Highly energetic and customer-focused individual with a natural ability to connect with people and address their needs. Possesses a strong foundational understanding of customer service principles and is adept at handling transactions and resolving conflicts. Committed to creating positive experiences and fostering customer loyalty. Extensive experience in the insurance industry with a deep understanding of its intricacies and a proven track record in providing remote consumer support. Skilled in managing diverse customer needs, from claims and eligibility to efficient problem-solving in high-volume, remote environments. Adept at leveraging insurance software to enhance customer satisfaction and operational efficiency. Seeking a challenging fully remote role to continue delivering exceptional support.
Overview
23
23
years of professional experience
Work History
Consumer Service Associate
Elevance Health (Formerly known as The Anthem Group of Companies, Inc)
08.2021 - Current
Handle high-volume calls, effectively addressing customer needs while maintaining professionalism
Researches and articulately communicates information regarding authorization inquiries to callers while maintaining confidentiality
Exemplified a strong work ethic by reliably completing assigned tasks on time or ahead of schedule.
Handle different member accounts (State of New Jersey, Merck & Co, Sanofi, Organon LLC and Pfizer)
Resolves members administrative concerns as the first line of contact - this may include claim resolutions and other expression of dissatisfaction
Interacts with members verbally and in written form to ensure appropriate engagement is achieved
Help, guide and educate consumers about the fundamentals and benefits of consumer-driven health care topics to select the best benefit plan options, maximize the value of their health plan benefits and choose a quality care provider
Contact care providers on behalf of the member to assist with appointment scheduling or connections with internal specialists for assistance
Assist in increasing member's engagement into appropriate programs and offerings
Interprets plan benefit design, resolves claim, benefit, enrollment issues and appeal issues while making a connection during the contact
Understands and communicates the benefit design packages to members as defined by employer
Acts as trusted advisor and educator on health care related inquiries
Assist members in navigating the company’s website, portal/app and encourage as well as reassure them to become self-sufficient
Assists in mentoring and training of new staff
Responsible for updating self on ever changing information to ensure accuracy when dealing with members and providers
Support team members and participate in team activities to help build a high-performance team
Thoroughly documents members comments/information and forwards required information to the appropriate staff
Responsible for meeting call handling requirements and daily telephone standards as set forth by management
Performs necessary follow-up tasks to ensure member or provider needs are completely met
Maneuver through various computer platforms while verifying information on all calls
Medical Screener / Reception Technician
CSL Plasma
09.2019 - 07.2020
Assessed the self-administered health history, answered basic medical questions associated with the donation process, referred donors to medical staff when appropriate and performed health screening procedures such as blood pressure, pulse, weight, temperature
Conducted basic screening procedures to verify compliance with donation criteria.
Performed finger stick to obtain sample to obtain donor's hematocrit and total protein level
Upon completion of the appropriate training, educated new donors on the use of therapeutic products made from donated plasma
This includes explaining the screening process, the health screening tests performed, the appointment system, donation fees, center policies, proper nutrition and any other information pertinent to the donor
Ensured that all donor questions are answered timely, accurately and professionally
Involved in registering applicant and transfer donors based upon completion of appropriate training and operational needs of the center
Answered the telephone and answer callers' question or transfer call to appropriate staff member
Maintained alertness and awareness to any reaction by a donor may have during or after the pheresis process and notifies appropriate staff
Alerted Group Leader or Supervisor of donor flow issues
Ensured the accurate recording of donor data in the electronic donor information management system as outlined in the SOPs
Understands the policies and procedures associated with hyper immune programs at the center if applicable
Maintained a clean, efficient work environment and ensured sufficient operating supplies and forms are available as needed
Followed all Health Safety & Environmental (HSE) and Occupational Safety and Health Administration (OSHA) policies and procedures
Promoted safety in all actions
Maintained confidentiality of all personnel, donor and center information
Cross-trained in other areas to meet the needs of the business and as well as performed other job-related duties as assigned
Assistant Front Office Manager
Queens Hotel
07.2016 - 12.2016
Supported Front Office Manager in leading department operations, ensuring guest satisfaction and smooth daily function
Assisted the Front Office Manager in employee related matters such as evaluations and consulting
Monitored the Front Office employees to make sure all guests receive prompt and personal recognition
Took good care of the front desk operation including guest registration, room assignment and check-out procedures
Monitored all executive floor executives to ensure maximum guest satisfaction through personal recognition and prompted cordial attention from arrival through departure
