Experienced Customer Services Champion with strong knowledge of HIPPA and CRM application. Skilled in handling high-volume requests accurately and maintaining full compliance with privacy regulations.
Overview
9
9
years of professional experience
Work History
CS-Customer Experience Champion II
Verizon Wireless
08.2022 - 12.2025
Self-motivated, with a strong sense of personal responsibility.
Excellent communication skills, both verbal and written.
Skilled at working independently and collaboratively in a team environment.
Proven ability to learn quickly and adapt to new situations.
Handled over 30 inbound calls regarding customer wireless account
Troubleshoot and resolve billing errors, service disruptions, and technical problems.
Process orders, upgrades, plan changes, and account updates.
Accurately log all customer interactions and resolutions in internal systems.
Aim to solve issues on the first contact.
Customer focus and empathy.
Account Specialist
Terminix Pest Control
05.2020 - 08.2022
Resolved complex account issues, restoring client confidence and preserving business relationships.
Address billing question
Process payments and invoice
Liaison to pest control technicians
Educated and advised customers on preventive measures to reduce pest infestations.
Take approximately 30 Inbounds call a day to schedule service appointments and address billing questions and concerns.
Care Navigator
Navvis Healthcare
05.2019 - 01.2020
Educated patients and families on available resources, empowering them to make informed decisions about their care.
Manage internal and external customer relationships to ensure that all customer service needs are
being met
Establish and maintain positive working relationships with Medicare or MA patients, family, caregivers,
physicians, and clinical and non-clinical staff
Participate in, and be compliant with, HIPAA verifications
Work closely with patients and other members of the care team while maintaining effective and
professional relationships
Handle a high workload and meet deadlines with a high level of accuracy
Made approximately 20-30 outbound calls per day.
Provider Service Representative
Centene, Sunshine Health
09.2018 - 04.2019
Handled over 50 calls per day in regard to insurance claims
Documented all activities for reporting and resolution through the customer relationship management
application
Answered inquiries regarding claims, eligibility, covered benefits, authorization status issues regarding
commercial insurance as well as Medicare and Medicaid
Provided first call resolution through issue documentation and resolution with appropriate internal
resource, follow-up and ensured closure with the contact who initiated the inquiry
Responded appropriately to issues and concerns, and provided trending feedback to improve the
customer experience
Aided providers regarding website registration, navigation and customer related inquires
Educated providers on health plan initiatives during interactions with providers via telephone
Maintained performance and quality standards based on established call experience guidelines
Researched and identified any processing inaccuracies in claim payments and route to the appropriate
site operations' team for claim adjustment
Customer Service Representative
Health Net Federal Services
04.2017 - 07.2018
Handled over 60 inbound and outbound calls per day in a busy call center setting
Responded to phone, chat, and instant message inquiries from veterans and/or providers within
established timeframes utilizing current reference materials and available resources
Documented all activities for quality and metrics reporting through the DOMA Customer Relationship
Management (CRM) application
Processed chat and instant message customer correspondence and provided the appropriate level of
timely follow up
Researched and identified any processing inaccuracies in claim payments and routed to the appropriate
site operations team for claim adjustment
Maintained performance and quality standards based on established call center metrics including turn-
around times
Carrier Support & API Analyst at Verizon Wireless (formerly TracFone Wireless)Carrier Support & API Analyst at Verizon Wireless (formerly TracFone Wireless)