Customer Service Representative bringing top-notch skills in oral and written communication, active listening and analytical problem-solving skills. Enhances customer experiences by employing service-oriented behaviors, understanding customer desires, ad providing customized solutions to build loyalty.
Overview
25
25
years of professional experience
Work History
Customer Contact Agent
Beacon Hill Staffing Group, Jones Lange LaSalle
09.2022 - Current
Facilities liaison for J.P Morgan Chase Bank in Northeast region of US and U.K
Receive incoming calls, email and web requests in a high volume call center using a variety of geographically dispersed facilities for business lease administration from client portfolio to insure all requests are addressed in expeditious manner
Monitor telephony queue time to maximize productivity
Provide accurate, timely client work orders from inception to completion
Consulted with outside parties to resolve discrepancies and create expert solutions.
Worked flexible hours across night, weekend and holiday shifts
Provider Services Representative
Gateway Health Plan, Subsidiary of Highmark Inc
05.2016 - 02.2022
HIPAA verified over 100 calls per day for security purposes
Ensured member eligibility for plan, as well as any other insurances patient may have
Swiftly navigated through a variety of computer systems
Verified procedure and diagnostic codes to ensure member’s benefits, and relaying specific stipulations per benefit to the provider’s office
Provided physicians with needed information to file claims, appeals, records for medical review, and disputes
Directed physicians to appropriate departments to obtain needed referrals or prior authorizations
Assisted physicians making adjustments to existing prior authorizations
Established prospective physicians in getting credentialed with insurance plan and current participating providers in enrolling into electronic remittance and/ or funds transfer
Over-viewed process of claims, and determine eligibility of claim to be reprocessed per Gateway Health Plan policy and procedures
Relayed resolutions of physician appeals, medical reviews, and disputes.
Customer Service Representative
Beacon Hill Staffing Group, Dominion Retail
03.2013 - 01.2016
Sold gas commodities and a variety of home protection programs including: Water, Sewer and Gas line protection, In-Home Plumbing repair and HVAC, in high volume call center with more than 950,000 residential customers, providing financial protection against costs associated with unexpected home repairs
Took an average of 80-100 customer service and claim calls per day during target mail campaigns with a focus on 100% customer satisfaction.
Responded to customer requests for products, services and company information.
Recommended products to customers, thoroughly explaining details.
Used company troubleshooting resolution tree to evaluate technical problems and find appropriate solutions.