Provided high level of customer service and maintained a high profile in the day-to-day front office operations
Spearheaded initiatives that improved overall communication between different departments within the hotel property
Encouraged and mentored employees to boost performance and remove process inefficiencies
Recommended strong business plans, operational decisions and financial processes to support business sustainability
Coached employees through day-to-day work and complex problems
Built highly-efficient administrative team through ongoing coaching and professional development opportunities
Monitored inventory, office stock and ordered supplies as necessary
Updated, processed and filled all documents
Assisted in the recruitment process for front office staff, ensuring a strong team of well-trained employees
Balanced daily cash transactions, accurately maintaining financial records for the front office department
General clerical duties including photocopying, fax & mailing
Reviewed and answered correspondence
Maintained office staff by assisting in recruiting, orienting and training employees
Communicated changes in policies and procedures
Ensured adherence to policies and procedures by staff members
Prepared paperwork for hires and terminations
Conducted orientation for new staff members
Identified and organized training programs for staff
Kept staff attendance reports
Maintained employee personal files and scheduled job evaluations
Served as a link between management and employees by handling questions, interpreting and administering contracts and helped resolved work-related issues
Monitored inventory, office stock and ordered supplies as necessary
Updated, processed and filled all documents
Setting up and coordinating meetings and conferences
Assisted with negotiations for space contracts and booked event space, arranged food and beverage, ordered supplies and audiovisual equipment, made travel arrangements, ordered event signs, and ensured appropriate décor (florals, linens, color schemes, etc.) to meet the quality expectations of the alumni association
Regularly followed up with clients & vendors to ensure the banquet will meet expectations & run smoothly
Coordinated appointments & visits to see our space, and scheduled events on the calendar
Assisted with managing on-site production & cleaned-up for events as necessary
Assisted with preparing budgets & provided periodic progress reports to staff directors for each event project
Responsible for collecting deposits from the clients before an event & final payment after
Ensured timely response of all party/event queries
Enhanced overall guest experience by addressing concerns promptly, professionally resolving issues as they arose during events
Championed sustainability initiatives within banquet operations by implementing eco-friendly practices and promoting responsible resource usage across the department.
Facilitated successful events by coordinating staff schedules, delegating tasks efficiently, and providing clear direction during high-pressure situations
Established strong relationships with vendors to secure high-quality products at competitive prices while maintaining consistent supply chain reliability
Front Desk & Guest Services Operator
The Orange Lion Hotel & Grand Café
12.2005 - 12.2011
Welcomed, registered and assigned rooms to guests
Collected payments, computer bills and made changed for guests
Assisted in the training of new employees, sharing valuable knowledge and industry experience.
Ensured all safety protocols were followed during daily operations to create a secure working environment.
Used effective verbal communication skills to instruct and direct crews during shifts, build team consensus and accomplish important project milestones.
Kept guest's accounts and room availability records manually or using computers
Issued room keys and escorted instructions to bellhops
Responsible for performing simple bookkeeping activities like balancing cash accounts
Posted charges for food, rooms, liquor or telephone calls to ledgers manually or using computers
Accountable for reviewing accounts and charges with guests while checking out
Received and transmitted messages, using telephone and telephone switchboard
Recorded and summarized financial statements including cash receipts, foreign currency exchange, credit cards and related cashiering duties in accurate and timely manner
Collaborated with team members to improve overall performance and achieve company goals
Strengthened communication between departments by fostering a collaborative work environment
Optimized resource allocation by accurately tracking inventory levels and ordering necessary supplies as needed
Marketing Analyst
BTC Advertising Services
06.2005 - 12.2005
Successfully performed managerial duties during manager's absence
Trained new employees and conducted company and product orientations
Calculated and transmitted weekly sales reports to headquarters
Conducted monthly inventory/audit of product
Marketing assistant and updated the databases
Identified areas for process improvement within the marketing department, resulting in increased efficiency and more effective use of resources
Evaluated prospect databases for accuracy, segmentation opportunities, and growth potential within target markets
Developed and retained strong rapport with multiple high-value clients
Executed plans and initiatives to increase efficiency
Receptionist & Ticketing Agent
E-Net Travel Agency
12.2004 - 06.2005
Successfully organized appointments between employees and clients
Maintained confidentiality of information regarding clients and company
Cultivated positive relationships with clients through professional demeanor and excellent interpersonal skills.
