Reliable worker with excellent communication, time management, and computer skills. A driven and detail-oriented individual with a desire to use analytical and problem-solving skills to meet goals.
Overview
4
4
years of professional experience
Work History
Claims Customer Service Representative 2
SBMA
04.2022 - Current
Delivered exceptional customer service to every customer by leveraging extensive knowledge of services and creating welcoming, positive experiences.
Improved workflow efficiency with proficient multitasking and prioritization of high-priority cases.
Examined reports, accounts, and evidence to determine integrity and accuracy of information.
Assisted in training new hires on claims procedures and best practices, fostering a collaborative learning environment that facilitated rapid skill development.
Promoted a positive work environment by actively participating in team meetings, sharing best practices, and offering constructive feedback to peers.
Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
Insurance benefit specialist
WTW
10.2021 - 04.2022
Ensured compliance with HIPAA regulations during all aspects of the benefit verification process, protecting patient privacy.
Provided exceptional customer service by addressing patient concerns regarding coverage and out-of-pocket expenses.
Implemented proactive outreach campaigns to educate employees on upcoming open enrollment periods and important deadlines.
Developed clear communication plans outlining key dates and milestones during open enrollment, ensuring employees remained informed and engaged throughout the process.
Processed enrollments accurately and efficiently, minimizing errors that could lead to employee dissatisfaction or financial loss for the company.
Dental Assistant
Edward Robinovich DDS
12.2020 - 10.2021
Assisted office administrators in establishing efficient workflow processes related to dental billing and insurance claims management.
Documented patient dental health information, medical history, and vital signs for future reference.
Explained treatment procedures and instructed patients on home care guidelines.
Cleaned and sanitized dental tools and equipment, straightened treatment rooms, and restocked supplies to prep for next patient and maintain health and safety practices.
Provided chairside assistance during examinations, improving dentist efficiency and patient satisfaction.
Tier 2 Customer Service Claims Representative at Blue Cross And Blue Shield Of MichiganTier 2 Customer Service Claims Representative at Blue Cross And Blue Shield Of Michigan