Experienced with handling customer interactions and resolving issues promptly. Utilizes communication and empathy to build strong customer relationships. Track record of maintaining high customer satisfaction and fostering loyalty.
Overview
9
9
years of professional experience
Work History
Plan Advisor
UMR
07.2021 - Current
Build an maintain strong relationships to provide premium customer service, removing burdens and providing end-to-end resolution for members
Answer up to 30-60 incoming calls, emails, chats, and workflows per day from members of health / dental plans
Identify the areas of assistance and offer resolution for benefits, eligibility, claims, correspondence, and self-service options
Research complex issues across multiple databases and work with support resources to resolve member issues and collaborate with others to resolve escalated issues
Navigate through multiple platforms and databases to retrieve information regarding medical plans, dental plans, prescription plans, claims submissions, and clinical programs
Sr Tech Support Specialist
CastiaRx/Optum
09.2016 - 05.2021
Collaborated with team members to provide reporting, system admin, technical training, and troubleshooting services to clients and internal departments
Managed the Prescription Monitoring Program for a mail order pharmacy licensed in 50 states ensuring that all controlled substances are being reported accurately according to state guidelines
Developed a training program for new employees and clients on all claim processing and reporting systems
Assisted with the development and deployment of a new member portal