Professional with a strong background in claims management, ready to make a significant impact.
Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.
Overview
7
7
years of professional experience
Work History
Customer Service/ Claims Representative
Blue Cross Blue Shield of Alabama
12.2022 - 02.2025
Provided exceptional customer service by addressing inquiries, resolving complaints, and ensuring customer satisfaction
Managed a high volume of incoming calls and emails, consistently meeting or exceeding response time targets
Utilized CRM software to track customer interactions, update account information, and document case details
Identified opportunities for process improvement and made recommendations to enhance the overall customer experience
Followed up with customers on unresolved issues.
Improved customer satisfaction by providing timely and accurate information on claim status and resolution.
Collaborated with cross-functional teams to expedite complex claims investigations and resolutions.
Reduced turnaround time for claim settlements by prioritizing tasks and managing deadlines effectively.
Customer Care Representative
Dish Network
11.2022 - 01.2023
Maintain customer accounts and record account information
Oversee customer financial accounts and process customer adjustments
Make product recommendations or services to customers based on their needs and preferences
Oversee a team of customer service representatives and ensure they meet monthly quotas
Follow communication guidelines, policies and procedures
Upgrade and cancel customer accounts by customer request
Handle customer complaints and provide alternatives and/or solutions to ensure resolution of complaints
Managed high call volume with exceptional professionalism and efficiency.
Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
Built rapport with customers through active listening and empathetic responses, fostering positive relationships.
Sales Representative
AT&T
09.2017 - 11.2022
Offer internet, cell phone service, and cable TV to new and existing customer's
Services existing accounts, obtains orders, and establishes new accounts by planning and organizing daily work schedule to call on existing or potential sales outlets and other trade factors
Politely answer inbound calls and respond to customer inquiries in a timely manner
Generate customer interest in the company's products or services
Provide personalized customer service by responding to the needs of customers
Document and report on customer feedback to improve the customer experience
Manage and update customer databases with notes for each customer
Enhanced client satisfaction by addressing concerns promptly and providing exceptional service.
Generated additional sales opportunities with upselling and cross-selling techniques.
Education
Master Of Criminal Justice -
Lawson State Community College
Birmingham, AL
High School Diploma -
Jackson Olin high school
Birmingham, AL
05.2008
Skills
Customer service
Medical Office Experience
Phone Etiquette
10 Key Data Entry
Pricing
Multi-line Phone Systems
Order Entry
Medical Records
Medical Billing
Accounting
Data collection
Microsoft Outlook
Typing
Databases
Insurance Verification
Data Entry
Sales
Microsoft office
Insurance claims review
Claims investigation
Time management
Personal Information
Work Permit: Authorized to work in the US for any employer
Accomplishments
Achieved Result by completing Task with accuracy and efficiency.
Documented and resolved Issue which led to Results.
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