Dedicated customer service professional with proven expertise in claims processing, insurance verification, and HIPAA compliance. Committed to enhancing customer satisfaction through effective problem resolution and timely support.
Overview
8
8
years of professional experience
Work History
Customer Service Representative
Capital One
Plano, USA
08.2025 - 07.2026
Provided excellent customer service to resolve customer complaints in a timely manner.
Enhanced customer satisfaction by resolving issues with knowledgeable, friendly service, fostering loyalty.
Resolved service complaints using effective communication and problem-solving skills, enhancing customer experience.
Assisted customers with account inquiries and transaction issues, ensuring timely and accurate resolutions.
Educated customers on banking products and services offered by Capital One.
Benefit Verification Specialist: Contract Position
CareMetx
Plano, USA
10.2024 - 02.2025
Verified insurance benefits for customers to ensure accurate coverage information
Gathered necessary information from customers for benefit verification to facilitate claim approvals.
Informed customers of deductible and co-insurance amounts to facilitate payment understanding
Confirmed claim statuses by contacting insurance companies to ensure accurate processing.
Entered benefit verification data into relevant systems to maintain up-to-date records.
Coordinated with primary care physicians for timely referral management
Maintained confidential customer and company information.
Customer Service Representative
Transamerica
Plano, USA
10.2022 - 10.2024
Answered inbound calls, providing timely assistance to enhance customer satisfaction.
De-escalated customer concerns, resulting in positive interactions and increased customer trust.
Managed customer interactions using various CRM systems to streamline service delivery.
Guided customers in navigating online accounts to enhance user experience and satisfaction.
Resolved complex issues by collaborating with departments to develop effective solutions for customer needs.
Performed high-volume data entry tasks with accuracy and attention to detail.
Certified in HIPAA compliance to ensure patient confidentiality.
Virtual Receptionist/Sr. Customer Service Rep.
Dedicated Office Solutions
Plano, USA
04.2018 - 07.2022
Fielded 200+ inbound and outbound calls daily for multiple companies, facilitating effective communication and issue resolution.
Responded promptly to client and customer messages regarding changes or concerns, ensuring timely communication and resolution
De-escalated irate customers, effectively resolving issues to restore their confidence in service
Conducted quality assurance checks to uphold service standards, coordinating with internal employees and clients to enhance overall satisfaction.
Educated team on quality standards, promoting compliance and supporting improved service performance.
Used unique CRM on each call for scheduling and documentation and sales purposes
Navigated sensitive situations while providing accurate information
Education
High School Diploma -
Frisco High Schoo
Frisco
05-2014
Skills
Customer service
CRM management
Insurance verification
Claims processing
HIPAA compliance
Claims management
Healthcare
Proficient with Microsoft Office
Financial literacy
Follow-up management
Timeline
Customer Service Representative
Capital One
08.2025 - 07.2026
Benefit Verification Specialist: Contract Position