Airline ticketing and reservations
Assisted with passport and visa process
Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance
Confirmed appointments, communicated with clients, and updated client records
Supported office efficiency by performing clerical tasks such as data entry, photocopying, scanning, and faxing documents
Provided administrative support to staff members by handling correspondence, filing documents, and managing office supplies inventory
Hotel Receptionist /Front Office Administrative Assistant
Blue Nile Executive Hotel and Resort
02.2002 - 07.2004
Maintained a professional appearance of the front desk area by keeping it clean, organized, and well-stocked with necessary supplies
Provided exceptional customer service for a memorable stay, addressing guest inquiries and resolving issues promptly
Collaborated with housekeeping staff to ensure timely room availability and cleanliness for incoming guests
Collected room deposits, fees, and payments
Managed cash transactions accurately, maintaining proper financial records for the reception area.
Continuously updated knowledge on local attractions, restaurants, and transportation options to provide relevant recommendations for guests seeking guidance.
Preserved guest privacy and security through strict adherence to data protection policies when handling personal information or payment details
Boosted guest loyalty with attentive assistance, personalized recommendations, and genuine interactions
Improved efficiency of team communication by relaying important updates regarding guest preferences or special requests to relevant departments
Assisted in training new receptionists on hotel policies and procedures, ensuring consistency in service delivery across all shifts
Prepared reports on guest satisfaction levels and other metrics
Aided colleagues, managers, and customers through regular communication and assistance
Liaised between clients and vendors and maintained effective lines of communication
Education
Associate of Science - Healthcare Administration Services
Colorado Technical University
Online
10.2025
Certificate - Medical Assistant
U.S. Career Institute
10.2020
High School Diploma - undefined
Holy Angel University
04.2000
Skills
Understand medical claims, benefits and eligibility
Staff Management
Ability to multi-task
Verbal and written communication skills
Staff Work Scheduling
Guest Services Management
Guest Service Sales
Hotel Management
Good delegation skills
Encourages for maximum performance of volunteers
Ability to compliment and recognize work well done
Creative techniques
Model of Good Character
Knowledge of Solutions Central, Blue2, and other insurance software
Customer support
Patience and tolerance
Complaint handling
Quality assurance
Customer service excellence
Client relationship building
Excellent communication
Listening skills
Computer skills
Workflow management
Customer service
Attention to detail
Clerical support
Client rapport
Call center operations
Strong work ethic
Handling customer complaints
Customer relationship management
Reporting and documentation
Understanding customer needs
Customer data confidentiality
Problem resolution
Call documentation
Microsoft office
MS office
Professional telephone demeanor
Personal Profile
15-years experience in customer service, detail orientation, multitasking abilities, Proven history of being able to balance competing priorities and tight deadlines, Developed a reputation for quality of work and timely completion of projects, Ability to communicate effectively with staff at all levels-both written and oral, Expert interpersonal and communication skills known for tactful handling of sensitive, confidential issues; ability to resolve customer complaints; and timely completion of polished, executive-level reports and presentations, Reputation for dependability, honesty, dedication and enthusiasm. Provide premium service to both internal and external customers
Timeline
Consumer Service Associate
Elevance Health (Formerly known as The Anthem Group of Companies, Inc)
Hotel Receptionist /Front Office Administrative Assistant
Blue Nile Executive Hotel and Resort
02.2002 - 07.2004
Certificate - Medical Assistant
U.S. Career Institute
High School Diploma - undefined
Holy Angel University
Associate of Science - Healthcare Administration Services
Colorado Technical University
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