Customer Service Representative bringing top-notch skills in oral and written communication, active listening and analytical problem-solving skills. Enhances customer experiences by employing service-oriented behaviors, understanding customer desires, ad providing customized solutions to build loyalty.
Overview
4
4
years of professional experience
Work History
Customer Service Representative
Blue Cross Blue Shield Of South Carolina
08.2021 - 08.2023
Assist members with inquiries, concerns, and issues related to their health insurance coverage.
Handle inquiries and provide support regarding the status of claims.
Assist individuals and employers with enrollment processes, including new enrollments, changes in coverage, and termination of coverage.
Explain health insurance benefits, including coverage details, limitations, and exclusions.
Support healthcare providers with inquiries regarding billing, claims submission, prior authorizations, and other administrative processes.
Investigate and resolve member and provider complaints or concerns in a timely and professional manner.
Stay updated on the company's policies, procedures, and healthcare industry regulations.
Accurately document customer interactions, inquiries, and resolutions (CRM) systems or databases.
Provide educational materials, resources, and guidance to members and providers to enhance their understanding of health insurance benefits, preventive care, and wellness programs.
Adhere to privacy and confidentiality regulations such as (HIPPA) when handling sensitive member information.
Customer Service Representative
Le'Crueset
12.2019 - 07.2021
Respond to customer inquiries, concerns, and complaints promptly and professionally via various communication channels, including phone, email, and live chat.
Assist customers with placing orders, verifying order details, and ensuring timely and accurate order processing.
Handle customer requests for returns, exchanges, or refunds in accordance with Le' Creuset's return policy.
Develop a deep understanding of Le'Creuset's product line, including cookware, bakeware and kitchen accessories.
Assist customers in understanding and navigating Le'Creuset's warranty program.
Help customers troubleshoot product issues, usage questions, or techinical difficulties they may encounter.
Identify opportunities to upsell or cross-sell additional products or accessories that compliment customers' purchases or meet their needs.
Accurately document customer interactions, inquiries, and resolutions in (CRM) systems or databases.
Collaborate with other departments, such as sales, marketing, and operations, to address customer-related issues or provide feedback for process improvements.
Stay updated on the company's latest products, industry trends, and customer service best practices.
Lead Pharmacy Operations Analyst at Blue Cross & Blue Shield of South CarolinaLead Pharmacy Operations Analyst at Blue Cross & Blue Shield of South Carolina
Project Administrator for Change Order Management at Blue Cross And Blue Shield Of South CarolinaProject Administrator for Change Order Management at Blue Cross And Blue Shield Of South Carolina
Lead Pharmacy Operations Analyst at Blue Cross & Blue Shield of South CarolinaLead Pharmacy Operations Analyst at Blue Cross & Blue Shield of South Carolina