Handle customer service inquiries related to pharmacy benefits
Assisting members in understanding and maximizing their pharmacy benefit, including discussing copays, deductibles, and formulary restrictions
Working with other departments to address claims or mail order concerns
Identify and escalate critical patient issues
Investigate and resolve issues with prescriptions, such as prior authorizations or claim denials
Entry of claims data and accurately record all patient interactions
Capture, collect, and process patient payments
Communicate with patients regarding their balance, including setting up payment plans and following up on outstanding balances
Credit Card Support Specialist
Regions
01.2022 - 07.2024
Provides guidance to branch associates regarding bank products, credit cards, loans, lines of credit, services, operational policies/procedures, and transactions
Provides Regions Connects support to Business Services, Commercial and Wealth Management associates
Proactively identify opportunities for process/training improvement
Maintains service and performance standards based on internal scorecard metric
Assist with the activation, close/reissue of credit cards
Assist with removing blocks from credit cards
Customer Experience Advocate
Protective Life Insurance
12.2020 - 01.2022
Responsible for delivering customer satisfaction on every call received from Protective Life policyholders
Effectively interpret the customer needs and provide service in an environment involving sensitive customer information
Process policyholder's premium payment requests for billed premium payments
Assist with policy changes such as beneficiary changes and address changes
Submitted claims for beneficiaries
Assisted beneficiary with claim documents or claim status
Advised customers on outstanding claim documents and advised on claim status
Provide accurate, quality and caring service in an efficient manner to policyholders
Remote Technical Support Representative
KellyConnect
08.2019 - 01.2021
Provide support to resolve customer technology problems through a series of trouble shooting activities
Resolve issues with username and passwords, data sharing & synchronization
Assist with uninstalling/reinstalling basic software applications, verifying proper hardware and software configuration and set up, power cycling devices, navigating customers through application menus, and troubleshooting email issues
Notating customers case of troubleshooting activities performed
Customer Service Representative
Satellites Unlimited
06.2018 - 05.2019
Managing technician's daily routes
Notating customer accounts
Informing technicians of route changes
Data entry
Address customer or tech questions/concerns
Answer inbound phone calls
Education
Bachelor of Science - Business Administration
Southern New Hampshire University
05-2027
High School Diploma -
Shaw High School
06.2012
Skills
Effective Problem Resolution
Microsoft Windows Proficiency
Effective Time Allocation
Multitasking
Patient care
Real-Time Chat Support
Claims Administration
Collaborative Leadership
Documentation
Commercial Banking Knowledge
Accurate Data Entry
Personal Information
Work Permit: Authorized to work in the US for any employer
Registered Nurse/Case Manager at Cigna/Express Scripts Specialty Distribution Services- St.Louis, MORegistered Nurse/Case Manager at Cigna/Express Scripts Specialty Distribution Services- St.Louis, MO