.
Identify customer and agent needs, and respond in a timely manner.
Participate actively in team meetings, contributing fresh ideas, and suggestions for improving organizational processes.
Collaborate with other advisors within the team to share knowledge and best practices.
Cort Project - Complete open department call trackers.
CTM Project - Report data and communication for the department's Complaint Tracking Module.
G & A Project - Ensure all grievances and appeals are properly submitted in accordance with CMS guidelines.
Frosting Calls - Identify wow calls, and submit to the management team.
Escalation Requests - Assist CSAs with escalated customer calls. Assist leadership with high-level escalations.
Coco IAD's Review - Identify agents' coaching opportunities and provide proactive training on a continuous basis.
Customer Service Subject Matter Expert
Cigna Healthcare
Denham Springs, Louisiana
04.2024 - 11.2024
Subject Matter Expert at Cigna Healthcare, enhancing team efficiency and customer satisfaction.
Provide excellent customer service to a diverse range of customers in a fast-paced work environment.
Handle escalated situations calmly while maintaining positive relationships with customers throughout the process.
Coach employees in customer service procedures and best practices, increasing team efficiency and effectiveness.
Monitor & report daily performance metrics such as call volume, wait times, resolution times
Assist with distributing and assigning tasks to agents.
Investigated and researched issues to determine root causes and appropriate resolution methods.
Customer Service Representative
Cigna Healthcare
Denham Springs, Louisiana
08.2023 - 04.2024
Handled customer complaints and inquiries in a courteous and efficient manner.
Utilized problem-solving techniques to identify solutions for complex customer inquiries.
Adhered to company policies and procedures while providing superior service.
Education
Some College (No Degree) - Computer and Information Sciences
Wilmington University
New Castle, DE
08-2027
Skills
Customer service
Effective communication
Project management
Microsoft applications proficiency
Adaptability and flexibility
Training and coaching
Critical thinking
Time management
Certification
Customer Service & Sales Certified Specialist, NRF Foundation
References
References available upon request.
Timeline
Benefit Value Advisor
Health Care Service Corporation
11.2024 - Current
Customer Service Subject Matter Expert
Cigna Healthcare
04.2024 - 11.2024
Customer Service Representative
Cigna Healthcare
08.2023 - 04.2024
Some College (No Degree) - Computer and Information Sciences