Nichelle Lopez
Houston
Summary
A seasoned customer service professional seeking the opportunity from a reputable company.
Overview
7
7
years of professional experience
Work History
Member Service Representative
Blue Cross Blue Shield Massachusetts
06.2023 - 10.2024
- Helping Deescalate irate members from missed information and claims that’s have been processed incorrectly.
- Notify members eligibility coverage plan.
- I will Follow up with members via email or phone regarding escalated issues.
- Advise members about their Pharmacy benefits and medications.
- Tech savvy
- I will Inform member about Prior Authorization and medical policy guidelines.
Customer Service Representative
Amerihealth Administrators
01.2022 - 02.2023
- Help resolve member claims
- Help members understand benefit plans
- Change/ update PCP
- Send summary of EOB’s
- Problem solving and Troubleshooting
Customer Service Representative
Ibex global
05.2019 - 01.2022
- Ability to Stay Calm in Emergencies
- Help members with product details
- Help place orders
- Calm upset customers
- Notate information about call
Cashier/Food Server
Andretti Indoor Karting and Games
05.2017 - 05.2019
- Taking customers orders
- Running food
Education
Some College - Business
Lone Star College System
Katy, TXHigh school - Business
Langham Creek High School
Houston, TX05.2011
Skills
- Customer service (7 years)
- Typing (2 years)
- Customer service
- Computer skills
- Organizational skills
- Communication skills (5 years)
- Call center (4 years)
- Microsoft Access
- Administrative experience
- Windows (7 years)
- Research
- Insurance Terminology (3 years)
- Leadership (2 years)
- Typing (5 years)
- Data collection (2 years)
- Phone etiquette (4 years)
- Customer support (5years)
- English
Timeline
Member Service Representative
Blue Cross Blue Shield Massachusetts
06.2023 - 10.2024
Customer Service Representative
Amerihealth Administrators
01.2022 - 02.2023
Customer Service Representative
Ibex global
05.2019 - 01.2022
Cashier/Food Server
Andretti Indoor Karting and Games
05.2017 - 05.2019
Some College - Business
Lone Star College System
High school - Business
Langham Creek High School