Dedicated Customer Service Professional experienced in delivering exceptional support within fast-paced environments. Achieved first-call resolution and high customer satisfaction by leveraging strong communication, problem-solving skills, and active listening. Focused on assisting members with provider networks, referrals, prior authorizations, billing inquiries, and insurance coverage while ensuring confidentiality.
Overview
4
4
years of professional experience
Work History
Production Worker
Newport News Shipbuilding
Newport News, Virginia
05.2025 - Current
Climbing
Production Work
Walking
Hot Environment
Customer Service Representative | Remote Support
Insurance claims associated
Suffolk
04.2022 - 10.2025
Assisted customers by explaining health plan benefits, provider networks, referrals, and prior authorization requirements.
Resolved billing concerns, payment discrepancies, claim questions, and coverage issues with professionalism and accuracy.
Educated members on insurance eligibility, covered services, and plan limitations.
Documented customer interactions accurately, ensuring comprehensive records for future reference and follow-up.
Managed high call volumes while consistently meeting productivity and quality goals.
Guided members through online portals and self-service resources, enhancing their ability to manage their accounts independently.
Escalated complex issues appropriately while maintaining ownership until resolution.
Maintained high customer satisfaction through effective communication and achieved first-call resolution in complex inquiries.
Education
Franklin High School
Franklin, Va
Skills
Quality control
Production efficiency
Equipment operation
Safety compliance
Inventory Tracking
Production Reporting
Manufacturing Software
Equipment Troubleshooting
Microsoft Excel
Operational Coordination
Collaborative Tools
Virtual Meetings
Team Communication
Languages
English
Professional
Affiliations
Excellent verbal and written communication
Strong organizational skills
Ability to work independently in a remote environment