Maramawit Crumpton

• Delivered high-quality customer service by addressing inquiries, resolving issues, and providing accurate information about benefits and claims.
• Provided guidance and support to members and providers regarding claim procedures and status updates.
• Handled escalation calls. Assisted with de-escalating issues and providing resolutions for our members.
• Collaborated with internal teams to streamline processes and improve service with a resolution.
• Handled a high volume of inbound calls from members regarding medical services, insurance coverage, and billing questions.
• Utilized CRM software to track interactions, update client records, and manage follow-ups.

Managed client expectations by providing timely updates, addressing concerns, and delivering solutions to enhance overall service quality.

Analyzed dispute data to identify trends and root causes, leading to the development of preventive measures and training programs.

Conducted thorough investigations into disputes, gathered evidence to provide a resolution to our clients.

Prepare detailed reports and documentation on dispute resolutions, ensuring compliance with company policies and legal standards.

• Act as the primary point of contact for fleet clients, handling inquiries, service requests, and resolving issues related to vehicle management and maintenance
• Manage over 1500 vehicles, ensuring high levels of customer satisfaction and retention
• Coordinate with maintenance teams to schedule regular servicing, address repair needs, and ensure compliance with safety regulations
• Develop and implement strategies to enhance customer engagement and streamline communication processes.