Reviewed medical certifications and other documentation submitted; consulted with Nurse Case Manager and Internal Medical Examiner unit when needed
Determined eligibility and availability of leave time for each employee requesting leave for FMLA, State, Short-term disability and applicable Corporate protections.
Deep understanding of customer success best practices, including relationship building, issue resolution and identifying and capitalizing on opportunities for improvement
Handled an average of 120 customer interactions per day, effectively managing time and prioritizing.
Employed user-friendly written and verbal communication and interpersonal skills when conveying complex information to business partners
Established problem solving skills by demonstrating analytical/ logical thinking, recognizing multiple connections, optimizing results by choosing the best strategies resulting in fair and objective claim decisions
Cultivated and strengthen relationships with clients and business partners by providing accurate knowledge of products, policies/procedures.
Communicated via email, phone and fax with providers when necessary to clarify or obtain additional patient information.
Complied with HIPAA and State regulations to ensure accuracy of FMLA & Short-term disability coverage.
Determined the appropriate status of leave under FMLA and state leave regulations taking into consideration regulatory requirements, company-specific requirements, and analysis of documentation received (medical, legal, etc.)
Generated appropriate communications to comply with FMLA regulations and customer procedures.
CSR Agent
ADT SECURITY
01.2012 - 01.2017
Built trust and established rapport with clients through active listening, identifying underlying Concerns, and providing solutions
Operated as a subject matter expert concerning alarm network systems, explaining, and resolving complex customer technical issues
Collaborated with IT teams to develop and implement testing strategies and plans to accurately identify and report bugs by performing functional, usability, compatibility, accessibility, performance, and security testing
Documented alarm handling procedures within the alarm screens and notified appropriate authorities and customers when alarm signals were received
Provided Tier 1 & 2 level support to internal and external customers and responded to help desk requests from internal and external customers, tracking trends and creating self-help, and quick fixes
Monitored application processes and maintained the upkeep and readiness of applications
Processed requests for system access, clearance, and terminations
Monitored applications and user and group account access and flagged potential risks
Diagnosed, troubleshot, and resolved system and network issues across multiple platforms
Seamlessly resolve escalated issues of various complexities by probing and isolating the problems and coming to a resolution