Nynessia Ham
Rancho Cucamonga,CA
Summary
Personable and dedicated Customer Service Representative with extensive experience in Clerical industry. Solid team player with upbeat, positive attitude and proven skill in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Articulate, enthusiastic and results-oriented with demonstrated passion for building relationships, cultivating partnerships and growing businesses.
Overview
14
14
years of professional experience
Work History
Claims Adjudicator/Fact Finding Agent (REMOTE)
Maximums/Ranstad
07.2022 - 02.2023
- Determined claim status and negotiated to reach reasonable settlements or denials.
- Prepared and presented claims to other insurance companies and collaborated to gain necessary information to resolve claims.
- Optimized organizational efficiency by mentoring personnel on customer service protocols.
- Investigated high volume of insurance claims to determine validity and coverage eligibility.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
CSR
Pacific eye institute
01.2021 - 01.2022
- Provided outstanding service to new and long-standing customers by attending closely to concerns and developing solutions.
- Built client rapport while accurately processing repair documentation and troubleshooting technical discrepancies through completion.
- Made outbound calls to obtain account information.
- Answered 300+ inbound calls per day and directed to individuals or departments.
- Supported operational improvements and resolution of problems to deliver top-notch customer service.
- Exceeded company productivity standards on consistent basis.
Member Service Representative
Thrive market
08.2017 - 12.2019
- Managed customer conflicts and challenging situations by staying calm and accessing internal knowledgebases to develop strategic solutions.
- Helped members resolve account problems and navigate internal systems to handle routine needs.
- Maintained strong knowledgebase of product options and sales promotions to better serve every customer.
- Offered exceptional customer service to differentiate and promote company brand.
- Cross-trained in different internal databases and service positions to help team members meet coverage demands.
- Reviewed customer account information to determine current issues and potential solutions.
- Handled calls for new sign-ups, service cancellations and cross-selling opportunities.
- Managed administrative requirements to keep records up to date and complete timely forms for customer needs.
- Consulted with customers regarding needs and addressed concerns.
- Collated customer names, contact and payment information to streamline future interactions.
- Displayed strong telephone etiquette, effectively handling difficult calls.
- Answered questions and informed customers of current sales and promotions.
- Informed customers about product lines and services offered by company.
Medical Biller
Heal the pain Inc
01.2014 - 11.2017
- Coordinated communications between patients, billing personnel and insurance carriers.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Interpreted medical terminology and pharmacological information to translate information into coding system.
- Handled billing, waivers and claims for private and commercial clients.
- Used software system to manage provider schedules and keep calendar organized practice.
- Maintained high accuracy rate on daily production of completed reviews.
- Handled billing for full complement of practice providers.
- Prepared and updated new system to handle billing needs with improved accuracy, reliability and overall performance.
- Used computer system to record weekly expenditures and balances.
PDQ
Court tracker / Data entry Clerk
09.2004 - 06.2010
- Managed quality control and maintained high level of customer satisfaction. Filing, faxing, data entry, some excel, answering multiple phone lines, sorting and sending out mail and general office support. Processing tax payments for the Treasurer Tax Company in Downtown, Los Angeles. Entering essential data into a court specific database, retrieving files from database, front and back office reception, getting supplies, intake in detention center, creating excel spreadsheets, creating reports and handling and storing confidential records and general office supp
Education
High School Diploma -
Chatsworth Charter High School
Chatsworth, CA06.2003
Skills
- Report generation
- Credit card payment processing
- Report creation
- Microsoft Office expertise
- Call Center Operations
- High-energy attitude
- Retail sales customer service
- Claim Validity Determination
- Unemployment Claims
- Critical Thinking
Timeline
Claims Adjudicator/Fact Finding Agent (REMOTE)
Maximums/Ranstad
07.2022 - 02.2023
CSR
Pacific eye institute
01.2021 - 01.2022
Member Service Representative
Thrive market
08.2017 - 12.2019
Medical Biller
Heal the pain Inc
01.2014 - 11.2017
PDQ
Court tracker / Data entry Clerk
09.2004 - 06.2010
High School Diploma -
Chatsworth Charter High School
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