Michelle Tovar
Independence,MO
Summary
Dynamic Customer Response Specialist at GEHA with expertise in claims processing and benefits coordination. Proven ability to resolve complex issues and enhance customer satisfaction through effective communication and relationship management. Skilled in policy interpretation and adept at streamlining workflows, ensuring efficient operations and improved member experiences.
Overview
13
13
years of professional experience
Work History
Customer Response Specialist
GEHA
Independence, MO
12.2011 - 12.2024
- Assisted members in resolving enrollment, benefits, pharmacy, authorizations, appeals, web assistance, and medical and dental claims status issues.
- Assisted providers with benefits, authorizations, appeals, web assistance, and medical, dental, and pharmacy claims issues.
- Coordinated with other departments to ensure efficient workflow processes.
Education
Associate of Applied Science - Criminal Justice
Blue River Metropolitan Community College
Independence, MO01-2004
Skills
- Claims processing and policy interpretation
- Benefits coordination and authorization management
- Web assistance and customer relationship management
Timeline
Customer Response Specialist
GEHA
12.2011 - 12.2024
Associate of Applied Science - Criminal Justice
Blue River Metropolitan Community College