Michael Zies
CCR
Aurora,CO
Summary
Consumer Service Associate with extensive experience at Elevance, specializing in conflict resolution and benefits administration. Proven ability to deliver customized solutions that enhance customer satisfaction through effective communication and innovative problem-solving. Recognized for maintaining in-depth knowledge of policies and ensuring prompt resolutions for complex member cases. Experienced with delivering top-notch customer service and support. Utilizes effective communication to address and resolve customer issues efficiently. Track record of maintaining high customer satisfaction through proactive problem-solving and teamwork.
Overview
7
7
years of professional experience
Work History
Consumer Service Associate
Elevance
04.2021 - Current
- Provided accurate information on benefits and policies to members, insurers, and providers via calls, chat client, and email.
- Resolved customer issues with tailored solutions and clear explanations of claim calculations.
- Liaised with billing departments and providers regarding invoices and medical records.
- Maintained comprehensive knowledge of national account benefit plans and managed inventory effectively. - Demonstrated strong problem-solving abilities to address conflicts swiftly.
- Delivered exceptional customer care by handling grievances, appeals, and coordinating benefits.
- Created timelines for escalated member cases to ensure timely resolutions.
- Continuously communicated with members undergoing long-term treatments to provide support.
Customer CARE Representative I-III
Anthem
07.2018 - 04.2021
- Delivered accurate benefit and policy information to members, health insurances, and providers.
- Evaluated customer information to identify issues and implement effective solutions.
- Explained claim calculations and facilitated claim adjustments for members.
- Conducted inquiries with billing and providers regarding invoices and medical records.
- Monitored changes to national account benefit plan designs and managed inventory efficiently.
- Utilized conflict resolution skills to address customer concerns, ensuring high satisfaction levels.
Education
Associate of Business Administration
Community College Of Aurora
Aurora, COSkills
Exceptional CARES experience
Customer relationship management
Conflict resolution
Service quality assurance
Effective communication
Adaptable problem-solving
Timeline
Consumer Service Associate
Elevance
04.2021 - Current
Customer CARE Representative I-III
Anthem
07.2018 - 04.2021
Associate of Business Administration
Community College Of Aurora
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