Experienced customer service professional with over 15 years of experience within the customer service industry. Now seeking a challenging but rewarding role in a position where I can serve customers and expand on my role, and expertise.
• Supervise and support a remote team of customer service representatives assisting health plan members and providers while ensuring HIPAA compliance and high-quality service delivery.
• Lead the full recruitment process—conducting interviews, making hiring recommendations, and onboarding new team members to maintain optimal staffing levels.
• Oversee payroll and scheduling for the department, ensuring accuracy, compliance, and timely approvals for all team members.
• Design and deliver training sessions and ongoing coaching to enhance representative knowledge, improve call handling skills, and boost overall team performance.
• Resolve escalated and complex member issues with professionalism and empathy, improving customer satisfaction and reducing repeat inquiries.
• Monitor key performance metrics (AHT, FCR, CSAT, quality scores) to identify trends and implement process improvements that enhanced operational efficiency.
• Partner with cross-functional teams—claims, enrollment, clinical, and compliance—to streamline workflows and drive first-call resolution.
• Facilitate team huddles and meetings to communicate policy updates, share best practices, and foster a collaborative, growth-focused work culture.
• Prepare and present performance and payroll reports for leadership to guide workforce planning and strategic decisions.
✨ Highlights Added:
• Interviewing & hiring
• Payroll management
• Training & onboarding